Evidence map›Paper›PMID 40922118›Full record

Trial reportStress and health : journal of the International Society for the Investigation of Stress2025

Evaluating the Effectiveness of a Hybrid Tai Chi Cardiac Rehabilitation Programme for Psychological Stress Reduction and Oxidative Stress in Patients With Chronic Coronary Syndrome: A Randomized Controlled Trial.

Meize Cui, Cuihan Li, Yameng Li, Zaihao Chen, Qiuyang Wei, Mingyu Liu, Hui Fang, Lujia Li, Yuerong Huang, Shaojun Lyu and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Stress and health : journal of the International Society for the Investigation of Stress, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Meize CuiCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.
Cuihan LiCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.
Yameng LiDepartment of Physical Education, Northwestern Polytechnical University, Xi'an, China.
Zaihao ChenCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.
Qiuyang WeiSports Department, Jiangsu University, Zhenjiang, China.
Mingyu LiuCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.
Hui FangCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.
Lujia LiCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.
Yuerong HuangCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.
Shaojun LyuCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.ORCID https://orcid.org/0000-0002-8301-3047
Jianwei ZhangCollege of Physical Education and Sports, Beijing Normal University, Beijing, China.

Funding

Design of Mechanisms for Farmers' Sports to Promote the Construction of Civilized Rural Customs 1241500036Natural Science Foundation of Beijing Municipality 7244482
6 · The paper itself

Abstract

Preliminary evidence suggests that Tai Chi may effectively relieve pain symptoms, increase quality of life, and reduce cardiovascular risk in patients with chronic coronary syndrome (CCS). However, few randomized controlled trials have specifically investigated the potential benefits of Tai Chi in patients with CCS, particularly regarding its effects on psychological stress and cellular stress levels. To evaluate the effectiveness of a hybrid Tai Chi cardiac rehabilitation programme in reducing perceived stress and oxidative stress in diagnosed patients. Forty-six patients with CCS were randomly assigned to 12 weeks of either a Tai Chi cardiac rehabilitation programme (TCCRP, n = 23) or a conventional exercise cardiac rehabilitation programme (CECRP, n = 23) (3 sessions per week). All participants continued their routine drug treatments daily. The main outcome measure was the Chinese Perceived Stress Scale (CPSS). The secondary outcome measures included the antioxidant enzymes catalase (CAT) and glutathione peroxidase (GSH-Px) and the stress marker oxidised low-density lipoprotein (ox-LDL). The data were analysed by 2-way mixed analysis of variance with post hoc Bonferroni adjustment and paired t tests. The group-by-time interaction effect on CPSS was significantly different (MD = -7.71, 95% CI [-10.750, -4.678], p < 0.001). Within the TCCRP group, the CPSS score significantly decreased (p < 0.05) from baseline to the end of the intervention. Notably, in the CECRP group, the CPSS score increased (p < 0.05) at the end of the intervention. The CAT and GSH-Px levels increased markedly in the TCCRP group after the intervention (p < 0.001). Spearman's correlation analysis revealed that CPSS was positively correlated with ox-LDL (r = 0.569, p < 0.05) and negatively correlated with GSH-Px (r = -0.585, p < 0.05). The correlation in the control group was not statistically significant (r = -0.148, p > 0.05). A 12-week hybrid Tai Chi cardiac rehabilitation programme can effectively regulate psychological stress perception and reduce physiological stress levels in patients with coronary heart disease.

Indexed as

Cardiac RehabilitationCoronary DiseaseOxidative StressStress, PsychologicalTai JiAgedChronic DiseaseFemaleGlutathione PeroxidaseHumansLipoproteins, LDLMaleMiddle AgedTreatment OutcomeGlutathione PeroxidaseLipoproteins, LDLoxidized low density lipoproteincardiac rehabilitationchronic coronary syndromeoxidative stressperceived stresstai chi

Identifiers

PMID40922118
PMCPMC12418916

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.