Effects of Qigong combined with Muay Thai on cardiorespiratory responses and its exercise intensity in older participants

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Guang Yang
Narisara Premsri
Terdthai Tong-un
Orathai Tunkamnerdthai
Apiwan Manimmanakorn
Rujira Nonsa-ard
Ploypailin Aneknan
Naruemon Leelayuwat

Abstract

Khon Kaen Qigong (KKQ) is a new type of exercise that combines Qigong (Baduanjin and Wuqinxi) with Muay Thai. No studies have demonstrated its effects on exercise intensity and cardiorespiratory responses. We aimed to investigate the intensity of the exercise using the cardiorespiratory responses in sedentary older adults. This was a randomized, controlled, pre-and post-test parallel-group study. The participants were randomly assigned to one of the two groups (n=30 each): the exercise or the control group. There were three phases (30 min each) for each activity, including before (baseline), during, and after (recovery) reading a book in the control group or performing KKQ in the exercise group. Heart rate and blood pressure were measured before, immediately after, and 30-min after the activities. Expired gas was collected to measure the respiratory responses and ventilatory efficiency throughout the experiment. Compared with reading, KKQ increased heart rate (p-value < 0.05) and respiratory responses and decreased ventilatory efficiency (All were p-value < 0.01). Markers indicating exercise intensity indicated very low-intensity exercises. This study suggests that a single bout of KKQ can be classified as a very light-intensity exercise according to very low increased cardiorespiratory responses in sedentary older participants. It also decreases ventilatory efficiency, which is related to cardiovascular risk factors. Further studies on KKQ training may confirm its impact on cardiovascular disease interventions.

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1.
Yang G, Premsri N, Tong-un T, Tunkamnerdthai O, Manimmanakorn A, Nonsa-ard R, Aneknan P, Leelayuwat N. Effects of Qigong combined with Muay Thai on cardiorespiratory responses and its exercise intensity in older participants. Arch AHS [Internet]. 2024 Feb. 28 [cited 2024 Apr. 28];36(1):12-24. Available from: https://he01.tci-thaijo.org/index.php/ams/article/view/266685
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References

World Population Aging 1950–2050. United Nations Population Division.

Zhou M, Zhao G, Zeng Y, Zhu J, Cheng F, Liang W. Aging and Cardiovascular Disease: Current Status and Challenges. Rev Cardiovasc Med 2022; 23(4): 135.

Mannino DM, Davis KJ. Lung function decline and outcomes in an elderly population. Thorax 2006; 61(6): 472–7.

Anderson L, Thompson D, Oldridge N, Zwisler A, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2016; 2016(1): CD001800.

Sherrington C, Moseley AM, Herbert RD, Elkins, MR, Maher CG. Editorial: Ten years of evidence to guide physiotherapy interventions: Physiotherapy evidence database (PEDro). Br J Sports Med 2010; 44(12): 836–7.

Liu G, Premsri N, Tong-un T, Sespheng A, Teparak C, Nonsa- ard R, et al. Acute Effect of Novel Mind-Body Exercise on Heart Rate Variability in Older Adults. JEPonline 2022; 16(3): 84.

Zhang YP, Hu RX, Han M, Lai BY, Liang SB, Chen BJ, et al. Evidence Base of Clinical Studies on Qi Gong: A Bibliometric Analysis. Complement Ther Med 2020; 50: 102392.

Zhang F, Bai YH, Zhang J. The Influence of “wuqinxi” exercises on the Lumbosacral Multifidus. J Phys Ther Sci 2014; 26(6): 881–4.

Wei X, Xu A, Yin Y, Zhang R. The potential effect of Wuqinxi exercise for primary osteoporosis: A systematic review and meta-analysis. Maturitas 2015; 82(4): 346–54.

Tao J, Chen X, Egorova N, Liu J, Xue X, Wang Q, al. Tai Chi Chuan and Baduanjin practice modulates functional connectivity of the cognitive control network in older adults. Sci Rep 2017; 7: 41581.

