Tai Chi may improve
glucose control and quality of life for individuals with type 2 diabetes
Song R, Ahn S, Roberts BL, Lee EO, Ahn
College of Nursing, Chungnam
Daegon 301747, Korea.
Journal of alternative and
complementary medicine, 2009 Jun;15(6):627-32
was to examine the effects of adherence to a 6-month Tai Chi exercise program
on glucose control, diabetic self-care activities, and quality of life among
individuals with type 2 diabetes.
from a quasi-experimental study at multisite health-promotion centers in Korea with
pretest and 3- and 6-month post-test measures were used. Ninety-nine adults
diagnosed with type 2 diabetes and HbA1c 6.0 or higher were included in the
The Tai Chi
intervention consisted of 19 movements from Yang and Sun styles provided twice
a week for 6 months. Sixty-two subjects completed both pretest and post-test
measures. To achieve the desired outcomes, subjects needed to complete 80% of
the sessions of the Tai Chi program, and 31 subjects who met this criteria were
compared to those who did not. Outcome measures included glucose control
(fasting blood sugar, HbA1c), diabetic self-care activities, and quality of
life (36-Item Short Form Health Survey, version 2).
repeated measure analysis of variance for baseline, 3 months, and 6 months, the
adherent group had greater decline in fasting glucose and HbA1c than the non-adherers.
The adherent group performed significantly more diabetic self-care activities,
and had better quality of life in mental component summary, social functioning,
mental health, and vitality as compared to the non-adherent group. The significant
differences in quality of life remained after adjusting for self-care
activities except for mental health, which was no longer significant.
with type 2 diabetes, Tai Chi could be an alternative exercise intervention to
increase glucose control, diabetic self-care activities, and quality of life.
Whether Tai Chi can reduce or prevent diabetic complications requires further