The effect of Three-Circle Post Standing (Zhanzhuang) Qigong on the physical and psychological well-being of college students: Study protocol for a randomized controlled trial

Yu Guo, Mingmin Xu, Jialei Zhang, Qingchuan Hu, Zhengkun Zhou, Zeren Wei, Jian Yan, Yue Chen, Jianxuan Lyu, Xiaoqian Shao, Ying Wang, Jiamei Guo, Yulong Wei, Yu Guo, Mingmin Xu, Jialei Zhang, Qingchuan Hu, Zhengkun Zhou, Zeren Wei, Jian Yan, Yue Chen, Jianxuan Lyu, Xiaoqian Shao, Ying Wang, Jiamei Guo, Yulong Wei

Abstract

Background: The physical and mental health of college students tends to continuously decline around the world due to lifestyle or behavior habits changes, and pervasive presence of the Internet. Thus it is urgent to improve their health in college life. As a traditional Qigong form is practiced mainly in a standing posture. Three-Circle Post Standing Qigong (TCPSQ) is suitable for regular practicing and has beneficial effects on improving the physiological function and psychological emotion by adjusting body, breathing, and mind. The aim of the 3 adjustments is to achieve a state of harmonious unity-integrating these adjustments into "one." In this study protocol article, we will systematically explore the effectiveness and safety, feasibility of TCPSQ on physical and psychological outcomes of the college students and deeply understand the state of harmonious unity-integrating adjustments of body, breath, and mind into "one."

Method/design: We will conduct a randomized, assessor, and statistician blinded, parallel-controlled trial comparing the beneficial effect of TCPSQ in college students. A total of 80 eligible college students from the Beijing University of Chinese Medicine (BUCM) will be recruited and randomly allocated into TCPSQ training or unaltered lifestyle control group according 1:1 allocation ratio with allocation concealment. TCPSQ intervention will last 10 weeks. The study period is 18 weeks including a 10-week supervised intervention and a 8-week follow-up. The relevant physical and psychological outcomes, adverse events, and safety will be evaluated at baseline, 6 weeks (at the mid-point of intervention), 11 weeks (at the end of intervention), and 19 weeks (after the 8-week follow-up period) by blinded independent outcome assessors.

Discussion: This is the first randomized controlled trial protocol from the perspective of Qigong connotation to systematically investigate the effect of TCPSQ for the physical and mental health of a college student population. If the results in our study prove a significant intervention effect, this would provide preliminary higher-quality evidence and establish an optimal guidance for the application of TCPSQ exercise program among a college student population.

Ethics and dissemination: The study was approved by the ethics committee of the Beijing University of Chinese Medicine (approval number: 2018BZHYLL0109). A SPIRIT checklist is available for this protocol. The trial was registered in Chinese Clinical Trial Registry (WHO ICTRP member). Registration number: ChiCTR-BON-17010840.

Conflict of interest statement

This study is independent from the sponsor and competing interests.

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Flow diagram of study design.
Figure 2
Figure 2
The postures of TCPSQ. (A) The circle of between the hands. (B) The circle of arms. (C) The circle of arches of the feet. (D) High postures of TCPSQ. (E) Medium postures of TCPSQ. (F) Medium postures of TCPSQ.

