Qigong Effects on Heart Rate Variability and Peripheral Vasomotor Responses

Abstract

Population aging is occurring worldwide, and preventing cardiovascular event in older people is a unique challenge. The aim of this study was to examine the effects of a 12-week qigong (eight-form moving meditation) training program on the heart rate variability and peripheral vasomotor response of middle-aged and elderly people in the community. This was a quasi-experimental study that included the pre-test, post-test, and nonequivalent control group designs. Seventy-seven participants (experimental group = 47; control group = 30) were recruited. The experimental group performed 30 min of eight-form moving meditation 3 times per week for 12 weeks, and the control group continued their normal daily activities. After 12 weeks, the interaction effects indicated that compared with the control group, the experimental group exhibited significantly improved heart rate variability and peripheral vasomotor responses.

Keywords

qigong heart rate variability peripheral vasomotor responses cold-induced vasodilatation sympathetic nervous system

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References

Albinet

C. T.

Boucard

Bouquet

C. A.

Audiffren

(2010). Increased heart rate variability and executive performance after aerobic training in the elderly. European Journal of Applied Physiology, 109, 617-624. doi:10.1007/s00421-010-1393-y

Ashare

R. L.

Sinha

Lampert

Weinberger

A. H.

Anderson

G. M.

Lavery

M. E.

McKee

S. A.

(2012). Blunted vagal reactivity predicts stress-precipitated tobacco smoking. Psychopharmacology, 220, 259-268. doi:10.1007/s00213-011-2473-3

Billman

G. E.

(2013). The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance. Frontiers in Physiology, 4, Article 26. doi:10.3389/fphys.2013.00026

Brändström

Grip

Hallberg

Grönlund

Angquist

K. A.

Giesbrecht

G. G.

(2008). Hand cold recovery responses before and after 15 months of military training in a cold climate. Aviation, Space, and Environmental Medicine, 79, 904-908.

Buccelletti

Gilardi

Scaini

Galiuto

Persiani

Biondi

Silveri

N. G.

(2009). Heart rate variability and myocardial infarction: Systematic literature review and meta-analysis. European Review for Medical and Pharmacological Sciences, 13, 299-307.

Castellani

J. W.

O’Brien

(2005). Peripheral vasodilation responses to prevent local cold injuries. In Prevention of cold injuries (Meeting Proceedings RTO-MP-HFM-126, Keynote 2, pp. KN2-1-KN2-14). Neuilly-sur-Seine, France: RTO. Retrieved from http://www.rto.nato.int/abstracts.asp.

Castellani

J. W.

Young

A. J.

Ducharme

M. B.

Giesbrecht

G. G.

Glickman

Sallis

R. E.

, & American College of Sports Medicine. (2006). American College of Sports Medicine position stand: Prevention of cold injuries during exercise. Medicine & Science in Sports & Exercise, 38, 2012-2029.

Chang

K. V.

C. H.

Wang

T. G.

Hsiao

M. Y.

Yeh

T. S.

Chen

W. S.

(2011). Pulsed wave Doppler ultrasonography for the assessment of peripheral vasomotor response in an elderly population. Journal of Clinical Ultrasound, 39, 383-389.

Chang

M. Y.

Yeh

S. C.

Chu

M. C.

T. M.

Huang

T. H.

(2013). Associations between Tai Chi Chung program, anxiety, and cardiovascular risk factors. American Journal of Health Promotion, 28, 16-22. doi:10.4278/ajhp.120720-QUAN-356

10.

Charkoudian

(2010). Mechanisms and modifiers of reflex induced cutaneous vasodilation and vasoconstriction in humans. Journal of Applied Physiology, 109, 1221-1228. doi:10.1152/japplphysiol.00298.2010

11.

Chenier-Hogan

Brown

C. A.

Hains

S. M.

Parlow

J. L.

(2012). Heart rate variability response to standing in men and women receiving d,l-sotalol following coronary artery bypass graft surgery. Biological Research for Nursing, 14, 38-47. doi:10.1177/1099800410396208

12.

