Blog - INTERNET MÉDICA

Tai Chi Chuan: Benefícios à Saúde (Tai Chi Chuan: Health Benefits)

Por Paulo Leite 09/04/2021

– Tai Chi Chuan foi originalmente desenvolvido como uma arte marcial, mas vem sendo praticado há séculos na China como atividade física principalmente pela população idosa devido ao baixo impacto e baixa velocidade. Esta prática mente-corpo milenar consiste em execuções de movimentos circulares suaves, associadas a exercícios de respiração, concentração e relaxamento.

– Vários estudos prévios têm classificado o Tai Chi Chuan como um exercício de intensidade moderada por atingir 60% da frequência cardíaca máxima e 55% do consumo máximo de oxigênio. Uma variedade de benefícios relacionados ao Tai Chi Chuan tem sido descrita. Numerosos estudos demonstram um impacto positivo do Tai Chi Chuan no equilíbrio, força muscular, flexibilidade, controle postural e, consequentemente, na prevenção de quedas em idosos. Vários estudos publicados recentemente mostraram que o grupo que praticou Tai Chi Chuan teve melhora no aprendizado e preservação da memória em comparação ao grupo controle após um ano. Estes resultados sugerem que o Tai Chi Chuan, além de melhorar o desempenho na memória, pode retardar suas alterações com o decorrer do envelhecimento. Pode ser praticado com segurança por pessoas idosas e descondicionadas.

– Recente estudo mostrou que a prática do Tai Chi Chuam pode melhorar a aptidão física geral em paciente com doença aterosclerótica coronariana. No campo da Reumatologia e Medicina Física, os programas de Tai Chi Chuan, 3 vezes por semana, sessões de 60 minutos, em idosos melhoraram as funções articulares e as funções neuromusculares em portadores de dor lombar crônica, e que ao mesmo tempo alivia a dor crônica inespecífica. Em outro estudo, em pacientes portadores de artrite reumatóide mostraram que os programas de Tai Chi Chuam melhoram nas variáveis de humor, depressão, qualidade de vida e índice funcional, embora não seja estatisticamente significativa em relação ao padrão de dor e doença.

– A prática de Tai Chi Chuam não requer equipamento específico, pode ser pratica a qualquer hora e local, facilitando assim a adesão. Em geral, é ensinado em grupos. Consiste em exercícios aeróbicos leve/moderados, acompanhados de componentes meditativos, praticados em 2 ou 3 sessões semanais. Por estas características, esta modalidade de atividade física prazerosa tem sido indicada em programas de reabilitação cardíaca a pacientes que não aderem aos programas de exercícios em reabilitação cardíaca. A pratica de Tai Chi Chuam melhora o humor, a aptidão física, o sono, o peso corporal e a qualidade de vida.

– Por último, em 2021, uma ótima revisão, analisou os benefícios de programas de Tai Chi Chuam em 10 diferentes doenças e concluiu:¨Recomendamos as prescrições de exercícios de Tai Chi mais comumente usadas para diferentes doenças e populações com base nas evidências clínicas do tai chi.¨

■ Clinical evidence of Tai Chi exercise prescriptions: a systematic review

Jiafu Huang, Dandan Wang, Jinghao Wang

Evid Based Complement Alternat Med. 2021; 2021: 5558805

https://www.hindawi.com/journals/ecam/2021/5558805/

■ Tai Chi Chuan for subjective sleep quality: a systematic review and meta-analysis of randomized controlled trials

Yuhao Si, Cenyi Wang, Heng Yin, Jinghui Zheng et al

Evid Based Complement Alternat Med. 2020; 2020: 4710527

https://www.hindawi.com/journals/ecam/2020/4710527/

■ The effects of Tai Chi Chuan versus core stability training on lower-limb neuromuscular function in aging individuals with non-specific chronic lower back pain

Liye Zou, Yanjie Zhang, Yang Liu, Xiaopei Tian, et al

Medicina (Kaunas) 2019 Mar; 55(3): 60

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473361/

■ Evidence for the efficacy of Tai Chi for treating rheumatoid arthritis: an overview of systematic reviews

Imoto, Aline Mizusaki et al.

Sao Paulo Med. J., Apr 2021, vol.139, no.2, p.91-97

https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802021000200091&lng=en&nrm=iso

■ Effectiveness of Tai chi exercise on overall quality of life and its physical and psychological components among older adults: a systematic review and meta-analysis

Wang, Di et al.

