Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial
ABSTRACT Objective: This study investigated the effects of Tai Chi/Qigong practice over 13 weeks on anxiety and perceived stress levels in middle-aged or older Brazilian hypertensive and diabetic individuals assisted in a primary healthcare setting. Methods: Ninety-one patients with diabetes melli...
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2025-03-01
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| author | Laís Renata Almeida Cezário Santos Anderson Taíra Rosana de Fátima Possobon Marcelo de Castro Meneghim Chien-Lin Su Paola Lavin Soham Rej Gláucia Maria Bovi Ambrosano Karine Laura Cortellazzi |
| author_facet | Laís Renata Almeida Cezário Santos Anderson Taíra Rosana de Fátima Possobon Marcelo de Castro Meneghim Chien-Lin Su Paola Lavin Soham Rej Gláucia Maria Bovi Ambrosano Karine Laura Cortellazzi |
| author_sort | Laís Renata Almeida Cezário Santos |
| collection | DOAJ |
| description | ABSTRACT Objective: This study investigated the effects of Tai Chi/Qigong practice over 13 weeks on anxiety and perceived stress levels in middle-aged or older Brazilian hypertensive and diabetic individuals assisted in a primary healthcare setting. Methods: Ninety-one patients with diabetes mellitus and/or hypertension diagnosed and followed up at a primary care center were randomized to the Tai Chi/Qigong intervention (n = 45) or waitlist (n = 46) group for 13 weeks. Outcome measures were collected at baseline and at 6 and 13 weeks for anxiety (State-Trait Anxiety Inventory [STAI]) and stress (Perceived Stress Scale - PSS14). The primary endpoint of the study was 13 weeks. We used a linear mixed-effects model to analyze the primary and secondary outcomes, considering the treatment group and time as covariates and treating the subject as a random effect. Results: Of the included 91 participants, 53 completed the 6-week assessment, and 42 completed the 13-week assessment. After 13 weeks, the Tai Chi/Qigong Group had lower scores for anxiety (STAI Estimate = -6.421; SD = 2.679; 95% confidence interval (95%CI) = [-11.615,-1.224]; p = 0.018) and stress (PSS14 Estimate = -9.290; SD= 2.262; 95%CI= [-13.678,-4.906]; p<0.001). Conclusion: A 13-week Tai Chi/Qigong intervention was efficacious in lowering anxiety and perceived stress scores in middle-aged and older patients with diabetes mellitus and hypertension and can potentially be used in primary care centers as an adjunct therapy. Trial registration: Brazilian Registry of Clinical Trials (ReBEC), Identifier: U1111-1276-1787. |
| format | Article |
| id | doaj-art-bc09d6561d3a4eaf92bf3c0ff96c8c6a |
| institution | DOAJ |
| issn | 2317-6385 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
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| series | Einstein (São Paulo) |
| spelling | doaj-art-bc09d6561d3a4eaf92bf3c0ff96c8c6a2025-08-20T03:06:48ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852025-03-012310.31744/einstein_journal/2025ao1076Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trialLaís Renata Almeida Cezário Santoshttps://orcid.org/0000-0002-0737-2857Anderson Taírahttps://orcid.org/0000-0001-8805-5847Rosana de Fátima Possobonhttps://orcid.org/0000-0001-6179-3030Marcelo de Castro Meneghimhttps://orcid.org/0000-0003-2673-3627Chien-Lin Suhttps://orcid.org/0000-0002-0664-8583Paola Lavinhttps://orcid.org/0000-0003-0733-9261Soham Rejhttps://orcid.org/0000-0002-3908-9124Gláucia Maria Bovi Ambrosanohttps://orcid.org/0000-0001-5950-6370Karine Laura Cortellazzihttps://orcid.org/0000-0001-9584-9477ABSTRACT Objective: This study investigated the effects of Tai Chi/Qigong practice over 13 weeks on anxiety and perceived stress levels in middle-aged or older Brazilian hypertensive and diabetic individuals assisted in a primary healthcare setting. Methods: Ninety-one patients with diabetes mellitus and/or hypertension diagnosed and followed up at a primary care center were randomized to the Tai Chi/Qigong intervention (n = 45) or waitlist (n = 46) group for 13 weeks. Outcome measures were collected at baseline and at 6 and 13 weeks for anxiety (State-Trait Anxiety Inventory [STAI]) and stress (Perceived Stress Scale - PSS14). The primary endpoint of the study was 13 weeks. We used a linear mixed-effects model to analyze the primary and secondary outcomes, considering the treatment group and time as covariates and treating the subject as a random effect. Results: Of the included 91 participants, 53 completed the 6-week assessment, and 42 completed the 13-week assessment. After 13 weeks, the Tai Chi/Qigong Group had lower scores for anxiety (STAI Estimate = -6.421; SD = 2.679; 95% confidence interval (95%CI) = [-11.615,-1.224]; p = 0.018) and stress (PSS14 Estimate = -9.290; SD= 2.262; 95%CI= [-13.678,-4.906]; p<0.001). Conclusion: A 13-week Tai Chi/Qigong intervention was efficacious in lowering anxiety and perceived stress scores in middle-aged and older patients with diabetes mellitus and hypertension and can potentially be used in primary care centers as an adjunct therapy. Trial registration: Brazilian Registry of Clinical Trials (ReBEC), Identifier: U1111-1276-1787.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082025000100212&tlng=enTai jiQigongPerceived stress scaleAnxietyHypertensionDiabetes mellitusPrimary health careOutcome assessment, health careStress, psychologicalMiddle-agedAgedComplementary therapeutic methods |
| spellingShingle | Laís Renata Almeida Cezário Santos Anderson Taíra Rosana de Fátima Possobon Marcelo de Castro Meneghim Chien-Lin Su Paola Lavin Soham Rej Gláucia Maria Bovi Ambrosano Karine Laura Cortellazzi Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial Einstein (São Paulo) Tai ji Qigong Perceived stress scale Anxiety Hypertension Diabetes mellitus Primary health care Outcome assessment, health care Stress, psychological Middle-aged Aged Complementary therapeutic methods |
| title | Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial |
| title_full | Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial |
| title_fullStr | Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial |
| title_full_unstemmed | Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial |
| title_short | Effects of Tai Chi and Qigong intervention on anxiety and stress in diabetic and hypertensive Brazilian patients: a randomized controlled trial |
| title_sort | effects of tai chi and qigong intervention on anxiety and stress in diabetic and hypertensive brazilian patients a randomized controlled trial |
| topic | Tai ji Qigong Perceived stress scale Anxiety Hypertension Diabetes mellitus Primary health care Outcome assessment, health care Stress, psychological Middle-aged Aged Complementary therapeutic methods |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082025000100212&tlng=en |
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