Tai Chi for Behavioral Modification Among Individuals With Metabolic Syndrome

Study Overview
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Brief Summary
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This is the randomized trial to explore the effect of behavioral modification program (Tai Chi vs. self management) on adults with metabolic syndrome. The outcome variables include health behavior, metabolic syndrome indicators, quality of life.

Detailed Description
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venue: the individuals with diagnosis of metabolic syndrome are recruiting from university hospital outpatient clinic or primary clinic. inclusion criteria: diagnosed of metabolic syndrome, agree to participate either programs, no history of participating regular exercise program past 6 months. intervention: The behavioral modification program consisting of Tai Chi exercise (twice a week for 12 weeks) and self-management program (6 sessions every two weeks) is provided to the participants who randomly assigned to either group. Short form Yang style Tai Chi (16 movements) were led by trained Tai Chi practitioners, and self-management program were provided by nurse educators.

Official Title
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Tai Chi Applied Behavioral Modification Program for Individuals With Metabolic Syndrome: Randomized Study

Conditions
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Metabolic Syndrome

Intervention / Treatment
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* Behavioral: Tai Chi exercise
* Behavioral: self management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosis of metabolic syndrome adults who agree to participate either behavioral modification programs for 12 weeks be able to understand the questionnaire and follow the exercise or education program Exclusion Criteria: who attend regular exercise program past 6 months
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized trial to assign the participants either to intervention group 1 (Tai Chi exercise) or to intervention group 2 (self management)
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Tai Chi intervention<br>Tai Chi exercise intervention provided twice a week for one hour for 12 weeks | Behavioral: Tai Chi exercise<br>* Yang style Tai Chi 16 movements<br>|
| Active Comparator: self management<br>self management program provided 6 sessions (one hour per session) for 12 weeks | Behavioral: self management<br>* health education and dietary counseling<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Cardiac health behavior scale | cardiac health behaviors scale including exercise, diet, stress management, health responsibility, and smoking - 25 items in 4 point Likert scale | change from baseline health behavior score at 3 months | 
| Change in blood pressure | systolic and diastolic blood pressure (mmHg) | change from baseline blood pressure at 3 months | 
| change in lipid profile | high density lipoprotein(HDL), low density lipoprotein(LDL), total cholesterol, triglyceride | change from baseline lipid profile at 3 months | 
| Change in blood glucose | HbA1C | change from baseline blood glucose at 3 months | 
| Change in abdominal obesity | waist circumference (in centimeters) will be measured with indicator on upper hip bone | change from baseline waist circumference at 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in quality of life | health related quality of life (by SF36 v.2) to calculate mental and physical components in 100 points | change from baseline QOL score at 3 months |