References

    1. Misselbrook D. W is for Wellbeing and the WHO definition of health. Br J Gen Pract 2014;64:582.
    1. Arnett JJ. Emerging adulthood. A theory of development from the late teens through the twenties. Am Psychol 2000;55:469–80.
    1. Lolokote S, Hidru TH, Li X. Do socio-cultural factors influence college students’ self-rated health status and health-promoting lifestyles? A cross-sectional multicenter study in Dalian, China. BMC Public Health 2017;17:478.
    1. Peterson NE, Sirard JR, Kulbok PA, et al. Sedentary behavior and physical activity of young adult university students. Res Nurs Health 2018;41:30–8.
    1. Haase A, Steptoe A, Sallis JF, et al. Leisure-time physical activity in university students from 23 countries: associations with health beliefs, risk awareness, and national economic development. Prev Med 2004;39:182–90.
    1. Sira N, Pawlak R. Prevalence of overweight and obesity, and dieting attitudes among Caucasian and African American college students in Eastern North Carolina: a cross-sectional survey. Nutr Res Pract 2010;4:36–42.
    1. Han H, Pettee GK, Rd KH. Application of the transtheoretical model to sedentary behaviors and its association with physical activity status. PLoS One 2017;12:e0176330.
    1. Wu X, Tao S, Zhang Y, et al. Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PLoS One 2015;10:e0119607.
    1. Mańko G, Kruczkowski D, Niźnikowski T, et al. The effect of programed physical activity measured with levels of body balance maintenance. Med Sci Monit 2014;20:1841.
    1. Pedišic’ Ž, Rakovac M, Titze S, et al. Domain-specific physical activity and health-related quality of life in university students. Eur J Sport Sci 2014;14:492–9.
    1. Feng Q, Zhang Q, Du Y, et al. Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese College Freshmen. PLoS One 2014;9:e100914.
    1. Ford ES, Kohl HW, Mokdad AH, et al. Sedentary behavior, physical activity, and the metabolic syndrome among U.S. adults. Obesity 2005;13:608–14.
    1. Suzuki Y, Sakuraba K, Shinjo T, et al. Physical inactivity associated with the risk of non-communicable diseases in Japanese working mothers with young children: a cross-sectional study in Nagano city, Japan. Exp Ther Med 2017;13:3103–8.
    1. Bishwajit G, O’Leary DP, Ghosh S, et al. Physical inactivity and self-reported depression among middle- and older-aged population in South Asia: world health survey. BMC Geriatr 2017;17:100.
    1. García PF, Herazo BY, Tuesca MR. Levels of physical activity among Colombian university students. Rev Med Chil 2015;143:1411–8.
    1. Rangel Caballero LG, Rojas Sánchez LZ, Gamboa Delgado EM. Overweight and obesity in Colombian college students and its association with physical activity. Nutr Hosp 2014;31:629–36.
    1. Urszula D, Sabine M, Veronika O, et al. Factors associated with self-rated health status in university students: a cross-sectional study in three European countries. BMC Public Health 2008;8:215–25.
    1. Davoren MP, Fitzgerald E, Shiely F, et al. Positive mental health and well-being among a third level student population. PLoS One 2013;8:e74921.
    1. Kwan MY, Arbour-Nicitopoulos KP, Duku E, et al. Patterns of multiple health risk-behaviours in university students and their association with mental health: application of latent class analysis. Health Promot Chronic Dis Prev Can 2016;36:163–70.
    1. Harhay MO, King CH. Global burden of disease in young people aged 10–24 years. Lancet 2011;377:2093–102.
    1. Tosevski DL, Milovancevic MP, Gajic SD. Personality and psychopathology of university students. Curr Opin Psychiatry 2010;23:48–52.
    1. Roberts LW, Warner TD, Lyketsos C, et al. Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Health. Compr Psychiatry 2001;42:1–5.
    1. Hussain R, Guppy M, Robertson S, et al. Physical and mental health perspectives of first year undergraduate rural university students. BMC Public Health 2013;13:848.
    1. Auerbach RP, Alonso J, Axinn WG, et al. Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychol Med 2016;46:2955–70.
    1. Eisenberg D, Hunt J, Speer N. Mental health in American colleges and universities: variation across student subgroups and across campuses. J Nerv Ment Dis 2013;201:60–7.
    1. Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Health 2010;46:3–10.
    1. Eisenberg D, Hunt J, Speer N. Help seeking for mental health on college campuses: review of evidence and next steps for research and practice. Harv Rev Psychiatry 2012;20:222–32.
