Vol 37, (10) 884-887
Improving glycaemic and BP control in type 2 diabetes - The effectiveness of tai chi
Paul Lam MBBS, FAMAC, is Conjoint Lecturer, Department of Community Medicine, University of New South Wales, and a general practitioner, Sydney, New South Wales.
Sarah M Dennis MSc, PhD, is Senior Research Fellow, Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales.
Terry H Diamond MBBCh, MRCP, FRACP, is Associate Professor in Endocrinology and Senior Consultant Endocrinologist, St George Hospital Campus, University of New South Wales.
Nicholas Zwar MBBS, MPH, PhD, FRACGP, is Professor of General Practice, School of Public Health and Community Medicine, University of New South Wales.
BACKGROUND This study assessed the effect of tai chi on glycosylated haemoglobin (HbA1c), blood pressure and health status (SF-36) in adults with type 2 diabetes.
METHODS A randomised controlled trial of tai chi classes for 6 months versus wait list control for adults with type 2 diabetes and a baseline HbA1c of 7% or more.
RESULTS A total of 53 patients were recruited to the study and randomised to tai chi (28) or control group (25). There were improvements in HbA1c; 6 m walk test, and total cholesterol between baseline and follow up but the difference between the two treatment groups was not statistically significant. Health status results showed improvements in three domains for the tai chi group.
DISCUSSION There was no significant improvement in metabolic control or cardiovascular risk at follow up compared to the control group. Patients in the tai chi group showed improvements in physical and social functioning.
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