Abstract
Objective: Previous studies have shown that Tai Chi may have a role in the management of type 2 diabetes. However, to date, no studies have focused specifically on the effects of Tai Chi in people with type 1 diabetes. The aim of this pilot study was to evaluate the effects of a Tai Chi program on health indicators in adults with type 1 diabetes. Methods: This was a two-group quasi-randomised controlled trial with 13 participants (six men and seven women, aged 24 - 63 years) with type 1 diabetes. This trial was conducted from May to November 2016. The intervention group attended Tai Chi exercise training for 1 to 1.5 hours, twice a week for 12 weeks, and the control group continued with their usual medical care. Indicators of glycaemic control (HbA1c), depressive symptoms, physical measures (body mass index, waist circumference, blood pressure and leg strength), and health-related quality of life (physical and mental components summary scores) were assessed at baseline and 12 weeks’ post-intervention. Results: There were significant or borderline significant between-group differences in changes over time in favour of the intervention group in depressive symptoms (p < 0.01), waist circumfereance (p = 0.059), mental components summary score (p = 0.051) and leg strength (p < 0.05) during the 12 weeks’ intervention. Further, compared with baseline, significant improvements were observed in depressive symptoms (p < 0.05), mental components summary score (p < 0.05) and leg strength (p < 0.01) in the intervention group, but not in the control group. In contrast, there was a significant increase in waist circumference in the control group (p < 0.05) but not in the intervention group. Conclusion: In conclusion, there were improvements in mental health and leg strength in these adults with type 1 diabetes. Large studies are needed to further investigate the effects of Tai Chi in people with Type 1 diabetes.
Highlights
Between 10% and 15% of people with diabetes have type 1 diabetes (T1D)
Tai Chi, being a gentle and low impact mind-body exercise, has been shown to improve both glycaemic control and depressive symptoms in people with type 2 diabetes [9] [10] [11], suggesting that it may have a role in managing glycaemic control, and improving mental health in adults with T1D
To date, no studies have focused on the effects of Tai Chi in people with T1D. This pilot study examined the effects of a Tai Chi program on indicators of glycaemic control, mental health, health-related quality of life and physical measures, in adults with T1D
Summary
Between 10% and 15% of people with diabetes have type 1 diabetes (T1D). As it is a chronic disease, T1D is associated with increased risk of depressive disorders [1]. Improvements in mental health may be associated with management in glycaemic control in people with T1D. Tai Chi, being a gentle and low impact mind-body exercise, has been shown to improve both glycaemic control and depressive symptoms in people with type 2 diabetes [9] [10] [11], suggesting that it may have a role in managing glycaemic control, and improving mental health in adults with T1D. To date, no studies have focused on the effects of Tai Chi in people with T1D This pilot study examined the effects of a Tai Chi program on indicators of glycaemic control, mental health, health-related quality of life and physical measures (including body mass index, waist circumference, blood pressure and leg strength), in adults with T1D
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