Effects of Tai chi on Cardiovascular Responses and Stress Reduction in Prehypertensive Subjects: A Randomized Clinical Trial


  • Touraj Hashemi Nosrat-abad
  • Mansour Bayrami
  • Hossein Namdar
  • Khalil Esmaeilpour
  • Davoud Ezzati Department of Psychology, School of Psychology, University of Tabriz, Tabriz, Iran.




8-form Yang-style tai chi, cardiovascular responses, stress, prehypertension


Prehypertension seems to be the precursor to hypertension, and using non-pharmacological methods such as tai chi, can reduce blood pressure and its dangerous consequences. Therefore, this study aimed to examine the effects of 8-form Yang-style tai chi on cardiovascular responses and stress reduction in prehypertensive subjects. Sixty prehypertensive men and women aged 25 to 54 years were selected by purposive sampling, and randomly assigned into two experimental groups (15 males and 15 females) and two control groups (15 males and 15 females). Systolic and diastolic blood pressure, and resting heart rate were measured by digital sphygmomanometer and stress was measured using Markham mental pressure inventory. Then, the experimental groups completed tai chi training for 45 minutes, three days per week for 8 weeks, however, the control groups received no intervention. Twenty four hours after completing the training, the dependent variables were re-measured in the study groups. Factorial multivariate analysis of covariance was used for statistical analysis. The results showed that tai chi significantly decreased systolic blood pressure, resting heart rate, and stress in comparison with control group. Our study encourages and supports that a short style of tai chi is an effective way in improving cardiovascular responses and stress in prehypertensive individuals.  




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Albarwani, S., Al-Siyabi, S., & Tanira, M. O. (2014). Prehypertension: Underlying pathology and therapeutic options. World journal of cardiology, 6(8), 728-743. htps://doi.org/10.4330/wjc.v6.i8.728

Brown, D. R., Wang, Y., Ward, A. N. N., Ebbeling, C. B., Fortlage, L., Puleo, E., ... & Rippe, J. M. (1995). Chronic psychological effects of exercise and exercise plus cognitive strategies. Medicine & Science in Sports & Exercise. 27(5):765–75. PMID: 7674883

Carter, J. R., Kupiers, N. T., & Ray, C. A. (2005). Neurovascular responses to mental stress. The Journal of physiology, 564(1), 321–327. https://doi.org/10.1113/jphysiol.2004.079665

Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo Jr, J. L., ... & Roccella, E. J. (2003). Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension, 42(6), 1206-1252. htps://doi.org/10.1161/01.HYP.0000107251.49515.c2

Detert, R. A., Derosia, C., Caravella, T., & Duquette, R. D. (2006). Reducing Stress and Enhancing the General Well-Being of Teachers Using T’ai Chi Chih® Movements. Californian Journal of Health Promotion, 4(1), 162-173.

Esch, T. (2002). Health in stress: change in the stress concept and its significance for prevention, health and life style. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 64(2), 73-81. htps://doi.org/10.1055/s-2002-20275

Field, T. (2011). Tai Chi research review. Complementary Therapies in Clinical Practice, 17(3), 141-146. htps://doi.org/10.1016/j.ctcp.2010.10.002

Video clips of the full set of 8(10) form of Yang-style Tai can be viewed at http://www.everydaytaichi.org/yang-style-10-form.html

Jin, P. (1989). Changes in heart rate, noradrenaline, cortisol and mood during Tai Chi. Journal of psychosomatic research, 33(2), 197-206. htps://doi.org/10.1016/0022-3999(89)90047-0

Jin, P. (1992). Efficacy of Tai Chi, brisk walking, meditation, and reading in reducing mental and emotional stress. Journal of psychosomatic research, 36(4), 361-370. htps://doi.org/10.1016/0022 3999(92)90072-a

Kearney, P. M., Whelton, M., Reynolds, K., Whelton, P. K., & He, J. (2004). Worldwide prevalence of hypertension: a systematic review. Journal of hypertension, 22(1), 11-19. htps://doi.org/10.1097/00004872-200401000-00003

Krause, T., Lovibond, K., Caulfield, M., McCormack, T., & Williams, B. (2011). Management of hypertension: summary of NICE guidance. British Medical Association, 25;343:d4891. htps://doi.org/ 10.1136/bmj.d4891

Lan, C., Chen, S. Y., Wong, M. K., & Lai, J. S. (2013). Tai chi chuan exercise for patients with cardiovascular disease. Evidence-Based Complementary and Alternative Medicine, 2013. htps://doi.org/10.1155/2013/983208

Lian, Z., Yang, L., Bian, Y., Zeng, L., Li, M., Sun, Y., & Li, W. (2017). Effects of Tai chi on adults with essential hypertension in China: A systematic review and meta-analysis. European Journal of Integrative Medicine, 12, 153-162. htps://doi.org/10.1016/j.eujim.2017.05.007

McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England journal of medicine, 338(3), 171-179. htps://doi.org/10.1056/NEJM199801153380307

Pitsavos, C., Chrysohoou, C., Panagiotakos, D. B., Lentzas, Y., & Stefanadis, C. (2008). Abdominal obesity and inflammation predicts hypertension among prehypertensive men and women: the ATTICA Study. Heart and vessels, 23(2), 96-103. htps://doi.org/10.1007/s00380-007-1018-5

Reimers, A. K., Knapp, G., & Reimers, C. D. (2018). Effects of exercise on the resting heart rate: a systematic review and meta-analysis of interventional studies. Journal of clinical medicine, 7(12), 503. htps://doi.org/10.3390/jcm7120503

Sandlund, E. S., & Norlander, T. (2000). The effects of Tai Chi Chuan relaxation and exercise on stress responses and well-being: an overview of research. International Journal of Stress Management, 7(2), 139-149. htps://doi.org/10.1023/A:1009536319034

Sarouni, A. S., Jenaabadi, H., & Pourghaz, A. (2016). The Relationship of Mental Pressure with Optimism and Academic Achievement Motivation among Second Grade Male High School Students. International Education Studies, 9(8), 127-133. htps://doi.org/10.5539/ies.v9n8p127

Schwartz, C. E., Durocher, J. J., & Carter, J. R. (2011). Neurovascular responses to mental stress in prehypertensive humans. Journal of Applied Physiology, 110(1), 76-82. htps://doi.org/ 10.1152/japplphysiol.00912.2010

Taylor-Piliae, R. E. (2003). Tai Chi as an adjunct to cardiac rehabilitation exercise training. Journal of Cardiopulmonary Rehabilitation and Prevention, 23(2), 90-96. htps://doi.org/10.1097/00008483-200303000-00004

Tsai, J. C., Wang, W. H., Chan, P., Lin, L. J., Wang, C. H., Tomlinson, B., ... & Liu, J. C. (2003). The beneficial effects of Tai Chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. The Journal of Alternative & Complementary Medicine, 9(5), 747-754. htps://doi.org/ 10.1089/107555303322524599

Vasan, R. S., Larson, M. G., Leip, E. P., Kannel, W. B., & Levy, D. (2001). Assessment of frequency of progression to hypertension in non-hypertensive participants in the Framingham Heart Study: a cohort study. The Lancet, 358(9294), 1682-1686. htps://doi.org/10.1016/S0140-6736(01)06710-1

Wang, Y., Shang, H., Guo, Y., Wu, T, Tian L., Zhang, J., & Wang, W. (2011). Tai Chi for hypertension. Cochrane Database of Systematic Reviews, (10). htps://doi.org/10.1002/14651858.CD009349

Wolf, S. L., O'Grady, M., Easley, K. A., Guo, Y., Kressig, R. W., & Kutner, M. (2006). The influence of intense Tai Chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 61(2), 184-189. htps://doi.org/10.1093/gerona/61.2.184

Wong, S. S., & Nahin, R. L. (2003). National center for complementary and alternative medicine perspectives for complementary and alternative medicine research in cardiovascular diseases. Cardiology in review, 11(2), 94-98. htps://doi.org/10.1097/01.CRD.0000053452.60754.C5

Yeh, G. Y., Wang, C., Wayne, P. M., & Phillips, R. S. (2008). The effect of tai chi exercise on blood pressure: a systematic review. Preventive cardiology, 11(2), 82-89. htps://doi.org/10.1111/j.1751-7141.2008.07565.x

Yeh, G. Y., Wood, M. J., Lorell, B. H., Stevenson, L. W., Eisenberg, D. M., Wayne, P. M., ... & Davis, R. B. (2004). Effects of tai chi mind-body movement therapy on functional status and exercise capacity in patients with chronic heart failure: a randomized controlled trial. The American journal of medicine, 117(8), 541-548. htps://doi.org/10.1016/j.amjmed.2004.04.016

Zheng, G., Li, S., Huang, M., Liu, F., Tao, J., & Chen, L. (2015). The effect of Tai Chi training on cardiorespiratory fitness in healthy adults: a systematic review and meta-analysis. PloS one, 10(2), e0117360. htps://doi.org/10.1371/journal.pone.0117360.

Zou, L., Sasaki, J. E., Wei, G. X., Huang, T., Yeung, A. S., Neto, O. B., ... & Hui, S. S. C. (2018). Effects of mind–body exercises (Tai Chi/Yoga) on heart rate variability parameters and perceived stress: A systematic review with meta-analysis of randomized controlled trials. Journal of Clinical Medicine, 7(11), 404. htps://doi.org/10.3390/jcm7110404






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