Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis

To systematically synthesize and critically evaluate evidence on the effectiveness of tai chi for patients with type 2 diabetes mellitus. Seven electronic databases (Wan Fang, SinoMed, China National Knowledge Infrastructure, VIP, PubMed, Embase, and Cochrane Library) were systematically searched fr...

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Bibliographic Details
Published in:Journal of rehabilitation medicine 2019-06, Vol.51 (6), p.405-417
Main Authors: Zhou, Zonglei, Zhou, Ruzhen, Zhu, Yan, Li, Kunpeng, Luo, Yun, Zhang, Zengqiao, Luan, Rongsheng
Format: Article
Language:English
Subjects:
Balance
Blood pressure
Body mass index
Cholesterol
Clinical trials
Confidence intervals
Diabetes
Diabetics
Evidence-based medicine
Fasting
Glucose
Hemoglobin
Infrastructure
Insulin
Insulin resistance
Long term
Martial arts
Meta-analysis
Pain
Physical ability
Physiology
Quality of life
Rehabilitation
Resistance
Systematic review
Tai chi
Type 2 diabetes mellitus
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Summary:To systematically synthesize and critically evaluate evidence on the effectiveness of tai chi for patients with type 2 diabetes mellitus. Seven electronic databases (Wan Fang, SinoMed, China National Knowledge Infrastructure, VIP, PubMed, Embase, and Cochrane Library) were systematically searched from their inception to March 2018. Randomized controlled trials investigating the effects of tai chi on individuals with type 2 diabetes mellitus were eligible. Biomedical outcomes (fasting plasma glucose, glycosylated haemoglobin (HbA1c), fasting insulin, insulin resistance, body mass index, total cholesterol, blood pressure) as well as balance and quality of life-related outcomes were extracted independently by 2 reviewers. Stata 12.0 software was used to synthesize data if there was no or moderate heterogeneity across studies. Otherwise, narrative summaries were performed. A total of 23 studies (25 articles) involving 1,235 patients were included in this meta-analysis. Significant changes in tai chi-related effects were observed in lowering fasting plasma glucose (standardized mean difference -0.67; 95% confidence interval (95% CI) -0.87 to -0.47; p 
ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-2555