Prospect of Baduanjin (八段锦) in Improving Heart Failure with Sarcopenia
Author：LIU Feifei1, ZHA Yuling2, YANG Hongxia3, LIU Chengshuai4, DAI Jingang5, ZHOU Yuping1
Unit：1.Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China; 2.Eye Hospital, China Academy of Chinese Medical Sciences, Beijing 100040, China; 3.Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China; 4.Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China; 5.Medical Experimental Center, China Academy of Chinese Medical Sciences, Beijing 100007, China
Quote：引用：刘斐斐，查玉玲，杨红霞，刘成帅，代金刚，周育平.八段锦改善心力衰竭合并肌少症的前景展望[J].中医药导报,2026,32(2):161-166.
DOI：10.13862/j.cn43-1446/r.2026.02.027
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Abstract：Baduanjin, as a low-to-moderate intensity exercise, can intervene in heart failure (HF) combined with sarcopenia through multiple pathways such as regulating hormone levels, reducing inflammatory responses, and improving gut microbiota. It is a safe and economical non-pharmacological intervention with unique clinical advantages. This article reviews modern mechanistic research on Baduanjin for improving HF with sarcopenia. Considering the characteristic of physical weakness in HF patients, a modified protocol featuring "low intensity, segmented practice, and avoidance of breath-holding" is proposed. Modifications include using seated postures instead of standing and reducing movement amplitude to ensure safety and effectiveness. Furthermore, based on individual patient differences (such as physical strength, practice duration, and proficiency), a phased training approach (acute adaptation phase, progressive strengthening phase, long-term maintenance phase) is suggested. This provides theoretical support and clinical practice references for applying Baduanjin in the field of HF combined with sarcopenia.
Key words：Baduanjin; heart failure; sarcopenia; hormones; inflammation; gut microbiota
摘要：八段锦作为低中强度运动，可通过调节激素水平、减轻炎症反应及改善肠道菌群等多途径干预心力衰竭（HF）合并肌少症，是一种安全、经济的非药物干预手段，具有独特的临床治疗优势。本文通过对八段锦改善HF合并肌少症的现代机制研究进行综述，针对HF患者体力弱等特点，提出“低强度、分段式、避免憋气”的改良方案，如坐姿替代站姿、减小动作幅度等，确保安全性与有效性；并根据患者个体情况差异（如体力、习练时长及熟练度等），提出分期训练（急性适应期、渐进强化期、长期维持期）的方法，为八段锦运用于HF合并肌少症领域提供理论支持和临床实践参考。
关键词：八段锦；心力衰竭；肌少症；激素；炎症；肠道菌群
Release time：2026-03-05
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