Chow

Y. W.

Tsang

H. W.

(2007). Biopsychosocial effects of qigong as a mindful exercise for people with anxiety disorders: A speculative review. Journal of Alternative and Complementary Medicine, 13, 831-839.

13.

Daanen

H. A.

(2003). Finger cold-induced vasodilation: A review. European Journal of Applied Physiology, 89, 411-426.

14.

Dampney

R. A.

Coleman

M. J.

Fontes

M. A.

Hirooka

Horiuchi

Y. W.

. . . Tagawa

(2002). Central mechanisms underlying short- and long-term regulation of the cardiovascular system. Clinical and Experimental Pharmacology and Physiology, 29, 261-268.

15.

Dharma Drum Mountain Buddhist Foundation. (2004). Dharma Drum’s Eight-form moving meditation: A learner’s handbook. Taipei, China: Dharma Drum Mountain.

16.

Dharma Drum Retreat Center (2013). Eight-Form moving meditation. Retrieved from http://www.dharmadrumretreat.org/teachings.php?id=eightform

17.

Dobnikar

Kounalakis

S. N.

Mekjavic

I. B.

(2010). The effect of exercise-induced elevation in core temperature on cold-induced vasodilatation response in toes. European Journal of Applied Physiology, 106, 457-464. doi:10.1007/s00421-009-1035-4

18.

Dwivedi

M. K.

Tripathi

A. K.

Shukla

Khan

Chauhan

U. K.

(2011). Homocysteine and cardiovascular disease. Biotechnology and Molecular Biology Review, 5(5), 101-107.

19.

Flouris

A. D.

Cheung

S. S.

(2009). Influence of thermal balance on cold-induced vasodilation. Journal of Applied Physiology, 106, 1264-1271. doi:10.1152/jappl-physiol.91426.2008

20.

Golbidi

Laher

(2012). Exercise and the cardiovascular system. Cardiology Research and Practice, Article 210852, doi:10.1155/2012/210852

21.

Keramidas

M. E.

Musizza

Kounalakis

S. N.

Mekjavic

I. B.

(2010). Enhancement of the finger cold-induced vasodilation response with exercise training. European Journal of Applied Physiology, 109, 133-140. doi:10.1007/s00421-010-1374-1

22.

Klieman

Hyde

Berra

(2006). Cardiovascular disease risk reduction in older adults. Journal of Cardiovascular Nursing, 21, (Suppl. 15), S27-S39.

23.

Kuan

S. C.

Chen

K. M.

Wang

(2012). Effectiveness of qigong in promoting the health of wheelchair-bound older adults in long-term care facilities. Biological Research for Nursing, 14, 139-146. doi:10.1177/1099800411399645

24.

Kuo

T. B.

Lin

Yang

C. C.

C. L.

Chen

C. F.

Chou

(1999). Effect of aging on gender differences in neural control of heart rate. American Journal of Physiology, 277, H2233-H2239.

25.

Lee

M. S.

Hong

S. S.

Lim

H. J.

Kim

H. J.

Woo

W. H.

Moon

S. R.

(2003). Retrospective survey on therapeutic efficacy of qigong in Korea. The American Journal of Chinese Medicine, 31, 809-815.

26.

Lee

M. S.

Huh

H. J.

Kim

B. G.

Ryu

Lee

H. S.

Kim

J. M.

Chung

H. T.

(2002). Effects of Qi-training on heart rate variability. The American Journal of Chinese Medicine, 30, 463-470.

27.

Lee

M. S.

Jang

H. S.

Moon

S. R.

(2004). Effects of Qi-therapy (External Qigong) on autonomic nervous system: A randomized placebo controlled pilot trial. Journal of International Society of Life Information Science, 22, 314-316.

28.

Lee

M. S.

Kim

M. K.

Lee

Y. H.

(2005). Effects of Qi-therapy (external qigong) on cardiac autonomic tone: A randomized placebo controlled study. International Journal of Neuroscience, 115, 1345-1350.

29.

Lin

(2007). Benefits of qigong and Tai Chi on health and healing. In Theses: Scientific and skill papers on qigong, published in coordination with The World Qigong Forum 2007 and 10th World Congress on Qigong and Traditional Chinese Medicine, Tokyo, Japan (pp. 3-8).

