The Impact of Caring Leadership on Nurse Caring Behaviours: A Moderated Mediation Model.
Authors: Tang S, Geng L, Zhu C, Wang X, Pan H
Journal: Nursing open
mental health
psychology
open access
Abstract
Sedentary behavior is a major global public health issue, associated with declines in physical function, neuromuscular impairments, and elevated risk of chronic diseases. As young adults increasingly adopt inactive lifestyles, accessible and low-intensity strategies that can support musculoskeletal health and functional stability are urgently needed. Complementary mind–body exercises, such as Baduanjin, have gained growing attention as feasible community-based interventions for health promotion. Baduanjin is a traditional Chinese mind–body practice characterized by gentle movements, regulated breathing, and coordinated postural control. Evidence from clinical and community settings indicates that Baduanjin can improve balance, flexibility, psychological well-being, and cardiometabolic health. Due to its low physical demands and minimal equipment requirements, Baduanjin has been widely implemented as a complementary strategy in preventive healthcare and rehabilitation. However, its low-intensity nature may limit its ability to induce significant improvements in muscle strength, particularly in the lower limbs. Lower-limb strength plays a key role in maintaining knee joint stability and controlling center-of-mass displacement during single-leg stance. Enhanced muscle strength may improve joint stiffness regulation and the ability to resist postural perturbations, thereby contributing to improved postural balance. Blood flow restriction (BFR) training has emerged as a modern, low-load conditioning technique that can safely enhance muscle adaptations with intensities much lower than conventional resistance training. BFR has been incorporated into rehabilitation, community exercise programs, and low-load functional training due to its accessibility and favorable safety profile. BFR is commonly combined with low-load exercises such as walking or cycling; however, these modalities primarily involve repetitive, linear movement patterns and mainly target muscular and cardiovascular adaptations. In contrast, Baduanjin is a mind–body exercise characterized by slow, coordinated, multi-planar movements that integrate breathing control, proprioception, and postural regulation. Therefore, combining BFR with Baduanjin may provide a more comprehensive training stimulus by simultaneously enhancing muscle strength and postural control within a single low-intensity intervention, potentially offering advantages over conventional BFR exercise protocols.