Chen X, Marrone G, Olson TP, Lundborg CS, Zhu H, Wen Z, et al. Intensity level and cardiorespiratory responses to Baduanjin exercise in patients with chronic heart failure. ESC Heart Fail 2020; 7(6): 3782-91.

Hunt SA, Baker DW, Chin MH, Cinquegrani MP, Feldman AM, Francis GS, et al. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1995 Guidelines for the Evaluation and Management of Heart Failure). J Am Coll Cardiol 2001; 38(7): 2101–13.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166: 111–7.

Boonthongkaew C, Tong-un T, Kanpetta Y, Chaungchot N, Leelayuwat C, Leelayuwat N. Vitamin C supplementation improves blood pressure and oxidative stress after acute exercise in patients with poorly controlled type 2 diabetes mellitus: A randomized, placebo-controlled, cross-over study. Chin J Physiol 2021; 64(1): 16–23.

Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982; 14: 377-81.

Kendrick KR, Baxi SC, Smith RM. Usefulness of the modified 0-10 Borg scale in assessing the degree of dyspnea in patients with COPD and asthma. J Emerg Nurs 2000; 26(3): 216-22.

Phillips DB, Collins SÉ, Stickland MK. Measurement and Interpretation of Exercise Ventilatory Efficiency. Front Physiol 2020; 11: 659.

Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43(7): 1334-59.

Suwabe K, Byun K, Hyodo K, Reagh ZM, Roberts JM, Matsushita A, et al. Reply to Gronwald et al.: Exercise intensity does indeed matter; maximal oxygen uptake is the gold-standard indicator. Proc Natl Acad Sci USA 2018; 115(51): E11892-3.

Guyton AC, Hall JE. Textbook of medical physiology. Philadelphia: Saunders; 2012.

Conraads VM, Pattyn N, De Maeyer C, Beckers PJ, Coeckelberghs E, Cornelissen VA, et al. Aerobic interval training and continuous training equally improve aerobic exercise capacity in patients with coronary artery disease: The SAINTEX-CAD study. Int J Cardiol 2015; 179: 203–10.

Lan C, Chou SW, Chen SY, Lai JS, Wong MK. The aerobic capacity and ventilatory efficiency during exercise in Qigong and Tai Chi Chuan practitioners. Am J Chinese Med 2004; 32(1): 141–50.

Yılmaz BC, Güçlü MB, Keleş MN, Taçoy GA, Çengel A. Effects of upper extremity aerobic exercise training on oxygen consumption, exercise capacity, dyspnea and quality of life in patients with pulmonary arterial hypertension. Heart Lung 2020; 49(5): 564–71.

Šagát P, Kalˇcik Z, Bartik P, Šiška L’, Štefan L. A Simple Equation to Estimate Maximal Oxygen Uptake in Older Adults Using the 6 min Walk Test, Sex, Age and Body Mass Index. J Clin Med 2023; 12(13): 4476.

Albouaini K, Egred M, Alahmar A, Wright DJ. Cardiopulmonary exercise testing and its application. Postgrad Med J 2007; 83(985): 675-82.

Miller VM. Why are sex and gender important to basic physiology and translational and individualized medicine? Am J Physiol Heart Circ Physiol 2014; 306(6): H781-826.

Cetthakrikul S, Nawarat J, Nissapatorn V, Pereira MD, Rungruangbaiyok C. The intensity of arm swing exercise with music-movement synchrony in untrained young adults. Physiother Quart 2023; 31(4): 61-9.

Ladawan S, Burtscher M, Wannanon P, Leelayuwat N. The Intensity of Qigong Exercise. JEPonline 2018; 21(2): 100-15.

Sespheng A, Songsaengrit B, Aneknan P, Tong-un T, Tunkamnerdthai O, Leelayuwat N. Effects of Modified Arm Swing Exercise on Pulmonary and Autonomic Nervous Functions in Patients with Metabolic Syndrome. JEPonline 2018; 21(6): 26-40.