30.

Lipsitz

S. R.

Fitzmaurice

G. M.

Ibrahim

J. G.

Sinha

Parzen

Lipshultz

(2009). Joint generalized estimating equations for multivariate longitudinal binary outcomes with missing data: An application to AIDS data. Journal of the Royal Statistical Society: Series A, 172, 3-20.

31.

W. A.

Kuo

C. D.

(2003). The effect of Tai Chi Chuan on the autonomic nervous modulation in older persons. Medicine & Science in Sports & Exercise, 35, 1972-1976.

32.

W. A.

Kuo

C. D.

(2006). Comparison of the effects of Tai Chi Chuan and Wai Tan Kung exercises on autonomic nervous system modulation and on hemodynamics in elder adults. The American Journal of Chinese Medicine, 34, 959-968.

33.

W. A.

Kuo

C. D.

(2012). Effect of 3-month Tai Chi Chuan on heart rate variability, blood lipid and cytokine profiles in middle-aged and elderly individuals. International Journal of Gerontology, 6, 267-272. doi:10.1016/j.ijge.2012.01.025

34.

Ministry of Health and Welfare. (2013). 2011 statistics of causes of death. Retrieved from http://www.mohw.gov.tw/cht/DOS/DisplayStatisticFile.aspx?d=13718&s=1

35.

Moodithaya

Avadhany

S. T.

(2012). Gender differences in age-related changes in cardiac autonomic nervous function. Journal of Aging Research, Article 679345. doi:10.1155/2012/679345

36.

O’Brien

(2005). Reproducibility of the cold-induced vasodilation response in the human finger. Journal of Applied Physiology, 98, 1334-1340.

37.

Carriere

K. C.

Park

(2008). Model diagnostic plots for repeated measures data using the generalized estimating equations approach. Computational Statistics & Data Analysis, 53, 222-232.

38.

Pizzinato

Muller

Lingg

Dapra

Lothaller

Christian Endler

(2012). Heart rate variability in a study on Reiki treatment. The Open Complementary Medicine Journal, 4, 12-15.

39.

Routledge

F. S.

Campbell

T. S.

McFetridge-Durdle

J. A.

Bacon

S. L.

(2010). Improvements in heart rate variability with exercise therapy. Canadian Journal of Cardiology, 26, 303-312.

40.

Sandercock

G. R.

Bromley

P. D.

Brodie

D. A.

(2005). Effects of exercise on heart rate variability: Inferences from meta-analysis. Medicine & Science in Sports & Exercise, 37, 433-439.

41.

Sawada

(2005a). Assessment of local cold tolerance of individuals by using conventional and unconventional methods based on observation of CIVD reactivity. In Prevention of cold injuries (Meeting Proceedings RTO-MP-HFM-126, Paper 12, pp. 12-1-12-6). Neuilly-sur-Seine, France: RTO.

42.

Sawada

(2005b). Cold-induced vasodilation response and associated thermal loads in older men observed during finger cooling. Elsevier Ergonomics Book Series, 3, 141-146. doi:10.1016/S1572-347X(05)80024-2

43.

Shen

T. W.

Wen

H. J.

(2013). Aerobic exercise affects t-wave alternans and heart rate variability in postmenopausal women. International Journal of Sports Medicine, 34, 1099-1105. doi:10.1055/s-0033-1343408

44.

Suresh

Chandrashekara

(2012). Sample size estimation and power analysis for clinical research studies. Journal of Human Reproductive Sciences, 5, 7-13. doi:10.4103/0974-1208.97779

45.

Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. (1996). Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. European Heart Journal, 17, 354-381.

46.

Twisk

de Vente

(2012). Attrition in longitudinal studies. How to deal with missing data. Journal of Clinical Epidemiology, 55, 329-337.

47.

Yukishita

Lee

Kim

Yumoto

Kobayashi

Shirasawa

Kobayashi

(2010). Age and sex-dependent alterations in heart rate variability: Profiling the characteristics of men and women in their 30s. Anti-Aging Medicine, 7(8), 94-99.