    1. Penedo FJ, Dahn JR. Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry 2005;18:189–93.
    1. White RL, Babic MJ, Parker PD, et al. Domain-specific physical activity and mental health: a meta-analysis. Am J Prev Med 2017;52:653–66.
    1. Lahti J, Sabia S, Singhmanoux A, et al. Leisure time physical activity and subsequent physical and mental health functioning among midlife Finnish, British and Japanese employees: a follow-up study in three occupational cohorts. BMJ Open 2016;6:e009788.
    1. Tessier S, Vuillemin A, Bertrais S, et al. Association between leisure-time physical activity and health-related quality of life changes over time. Prev Med 2007;44:202–8.
    1. Yamazaki F, Yamada H, Morikawa S. Influence of an 8-week exercise intervention on body composition, physical fitness, and mental health in female nursing students. J UOEH 2013;35:51–8.
    1. Ha CH, Wiyoung S. Effects of combined exercise training on body composition and metabolic syndrome factors. Iranian J Public Health 2012;41:20–6.
    1. Shen B, Xu C. Effects of self-efficacy, body mass, and cardiorespiratory fitness on exercise motives in Chinese college students. J Phys Act Health 2008;5:706–18.
    1. Wollseiffen P, Ghadiri A, Scholz A, et al. Short bouts of intensive exercise during the workday have a positive effect on neuro-cognitive performance. Stress Health 2016;32:514–23.
    1. Ludyga S, Gerber M, Brand S, et al. Acute effects of moderate aerobic exercise on specific aspects of executive function in different age and fitness groups: a meta-analysis. Psychophysiology 2016;53:1611–26.
    1. Ferris LT, Williams JS, Shen CL. The effect of acute exercise on serum brain-derived neurotrophic factor levels and cognitive function. Med Sci Sports Exerc 2007;39:728–34.
    1. Huang T, Larsen KT, Riedlarsen M, et al. The effects of physical activity and exercise on brain-derived neurotrophic factor in healthy humans: a review. Scand J Med Sci Sports 2014;24:1–0.
    1. Szuhany KL, Bugatti M, Otto MW. A meta-analytic review of the effects of exercise on brain-derived neurotrophic factor. J Psychiatr Res 2015;60:56–64.
    1. Mccaffrey R, Fowler NL. Qigong practice: a pathway to health and healing. Holist Nurs Pract 2003;17:110–6.
    1. Matos LC, Sousa CM, Gonçalves M, et al. Qigong as a traditional vegetative biofeedback therapy: long-term conditioning of physiological mind-body effects. Biomed Res Int 2015;2015:531789.
    1. Zou L, Sasaki JE, Wang H, et al. A systematic review and meta-analysis Baduanjin Qigong for health benefits: randomized controlled trials. Evid Based Complement Alternat Med 2017;2017:4548706.
    1. Fong SS, Ng SS, Luk WS, et al. Effects of qigong exercise on upper limb lymphedema and blood flow in survivors of breast cancer: a pilot study. Integr Cancer Ther 2014;13:54–61.
    1. Chan CL, Wang CW, Ho RT, et al. A systematic review of the effectiveness of qigong exercise in supportive cancer care. Support Care Cancer 2012;20:1121–33.
    1. Porter LS. Advancing the science of mind-body interventions: a comment on Larkey et al. Ann Behav Med 2014;49:1–2.
    1. Xiong X, Wang P, Li X, et al. Qigong for hypertension: a systematic review. Medicine 2015;94:e352.
    1. Park JE, Liu Y, Park T, et al. A trial for the use of qigong in the treatment of pre and mild essential hypertension: a study protocol for a randomized controlled trial. Trials 2011;12:244.
    1. Chan J, Yuen L, Leung K, et al. Efficacy of Qiqong in the treatment of chronic fatigue syndrome: a prospective randomized controlled trial. Ann Behav Med 2011;41:S224–1224.
    1. Yeh ML, Chung YC. A randomized controlled trial of qigong on fatigue and sleep quality for non-Hodgkin's lymphoma patients undergoing chemotherapy. Eur J Oncol Nurs 2016;23:81–6.
    1. Wang CW, Chan CH, Ho RT, et al. Managing stress and anxiety through qigong exercise in healthy adults: a systematic review and meta-analysis of randomized controlled trials. BMC Complement Altern Med 2014;14:8.
    1. Hwang EY, Chung SY, Cho JH, et al. Effects of a Brief Qigong-based Stress Reduction Program (BQSRP) in a distressed Korean population: a randomized trial. BMC Complement Altern Med 2013;13:113.
    1. Liu X, Clark J, Dan S, et al. A systematic review and meta-analysis of the effects of Qigong and Tai Chi for depressive symptoms. Complement Ther Med 2015;23:516–34.
    1. Vera FM, Manzaneque JM, Rodríguez FM, et al. Acute effects on the counts of innate and adaptive immune response cells after 1 month of taoist qigong practice. Int J Behav Med 2016;23:198–203.
