八段锦频次对中老年高脂血症人群血脂的影响
Effect of Baduanjin Frequency on Blood Lipids in Middle-Aged and Elderly People with Hyperlipidemia
DOI: 10.12677/md.2026.161021, PDF,    科研立项经费支持
作者: 周宏剑*, 魏 雯, 陈 喆:福建中医药大学附属第二人民医院,福建 福州
关键词: 八段锦频次高脂血症量效关系Baduanjin Frequency Hyperlipidemia Dose-Effect Relationship
摘要: 目的:探讨八段锦频次对中老年高脂血症人群血脂降脂效果的影响。方法:选取2024年12月至2025年7月在福建中医药大学附属第二人民医院健康管理中心(治未病)收集的156例高脂血症患者作为研究对象。按随机原则分为对照组、低频次八段锦干预组及高频次八段锦组3组。对照组仅采用高脂血症健康宣教,干预组在对照组的基础上联合八段锦锻炼,其中低频次干预组要求参与者每周锻炼3次,高频次干预组要求参与者每周锻炼5次。对三组进行为期三个月的观察。比较三组患者的降脂效果。结果:干预后,与低频次干预组对比,高频次干预组能够更显著降低TC、TG和LDL-C水平,降脂效果明显优于对照组,差异有统计学意义(P < 0.05)。结论:本研究证实,在中老年高脂血症人群中,八段锦锻炼频次与降脂效果之间存在量效关系。较高频次的八段锦锻炼能够更显著地降低患者的血脂水平,值得后续推广。
Abstract: Objective: To explore the effect of Baduanjin frequency on lipid-lowering in middle-aged and elderly people with hyperlipidemia. Methods: A total of 156 patients with hyperlipidemia were selected from the Health Management Center (Preventive Medicine) of The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine from December 2024 to July 2025. They were randomly divided into control group, low frequency Baduanjin group and high frequency Baduanjin group. The control group only used hyperlipidemia health education, and the intervention group combined Baduanjin exercise with the basis of the control group. The low-frequency intervention group required participants to exercise three times a week. The participants in the high-frequency intervention group were required to exercise 5 times a week. The three groups were observed for three months. The lipid-lowering effect of the three groups was compared. Results: After intervention, compared with the low-frequency intervention group, the high-frequency intervention group could significantly reduce the levels of TC, TG and LDL-C, and the lipid-lowering effect was significantly better than that of the control group, with statistically significant differences (P < 0.05). Conclusion: This study confirmed that in the middle-aged and elderly people with hyperlipidemia, Baduanjin exercise frequency and lipid-lowering effect show a dose-effect relationship. Baduanjin exercise with higher frequency can significantly reduce the blood lipid level of patients, which is worthy of follow-up promotion.
文章引用:周宏剑, 魏雯, 陈喆. 八段锦频次对中老年高脂血症人群血脂的影响[J]. 医学诊断, 2026, 16(1): 152-158. https://doi.org/10.12677/md.2026.161021

参考文献

[1] 葛均波, 徐永健, 梅长林, 等. 内科学[M]. 北京: 人民卫生出版社, 2013: 762.
[2] Jarauta, E., Mateo-Gallego, R., Gilabert, R., Plana, N., Junyent, M., de Groot, E., et al. (2012) Carotid Atherosclerosis and Lipoprotein Particle Subclasses in Familial Hypercholesterolaemia and Familial Combined Hyperlipidaemia. Nutrition, Metabolism and Cardiovascular Diseases, 22, 591-597. [Google Scholar] [CrossRef] [PubMed]
[3] 李慧敏, 胡瑞学, 戴泽琦, 等. 蒲参胶囊治疗高脂血症有效性和安全性的系统评价与Meta分析[J]. 中国实验方剂志, 2021, 27(21): 198-206.
[4] 齐志刚, 高燕, 刘镔. 老年动脉粥样硬化性心血管疾病患者他汀类药物使用现状[J]. 中华老年心脑血管病杂志, 2020, 22(3): 269-272.
