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. 2020 Dec;7(6):4206-4212.
doi: 10.1002/ehf2.13046. Epub 2020 Oct 9.

Exploring correlates of improved depression symptoms and quality of life following tai chi exercise for patients with heart failure

Christina M Luberto  1 , Charles A Coey  2 , Roger B Davis  3 , Peter M Wayne  2 , Sydney Crute  1 , Gloria Y Yeh  3
Affiliations

Exploring correlates of improved depression symptoms and quality of life following tai chi exercise for patients with heart failure

Christina M Luberto et al. ESC Heart Fail. 2020 Dec.

Abstract

Aims: Tai chi exercise has been shown in a prior randomized controlled trial to improve depression symptoms and quality of life (QoL) in patients with heart failure (HF), but correlates of these improvements are not well known. The purpose of this secondary analysis was to explore whether tai chi is associated with improvements in biopsychosocial and behavioural measures and whether such improvements are correlated with improved depression and QoL.

Methods and results: Participants were n = 100 adults with chronic systolic HF (mean age = 67.4, SD = 12.0; 64% male; 96% White; New York Heart Association class = 1-3) randomized to a 12 week tai chi exercise intervention or health education control. Constructs of interest included social support, exercise self-efficacy, activity engagement, sense of coherence, and inflammatory biomarkers. Tai chi was associated with increased everyday activity engagement compared with the health education group (P < 0.05), but there were no group differences in social support or sense of coherence. Among tai chi participants, improved self-efficacy was correlated with QoL (r = 31, P = 0.05), and there was a trend toward improved depression symptoms and social support (r = -0.22, P = 0.13). Among all participants, controlling for intervention group, improved sense of coherence, and inflammation (C-reactive protein) were associated with improved depression symptoms, and improved self-efficacy, sense of coherence, and frequency of activity engagement were associated with improved QoL.

Conclusions: Tai chi exercise promotes inter-related psychosocial improvements for patients with HF. A range of biopsychosocial and behavioural variables are relevant to mood management in patients with HF.

Keywords: Activity; Depression; Heart failure; Self-efficacy; Social support; Tai chi.

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Conflict of interest statement

Peter Wayne is the founder and sole owner of the Tree of Life Tai Chi Center. His interests were reviewed and managed by the Brigham and Women's Hospital and Partner's HealthCare in accordance with their conflict of interest policies. The other authors declare no competing interests.

References

    1. Norra C, Skobel EC, Arndt M, Schauerte P. High impact of depression in heart failure: early diagnosis and treatment options. Int J Cardiol 2008; 125: 220–231. - PubMed
    1. Substance Abuse and Mental Health Services Administration . Key substance use and mental health indicators in the United States: results from the 2016 National Survey on Drug Use and Health. https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FF... (21 December 2019).
    1. Rutledge T, Reis VA, Linke SE, Greenberg BH, Mills PJ. Depression in heart failure: a meta‐analytic review of prevalence, intervention effects, and associations with clinical outcomes. J Am Coll Cardiol 2006; 28: 1527–1537. - PubMed
    1. Hoekstra T, Jaarsma T, van Veldhuisen DJ, Hillege HL, Sanderman R, Lesman‐Leegte I. Quality of life and survival in patients with heart failure. Eur J Heart Fail 2014; 15: 94–102. - PubMed
    1. Wayne P, Kaptchuk T. Challenges inherent to t'ai chi research: part I—t'ai chi as a complex multicomponent intervention. J Altern Complement Med 2008; 14: 191–197. - PubMed