    1. Tiwari A, Chan CLW, Ho RTH, et al. Effect of a qigong intervention program on telomerase activity and psychological stress in abused Chinese women: a randomized, wait-list controlled trial. BMC Complement Alter Med 2014;14:300.
    1. Wu CY, Han HM, Huang MC, et al. Effect of qigong training on fatigue in haemodialysis patients: a non-randomized controlled trial. Complement Ther Med 2014;22:244–50.
    1. Tsang HW, Tsang WW, Jones AY, et al. Psycho-physical and neurophysiological effects of qigong on depressed elders with chronic illness. Aging Mental Health 2013;17:336–48.
    1. Chan AW, Lee A, Lee DT, et al. Evaluation of the sustaining effects of Tai Chi Qigong in the sixth month in promoting psychosocial health in COPD patients: a single-blind, randomized controlled trial. Scient World J 2013;2013:425082.
    1. Zeng Y, Luo T, Xie H, et al. Health benefits of qigong or tai chi for cancer patients: a systematic review and meta-analyses. Complement Ther Med 2014;22:173–86.
    1. Vergeer I, Bennie JA, Charity MJ, et al. Participation trends in holistic movement practices: a 10-year comparison of yoga/Pilates and t’ai chi/qigong use among a national sample of 195,926 Australians. BMC Complement Altern Med 2017;17:296.
    1. Larkey LK, Roe DJ, Weihs KL, et al. Randomized controlled trial of Qigong/Tai Chi easy on cancer-related fatigue in breast cancer survivors. Ann Behav Med 2015;49:1–2.
    1. Wang CW, Wan CCL, Ho RTH, et al. The effect of qigong on depressive and anxiety symptoms: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med 2013;2013:716094.
    1. Zheng G, Lan X, Li M, et al. The effectiveness of Tai Chi on the physical and psychological well-being of college students: a study protocol for a randomized controlled trial. Trials 2014;15:1–9.
    1. Zou L, Pan Z, Yeung A, et al. A review study on the beneficial effects of Baduanjin. J Altern Complement Med 2018;24:324–35.
    1. Zheng G, Huang M, Li S, et al. Effect of Baduanjin exercise on cognitive function in older adults with mild cognitive impairment: study protocol for a randomised controlled trial. BMJ Open 2016;6:e010602.
    1. Tsang HW, Fung KM. A review on neurobiological and psychological mechanisms underlying the anti-depressive effect of qigong exercise. J Health Psychol 2008;13:857–63.
    1. Chan ES, Koh D, Teo YC, et al. Biochemical and psychometric evaluation of Self-Healing Qigong as a stress reduction tool among first year nursing and midwifery students. Complement Ther Clin Pract 2013;19:179–83.
    1. Cheng X, Wang D, Chen X, et al. Health Qigong Wuqinxi improves hydrogen proton magnetic resonance spectra in prefrontal cortex and hippocampus in college students with mild depression. J South Med Univ 2016;36:1468–76.
    1. Yu WL, Li XQ, Tang WJ, et al. fMRI study of pain reaction in the brain under state of “Qigong”. Am J Chin Med 2007;35:937–45.
    1. Lee MS, Kyung Kim MO, Ryu H. Qi-training (qigong) enhanced immune functions: what is the underlying mechanism. Int J Neurosci 2005;115:1099–104.
    1. Overcash J, Will KM, Lipetz DW. The benefits of medical qigong in patients with cancer: a descriptive pilot study. Clin J Oncol Nurs 2013;17:654–8.
    1. Yost TL, Taylor AG. Qigong as a novel intervention for service members with mild traumatic brain injury. Explore 2013;9:142–9.
    1. Chang C, Tsai G, Hsieh CJ. Psychological, immunological and physiological effects of a Laughing Qigong Program (LQP) on adolescents. Complement Ther Med 2013;21:660–8.
    1. Oh B, Butow P, Mullan B, et al. Impact of medical Qigong on quality of life, fatigue, mood and inflammation in cancer patients: a randomized controlled trial. Ann Oncol 2010;21:608–14.
    1. Ho RTH, Chan JSM, Wang CW, et al. A randomized controlled trial of qigong exercise on fatigue symptoms, functioning, and telomerase activity in persons with chronic fatigue or chronic fatigue syndrome. Ann Behav Med 2012;44:160–70.
    1. Liu TJ, Zhang WC. Traditional Chinese medicine qigong. China Press Tradit Chin Med 2016;114–7.
    1. Lu WH, Chen J. Theory study on the fitness effect of the three-circles guidance station pile to the old people. Fujian Sports Sci Technol 2013;32:18–9.
    1. Yang SH, Yang QF, Shi JM. Observation of electroencephalogram spectrum changes over one year of Qigong training. Zhongguo Zhong Xi Yi Jie He Za Zhi 1994;14:643–6.