[5] 娜仁花, 吴斌, 赵明芬. 中西医治疗高脂血症研究进展[J]. 新疆中医药, 2024, 42(6): 139-142.
[6] Pedersen, B.K. and Saltin, B. (2015) Exercise as Medicine Evidence for Prescribing Exercise as Therapy in 26 Different Chronic Diseases. Scandinavian Journal of Medicine & Science in Sports, 25, 1-72.
[7] 孙革, 潮芳, 王安利. 新编健身气功·八段锦对老年男性血脂及生理机能影响[J]. 中国体育科技, 2008(2): 81-84.
[8] Zou, L., Yeung, A., Quan, X., Hui, S.S., Hu, X., Chan, J.S.M., et al. (2018) Mindfulness-Based Baduanjin Exercise for Depression and Anxiety in People with Physical or Mental Illnesses: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 15, Article No. 321. [Google Scholar] [CrossRef] [PubMed]
[9] Tao, J., Liu, J., Chen, X., Xia, R., Li, M., Huang, M., et al. (2019) Mind-Body Exercise Improves Cognitive Function and Modulates the Function and Structure of the Hippocampus and Anterior Cingulate Cortex in Patients with Mild Cognitive Impairment. NeuroImage: Clinical, 23, Article ID: 101834. [Google Scholar] [CrossRef] [PubMed]
[10] 李文颢, 吴知凡, 荆纯祥, 等. 八段锦对糖尿病前期伴轻度高血压患者血糖和血压的影响[J]. 新中医, 2019, 51(7): 291-294.
[11] 张宝珍, 王秋岩, 董林森, 等. 中国健身气功八段锦对中老年人血脂影响的Meta分析[J]. 西南军医, 2019, 21(3): 241-246.
[12] 王增武, 刘静, 李建军, 等. 中国血脂管理指南(2023年) [J]. 中国循环杂志, 2023, 38(3): 237-271.
[13] 王梦君. 四套典型太极拳、健身气功套路强度及能耗对比研究[D]: [硕士学位论文]. 石家庄: 河北师范大学, 2019.
[14] 运动处方中国专家共识(2023) [J]. 中国运动医学杂志, 2023, 42(1): 3-13.
[15] 金娟, 李洋, 岑璐, 等. 健身气功八段锦对代谢综合征影响的研究[J]. 广州中医药大学学报, 2021, 38(7): 1426-1431.
[16] 杨继鹏, 刘璟莹, 吕纹良, 等. 健身气功八段锦治疗2型糖尿病疗效的Meta分析[J]. 中华中医药杂志, 2015, 30(4): 1307-1309.
[17] 李圆圆, 邢玉荣, 李惠珍, 等. 八段锦联合复方降脂茶对非酒精性脂肪性肝病患者肝脏脂肪含量、血脂的影响[J]. 中医学报, 2022, 37(1): 205-208.
[18] López-Otín, C., Blasco, M.A., Partridge, L., Serrano, M. and Kroemer, G. (2013) The Hallmarks of Aging. Cell, 153, 1194-1217. [Google Scholar] [CrossRef] [PubMed]
[19] 崔小数, 曹珊, 陈芳, 等. 高脂血症的中医研究概述[J]. 中国中医药现代远程教育, 2020, 18(3): 139-142.
[20] 黄志远, 孙明瑜, 武超. 中医药诊疗高脂血症的研究进展[J]. 中国民族民间医药, 2025, 34(18): 62-67.
[21] 马英, 郭鹤. 八段锦的中医养生原理[J]. 辽宁中医杂志, 2018, 45(7): 1403-1405.
[22] 陈德龙, 赵广高, 付近梅, 等. 中国传统运动对中老年人血脂水平的影响: 网络Meta分析[C]//中国体育科学学会. 第十二届全国体育科学大会论文摘要汇编——墙报交流(体质与健康分会). 2022: 244-245.
[23] 苏婧, 梁诗志, 刘华辉, 等. 基于CiteSpace近十年国内外八段锦研究热点与趋势的可视化分析[J]. 按摩与康复医学, 2023, 14(8): 84-90.