The American Journal of Medicine
Volume 117, Issue 8 , Pages 541-548 , 15 October 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

  • Gloria Y. Yeh, MD, MPH

      Affiliations

    • Division for Research and Education in Complementary and Integrative Medical Therapies (GYY, DME, RSP)
    • Harvard Medical School, Boston, Massachusetts; Division of General Medicine and Primary Care (GYY, RBD, RSP)
    • ,
  • Malissa J. Wood, MD

      Affiliations

    • Division of Cardiology (MJW), Massachusetts General Hospital, Boston, Massachusetts
    • ,
  • Beverly H. Lorell, MD

      Affiliations

    • Department of Medicine, and Cardiovascular Division (BHL, ALG), Beth Israel Deaconess Medical Center, Boston, Massachusetts
    • ,
  • Lynne W. Stevenson, MD

      Affiliations

    • Division of Cardiology (LWS), Brigham and Women's Hospital, Program for Heart Failure, Boston, Massachusetts
    • ,
  • David M. Eisenberg, MD

      Affiliations

    • Division for Research and Education in Complementary and Integrative Medical Therapies (GYY, DME, RSP)
    • ,
  • Peter M. Wayne, PhD

      Affiliations

    • New England School of Acupuncture (PMW), Division for Research, Watertown, Massachusetts
    • ,
  • Ary L. Goldberger, MD

      Affiliations

    • Department of Medicine, and Cardiovascular Division (BHL, ALG), Beth Israel Deaconess Medical Center, Boston, Massachusetts
    • ,
  • Roger B. Davis

      Affiliations

    • Harvard Medical School, Boston, Massachusetts; Division of General Medicine and Primary Care (GYY, RBD, RSP)
    • ,
  • ScD., Russell S. Phillips, MD

      Affiliations

    • Division for Research and Education in Complementary and Integrative Medical Therapies (GYY, DME, RSP)
    • Harvard Medical School, Boston, Massachusetts; Division of General Medicine and Primary Care (GYY, RBD, RSP)
    • Corresponding Author InformationRequests for reprints should be addressed to Gloria Y. Yeh, MD, MPH, Harvard Medical School Osher Institute, 401 Park Drive, Suite 22A, Boston, Massachusetts 02215

Received 6 November 2003 ,Accepted 15 April 2004.

  • Image Result

    Change in Minnesota Living with Heart Failure quality-of-life scores from baseline to 12 weeks. Means (± SD) are shown in bold. At 12 weeks, patients in the tai chi group reported significantly better

    Change in Minnesota Living with Heart Failure quality-of-life scores from baseline to 12 weeks. Means (± SD) are shown in bold. At 12 weeks, patients in the tai chi group reported significantly better quality-of-life (lower scores) as compared with those in the usual care group (P = 0.001).

  • Image Result
    Change in 6-minute walk distance from baseline to 12 weeks. Means (± SD) are shown in bold. At 12 weeks, patients in the tai chi group performed significantly better as compared with those in the usua

    Change in 6-minute walk distance from baseline to 12 weeks. Means (± SD) are shown in bold. At 12 weeks, patients in the tai chi group performed significantly better as compared with those in the usual care group (P = 0.001). Imputation methods (last value carried forward) were used for missing 12-week data, affecting 1 patient in the control group.

  • Image Result
    Change in peak oxygen uptake from baseline to 12 weeks. Means (± SD) are shown in bold. At 12 weeks, there was no significant difference between the two groups (P = 0.08). Imputation methods (last val

    Change in peak oxygen uptake from baseline to 12 weeks. Means (± SD) are shown in bold. At 12 weeks, there was no significant difference between the two groups (P = 0.08). Imputation methods (last value carried forward) were used for missing 12-week data, affecting 3 patients in the control group.

 This study was supported by unrestricted educational grants from the Bernard Osher Foundation and in part by the Beth Israel Deaconess Medical Center General Clinical Research Center grant (RR 01032) from the National Institutes of Health (NIH). Dr. Yeh was supported by an NIH Institutional National Research Service Award for Training in Alternative Medicine Research (AT00051). Dr. Phillips was supported by a Mid-career Investigator Award from the NIH National Center for Complementary and Alternative Medicine (AT00589). Dr. Goldberger was supported by the NIH National Center for Research Resources (RR13622), the National Institute on Aging (AG08812), and the G. Harold and Leila Y. Mathers Charitable Foundation. Dr. Stevenson was supported by the W. T. Young Foundation.

PII: S0002-9343(04)00424-3

doi: 10.1016/j.amjmed.2004.04.016

The American Journal of Medicine
Volume 117, Issue 8 , Pages 541-548 , 15 October 2004

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