    1. Lu M, Lu YM, Zhang GM, et al. Observation for the curative effect of the Tai Chi Stake Exercise on insomnia. Jilin J Chin Med 2017;37:367–9.
    1. Cao B, Wang QC. Anti-fatigue effect of Taiji pile compared to the squat. Soc Sci 2013;2:140.
    1. Tu P, Liao YP. Effect of Wuqinxi and Zhanzhuang on knee flexor and extensor strength and WOMAC scores of female patients with KOA. J Chengdu Sport Univ 2014;40:68–71.
    1. Huan BB. Clinical observation on the exercise prescription of type 2 diabetes mellitus (T2DM) by the three-style station pile of Xingyi boxing. China Continuing Med Educ 2018;10:145–7.
    1. Zhang ZG, Zhao T, Wu SP, et al. Clinical research of curative effect on lubar intervertebral disc protrusion by Zhanzhuang Daoyin Zhengji Gong. China J Chin Med 2012;7:908–9.
    1. Yang S. The effect of leg strength exercise of TCM on the power of quadriceps and relief from pain in patients with overuse injury of knee joint. Mod Rehab 2000;4:852–3.
    1. Lu JX, Wei ZR, Guo Y, et al. Effect of standing exercise in adjustment of spine balance based on three dimensions thoracic measurement. J Beijing Univ Tradit Chin Med 2017;40:909–16.
    1. Zhao XY. The influence of pile training over the Sanda teen-age Players’Technique. (Master's degree), Shanxi Normal University, Shanxi Province, China, 2012.
    1. Zhang JX. The effect of Post Standing on depression, anxiety and sleep status of college students. ([Master's degree), Beijing University of Chinese Medicine, Beijing, China, 2018.
    1. Huang BS. A study on the station and five elements of music intervention to college student's attention. (Master's degree), Guangxi University For Nationalities, Guangxi Province, China, 2017.
    1. Zhou P. A study on the effectiveness of China's Traditional Standing Exercise on university students’ physique. (Master's degree), Capital Institute Of Physical Education, Beijing, China, 2015.
    1. Wei YL. Chinese medicine qigong training guidance. China Press Tradit Chin Med 2016;120–35.
    1. Wang XD. Symptom checklist-90. Chin Mental Health J 1993;7:31–6.
    1. Wang ZY, Chi YF. Self-rating anxiety scale. Shanghai Arch Psychiatr 1982;2:73–4.
    1. Wang ZY, Chi YF. Self-rating depression scale. Shanghai Arch Psychiatry 1982;2:71–2.
    1. Qian MY, Wu GC, Zhu RC, et al. Development of the revised Eysenck personality questionnaire short scale for Chinese (EPQ-RSC). Acta Psychol Sinica 2000;32:317–24.
    1. Gong YX. Revision of the Eysenck Personality Questionnaire Manual. 1986;Changsha: Press of Hunan Medical Sciences University, 4–12.
    1. Ji YF, Yu X. The self-esteem scale (SES). Chin Ment Health J 1993;7:251–2.
    1. Backhaus J, Junghanns K, Broocks A, et al. Test–retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. J Psychosom Res 2002;53:737–40.
    1. Wang Q, Zhu YB, Xue HS, et al. Primary compiling of Constitution in Chinese Medicine Questionnaire. Chin J Clin Rehab 2006;10:12–4.
    1. Zhu YB, Wang Q, Xue HS, et al. Preliminary assessment on performance of Constitution in Chinese Medicine Questionnaire. Chin J Clin Rehabil 2006;10:15–7.
    1. Inc WMA. Declaration of Helsinki. Ethical principles for medical research involving human subjects. J Indian Med Assoc 2009;107:403–5.
    1. Hardy SA, Francis SW, Zamboanga BL, et al. The roles of identity formation and moral identity in college student mental health, health-risk behaviors, and psychological well-being. J Clin Psychol 2013;69:364–82.
    1. Zhang C, Fan J. A study of the perception of health risks among College students in China. Int J Environ Res Public Health 2013;10:2133–49.
    1. Mary L, Jana S, Chok H, et al. A randomized controlled trial of qigong for fibromyalgia. Arthritis Res Ther 2012;14:R178.
    1. Alraek T, Lee MS, Choi TY, et al. Complementary and alternative medicine for patients with chronic fatigue syndrome: a systematic review. BMC Complement Altern Med 2011;11:87.
    1. Ding M, Zhang W, Li K, et al. Effectiveness of T’ai Chi and Qigong on chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Altern& Complement Med 2014;20:79–86.
    1. Hartley L, Lee MS, Kwong JS, et al. Qigong for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev 2015;11:CD010390.
    1. Wei X, Xu A, Yin Y, et al. The potential effect of Wuqinxi exercise for primary osteoporosis: a systematic review and meta-analysis. Maturitas 2015;82:346–54.
    1. Boutron I, Moher D, Altman DG, et al. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Int Med 2008;148:295–309.

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