說明:
1. 糖尿病。
一些臨床研究顯示,練習太極拳,每週兩次,連續16週可改善糖尿病患者的糖化血紅蛋白(HbA1c)和胰島素抵抗(88903,88904,88905)。但太極並不比運動改善糖尿病指標更好。

2. 運動體能。
匯總分析各種研究發現,練太極拳可提高有氧運動能力,效果對久坐的成年人最為明顯(88906)。

3. 高血壓。
一些臨床研究顯示,與對照組或不運動者相比,高血壓患者練太極拳6至12週可降低其血壓。其效果與練習有氧運動者相比,對降低血壓效果兩者類似(69505,88910,88911)。

4. 骨性關節炎。
對膝關節和髖關節骨性關節炎患者的臨床研究顯示,練習太極拳40分鐘,每週1-3次,連續12-24週,可改善身體機能和肢體僵硬度,及某些疼痛(88913,88914,88915,88916,88917)。其它初步的臨床研究表明,練太極拳1小時,每週2次,6-12週可改善骨關節炎患者疼痛,僵硬和生理功能(88918,88919,88920)。
評論:
1. 糖尿病及高血壓都是國人主要的慢性病,末期會有腦中風,心臟病,腎衰竭等等併發症,因此應及早因應。太極拳可改善此兩大慢性病,值得推廣。但其他運動可能也有類似的效果。

2. 太極拳可強化運動體能及改善骨性關節炎,延緩身體骨骼肌肉的老化,才能活的老而健康,所以要多”活””動”,因為要”活”就要”動”。
(2015-8-12)

參考文獻:
1. Tsang, T., Orr, R., Lam, P., Comino, E., and Singh, M. F. Effects of Tai Chi on glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: a randomised double-blind sham-exercise-controlled trial. Age Ageing 2008;37(1):64-71.
2. Orr, R., Tsang, T., Lam, P., Comino, E., and Singh, M. F. Mobility impairment in type 2 diabetes: association with muscle power and effect of Tai Chi intervention. Diabetes Care 2006;29(9):2120-2122.
3. Lam, P., Dennis, S. M., Diamond, T. H., and Zwar, N. Improving glycaemic and BP control in type 2 diabetes. The effectiveness of tai chi. Aust Fam Physician 2008;37(10):884-887.
4. Taylor-Piliae, R. E. The effectiveness of Tai Chi exercise in improving aerobic capacity: an updated meta-analysis. Med Sport Sci 2008;52:40-53.
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7. Lee, E. N. [The effects of tai chi exercise program on blood pressure, total cholesterol and cortisol level in patients with essential hypertension]. Taehan Kanho Hakhoe Chi 2004;34(5):829-837.
8. Brismee, J. M., Paige, R. L., Chyu, M. C., Boatright, J. D., Hagar, J. M., McCaleb, J. A., Quintela, M. M., Feng, D., Xu, K. T., and Shen, C. L. Group and home-based tai chi in elderly subjects with knee osteoarthritis: a randomized controlled trial. Clin Rehabil 2007;21(2):99-111.
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