Braz J Med Biol Res, 2020, vol.53, no.10

https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2020001000609&lng=en&nrm=iso

■ The effectiveness of Tai Chi for short-term cognitive function improvement in the early stages of dementia in the elderly: a systematic literature review

Karine Huy-Leng Lim, Alex Pysklywec, Michelle Plante, Louise Demers

Clin Interv Aging. 2019; 14: 827–839

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6512568/

■ Effects of 12 weeks of Tai Chi Chuan training on balance and functional fitness in older Japanese adults

Nobuo Takeshima, Mohammod M. Islam, Yoshiji Kato et

Sports (Basel) 2017 Jun; 5(2): 32

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968980/

■ Tai Chi for health benefits in patients with multiple sclerosis: a systematic review

Liye Zou, Huiru Wang, ZhongJun Xiao, et al

PLoS One. 2017; 12(2): e0170212

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300172/

■ Tai Chi Chuan como Reabilitação Cardíaca na Doença Arterial Coronária: Revisão Sistemática

Nery, Rosane Maria et al

Arq. Bras. Cardiol., June 2014, vol.102, no.6, p.588-592

https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600009&lng=en&nrm=iso&tlng=pt (Portuguese)

https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600009&lng=en&nrm=iso&tlng=en (English)

■ The effect of Tai Chi training on cardiorespiratory fitness in healthy adults: a systematic review and meta-analysis

Guohua Zheng, Shuzhen Li, Maomao Huang, et al

PLoS One. 2015; 10(2): e0117360.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332633/

■ Tai Chi Chuan como Reabilitação Cardíaca na Doença Arterial Coronária: Revisão Sistemática

Nery, Rosane Maria et al

Arq. Bras. Cardiol., June 2014, vol.102, no.6, p.588-592

https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600009&lng=en&nrm=iso&tlng=pt (Portuguese)

https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000600009&lng=en&nrm=iso&tlng=en (English)

■ Dr Paulo Fernando Leite

Cardiologia/Prevenção Cardiovascular

Consultório: Rua Padre Rolim 815/sala 601 – Belo Horizonte/MG/Brasil

Tel: 33245518

CRMMG: 7026

Email: pfleite1873@gmail.com

Blog Internet Médica – www.internetmedica.com.br

Data: abril 2021

Cardiologia Pediátrica: Diretrizes Médicas (Pediatric Cardiology: Guidelines)

Por Paulo Leite 08/04/2021

■ Specific considerations for pediatric, fetal, and congenital heart disease patients and echocradiograpy servisse providers during the 2019 novel coronavírus and congenital heart disease – Supplement to the Statement of the American Society of Echocardiography

Endorsed by the Society of Pediatric Echocardiography and the Fetal Heart Society

P C Baker, M B Lewin, M T Donofrio et al

J Am Soc Echocardiogr 2020, vol 33 (6): 658-665

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144602/

■ Posicionamento sobre Indicações da Ecocardiografia em Cardiologia Fetal, Pediátrica e Cardiopatias Congênitas do Adulto – 2020.

Morhy, Samira Saady et al.

Arq. Bras. Cardiol., Nov 2020, vol.115, no.5, p.987-1005

https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2020001300987&lng=en&nrm=iso

■ Cardiac imaging in congenital heart disease during the coronavírus disease-2019 pandemic: recommendations from the Working Group on congenital heart disease of the Italian Society of Cardiology

Domenico Sirico, Biagio Castaldi, Paolo Ciliberti, Jolanda Sabatino et al

J Cardiovasc Med (Hagerstown) 2020 Jun 1

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314347/

■ Management of congenital heart disease: State of the Art: Part I – Acyanotic heart defects

Syamasundar Rao

Children (Basel) 2019 Mar; 6(3): 42

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463202/

■ Management of congenital heart disease: State of the Art: Part II – Cyanotic heart defects

Syamasundar Rao

Children (Basel) 2019 Mar; 6(4): 54

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6518252/

■ Pediatric cardiac CT and MRI: Considerations for the general radiologist

N W DiGeorge, A M El-Ali, A M White, M A Harris

American Journal of Roentgenology 2020, vol 215 (6): 1464-1473

https://www.ajronline.org/doi/full/10.2214/AJR.19.22745

■ Onco-Cardiology: Consensus paper of the German Cardiac Society, the German Society for Pediatric Cardiology and Congenital Heart Defects and the German Society Society for Hematology and Medical Oncology

Tienush Rassaf, Matthias Totzeck, Johannes Backs et al

Committee for Clinical Cardiovascular Medicine of the German Cardiac Societ

Clin Res Cardiol. 2020; 109(10): 1197–1222.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7515958/

■ Cardiomyopathy in children: classification and diagnosis: A Scientific Statement From the American Heart Association

S E Lipshultz, Y M Law, A Asante-Korang et al

Circulation 2019, vol 140 (1): e9-e68

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000682

■ Hypertrophic cardiomyopathy in children: pathophysiology, diagnosis and treatment of non-sarcomeric causes

