Effects of six Chinese mind-body exercise therapies on glycolipid metabolism and vascular endothelial function in hypertensive patients.

IF 4.1 2区综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES

iScience Pub Date : 2025-05-15 eCollection Date: 2025-06-20 DOI:10.1016/j.isci.2025.112682

Haojie Li, Xinyu Lin, Xinglu Li, Nan Chen, Xie Wu

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Abstract

Hypertension adversely affects glycolipid metabolism and vascular function in aging populations. This network meta-analysis evaluated 36 randomized trials (n = 2875) comparing traditional mind-body exercises (Tai Chi, Baduanjin, Daoyinyangshengshu) for metabolic and vascular improvements. Analyses revealed Tai Chi most effectively raised high-density lipoprotein (HDL) (standardized mean differences [SMD] = 0.88), while Daoyinyangshengshu optimally reduced fasting glucose (SMD = -1.21) and endothelin-1 (SMD = -1.82) while increasing nitric oxide (SMD = 1.41). Baduanjin best lowered low-density lipoprotein (LDL) (SMD = -0.95), with other exercises improving cholesterol and triglycerides. The findings demonstrate that specific mind-body practices differentially enhance cardiometabolic health, with Tai Chi and Daoyinyangshengshu showing particular promise for comprehensive benefits. These evidence-based results support incorporating traditional exercises into hypertension management protocols to address both metabolic and vascular dysfunction.

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六种中医心身运动疗法对高血压患者糖脂代谢及血管内皮功能的影响。

高血压对老年人群的糖脂代谢和血管功能有不利影响。该网络荟萃分析评估了36项随机试验（n = 2875），比较了传统身心锻炼（太极、八段锦、道阴养生术）对代谢和血管改善的作用。分析显示，太极拳最有效地提高了高密度脂蛋白（HDL）（标准化平均差异[SMD] = 0.88），而道阴养生疏最有效地降低了空腹血糖（SMD = -1.21）和内皮素-1 (SMD = -1.82)，同时增加了一氧化氮（SMD = 1.41）。八段锦最能降低低密度脂蛋白（LDL）（SMD = -0.95），其他运动能改善胆固醇和甘油三酯。研究结果表明，特定的身心练习对心脏代谢健康有不同的促进作用，太极拳和道阴养生术表现出特别的综合效益。这些基于证据的结果支持将传统运动纳入高血压管理方案，以解决代谢和血管功能障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

iScience Multidisciplinary-Multidisciplinary

CiteScore

7.20

自引率

1.70%

发文量

1972

审稿时长

6 weeks

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