Emanuele Monda, Marta Rubino, Michele Lioncino et al

Front Pediatr. 2021; 9: 632293

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947260/

■ Revised recommendations of the Italian Society of Pediatrics about the general management of Kawasaki disease

Alessandra Marchesi, Donato Rigante, Rolando Cimaz et al

Ital J Pediatr. 2021; 47: 16

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7830049/

■ The 2020 Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease

A P Ralph, S Noonan, V Wade, B J Currie

Med J Aust nov 2020

https://www.mja.com.au/journal/2020/214/5/2020-australian-guideline-prevention-diagnosis-and-management-acute-rheumatic

■ Comtemporary diagnosis and management of rheumatic heart disease: implications for closing the gap: A Scientific Statement From the American Heart Association

R K Kumar, M J Antunes, A Beaton et al

Circulation 2020, vol 142: e337-3357

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000921

■ The American Heart Association´s call to action for reducing the global burden of rheumatic heart disease: A Policy Statement From the American Heart Association

Andrea Beaton, F B Kamalembo, James Dale et al

Circulation 2020, vol 142: e358-e368

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000922

■ Screening for high blood pressure in children and adolescentes US Preventive Services Task Force Recommendation Statement

US Preventive Services Task Force

JAMA 2020, v,ol 324 (18): 1878-1873

https://jamanetwork.com/journals/jama/fullarticle/2772767

■ Screening for hypertension in children and adolescentes updated evidence report and systematic review for the US Preventive Service Task Force

G Gartlehner, E B V Schaaf, C Orr et al

JAMA 2020, vol 324 (18): 1884-1895

https://jamanetwork.com/journals/jama/fullarticle/2772766

■ A validated model for sudden cardiac death risk prediction in pediatric hypertrophic cardiomyopathy

Anastasia Miron, Myriam Lafreniere-Roula, Chun-Po Steve Fan et al

Circulation. 2020 Jul 21; 142(3): 217–229

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365676/

■ Screening for hypertension in children and adolescentes updated evidence report and systematic review for the US Preventive Services Task Force

G Gartlehner, E B V Schaaf, C Orr

JAMA 2020, vol 324 (18): 1884-1895

https://jamanetwork.com/journals/jama/fullarticle/2772766

■ New guidelines for the diagnosis, evaluation, and treatment of pediatric hypertension

Nilüfer Göknar, Salim Çalışkan

Turk Pediatri Ars. 2020; 55(1): 11–22

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096568/

■ Hipertensión arterial en la infância. Recomendaciones para su diagnóstico y tratamento. Parte 2 Rama de Nefrologia Infantil, Sociedad Chilena de Pediatria

P Salas, C González, D Carrillo et al

Rev Chil Pediatr 2019, vol 90 (2)

https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062019000200209

■ Hipertensión arterial en la infância. Recomendaciones para su diagnóstico y tratamento. Parte 2 Rama de Nefrologia Infantil, Sociedad Chilena de Pediatria

P Salas, C González, D Carrillo et al

Rev Chil Pediatr 2019, vol 90 (3)

https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062019000300336&lng=es&nrm=iso&tlng=es

■ Monitorização ambulatoria de presión arterial (MAPA): recomendaciones de la rama de nefrologia pediátrica

D Carrillo, C González, M L Ceballos et al

Rev Chil Pediatr 2019, vol 90 (4)

https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062019000400448

■ Pediatric post-cardiac arrest care: A Scientific Statement From the American Heart Association

A A Topjian, A de Caen, M S Wainwright et al

Circulation 2019, vol 140 (6): e194-e233

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000697

■ Pediatric life support 2020 International consensus on cardiopulmonar resuscitation and emergency cardiovascular care Science with treatment recommendations

Ian K. Maconochie, Richard Aickin, Mary Fran Hazinski, et al

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7576321/

■ Recommendations for hemodynamic monitoring for critically ill children – expert consensus statement issued by the cardiovascular dynamics section of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

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Critical Care 2020, vol 24, article number: 620

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■ Evaluation and management of the child and adult with Fontan Circulation: A Scientific Statement From the American Heart Association

J Rychik, A M Atz, D S Celermajer et al

Circulation 2019, vol 140: e234-e284

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000696

■ Cardiovascular disease and asymptomatic childhood cancer survivors: current clinical practice

Wendy J. Bottinor, Debra L. Friedman, Thomas D. Ryan et al

Cancer Med. 2020 Aug; 9(15): 5500–5508

■ Genetics of atrioventricular canal defects

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Ital J Pediatr. 2020; 46: 61

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222302/

■ Genetic basis for congenital heart disease: revisited: A Scientific Statement From the American Heart Association

Mary Ella Pierpont, Martina Brueckner, Wendy K. Chung, et al

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Circulation. 2018 Nov 20; 138(21): e653–e711

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6555769/

■ Consensus document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO): pregnancy and congenital heart diseases

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