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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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| Published in: | Journal of rehabilitation medicine 2019-06, Vol.51 (6), p.405-417 |
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| container_end_page | 417 |
| container_issue | 6 |
| container_start_page | 405 |
| container_title | Journal of rehabilitation medicine |
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| creator | Zhou, Zonglei Zhou, Ruzhen Zhu, Yan Li, Kunpeng Luo, Yun Zhang, Zengqiao Luan, Rongsheng |
| description | 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 |
| doi_str_mv | 10.2340/16501977-2555 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_9ae6b798001341f589d380f791b7400f</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_9ae6b798001341f589d380f791b7400f</doaj_id><sourcerecordid>2207164191</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-72a1c7e5543950cce829b1a2acbf484975d5760858ad05b60311a3e6812ebac93</originalsourceid><addsrcrecordid>eNpdkU1v1DAQhiMEoqVw5IosceFAwB9xbHOrqtJWqsQFztbEGXe9SuJt7G2VH8D_xtlte-Dkr0fPjOetqo-MfuOiod9ZKykzStVcSvmqOi1nVnOq2evDntbr40n1LqUtpUxJod5WJ4KaVpuGnVZ_L71HlxOJnmQIxG0CiRPZbZYU4hDvlq-kgwEmhwSmntzvYQh5WekheCShoJADTsXwGPKG5GWHhJM-QIcZ0w9yTtKSMo6FcmTGh4CPB9OIGWqYYCiF0vvqjYch4Yen9az68_Py98V1ffvr6ubi_LZ2DW9zrTgwp1DKRhhJnUPNTceAg-t8oxujZC9VS7XU0FPZtVQwBgJbzTh24Iw4q26O3j7C1u7mMMK82AjBHi7ifGdhLo0OaA1g2ymjy9BEw7zUpheaemVYpxpKfXF9Obp2c7zfY8p2DMnhUIaFcZ8s51SxtmGGFfTzf-g27ufy95XSipbOW12o-ki5OaY0o39pkFG7Zm2fs7Zr1oX_9GTddyP2L_RzuOIfJkKh6g</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2287049768</pqid></control><display><type>article</type><title>Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Alma/SFX Local Collection</source><creator>Zhou, Zonglei ; Zhou, Ruzhen ; Zhu, Yan ; Li, Kunpeng ; Luo, Yun ; Zhang, Zengqiao ; Luan, Rongsheng</creator><creatorcontrib>Zhou, Zonglei ; Zhou, Ruzhen ; Zhu, Yan ; Li, Kunpeng ; Luo, Yun ; Zhang, Zengqiao ; Luan, Rongsheng</creatorcontrib><description>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 < 0.001), HbA1c (mean difference -0.88%; 95% CI -1.45 to -0.31; p =0.002) and insulin resistance (mean difference -0.41; 95% CI -0.78 to -0.04; p = 0.029). Beneficial effects of tai chi were also found in decreasing body mass index (mean difference -0.82 kg/m2; 95% CI -1.28 to -0.37 kg/m2; p < 0.001) and total cholesterol (standardized mean difference -0.59; 95% CI -0.90 to -0.27; p < 0.001). In addition, tai chi reduced blood pressure (systolic blood pressure (mean difference -10.03 mmHg; 95% CI -15.78 to -4.29 mmHg; p = 0.001), diastolic blood pressure (mean difference -4.85 mmHg; 95% CI -8.23 to -1.47 mmHg; p = 0.005)) and improved quality of life (QoL)-related outcomes (physical function (mean difference 7.07; 95% CI 0.79-13.35; p = 0.027), bodily pain (mean difference 4.30; 95% CI 0.83-7.77; p = 0.015) and social function (mean difference 13.84; 95% CI 6.22-21.47; p < 0.001)). However, no impact was exerted on fasting insulin (standardized mean difference -0.32; 95% CI -0.71 to 0.07; p = 0.110) or balance (mean difference 2.71 s; 95% CI -3.29 to 8.71 s; p = 0.376).
Tai chi is effective in controlling biomedical outcomes and improving quality of life-related outcomes in individuals with type 2 diabetes mellitus, although no effects were observed on balance and fasting insulin. Further high-quality research is needed to elucidate the effects of tai chi between various types, the long-term effects of tai chi, the impact on respiratory function, and the association between tai chi and risk of type 2 diabetes mellitus.</description><identifier>ISSN: 1650-1977</identifier><identifier>EISSN: 1651-2081</identifier><identifier>DOI: 10.2340/16501977-2555</identifier><identifier>PMID: 30968941</identifier><language>eng</language><publisher>Sweden: Journal of Rehabilitation Medicine</publisher><subject>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</subject><ispartof>Journal of rehabilitation medicine, 2019-06, Vol.51 (6), p.405-417</ispartof><rights>Copyright Journal of Rehabilitation Medicine Jun 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-72a1c7e5543950cce829b1a2acbf484975d5760858ad05b60311a3e6812ebac93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30968941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Zonglei</creatorcontrib><creatorcontrib>Zhou, Ruzhen</creatorcontrib><creatorcontrib>Zhu, Yan</creatorcontrib><creatorcontrib>Li, Kunpeng</creatorcontrib><creatorcontrib>Luo, Yun</creatorcontrib><creatorcontrib>Zhang, Zengqiao</creatorcontrib><creatorcontrib>Luan, Rongsheng</creatorcontrib><title>Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis</title><title>Journal of rehabilitation medicine</title><addtitle>J Rehabil Med</addtitle><description>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 < 0.001), HbA1c (mean difference -0.88%; 95% CI -1.45 to -0.31; p =0.002) and insulin resistance (mean difference -0.41; 95% CI -0.78 to -0.04; p = 0.029). Beneficial effects of tai chi were also found in decreasing body mass index (mean difference -0.82 kg/m2; 95% CI -1.28 to -0.37 kg/m2; p < 0.001) and total cholesterol (standardized mean difference -0.59; 95% CI -0.90 to -0.27; p < 0.001). In addition, tai chi reduced blood pressure (systolic blood pressure (mean difference -10.03 mmHg; 95% CI -15.78 to -4.29 mmHg; p = 0.001), diastolic blood pressure (mean difference -4.85 mmHg; 95% CI -8.23 to -1.47 mmHg; p = 0.005)) and improved quality of life (QoL)-related outcomes (physical function (mean difference 7.07; 95% CI 0.79-13.35; p = 0.027), bodily pain (mean difference 4.30; 95% CI 0.83-7.77; p = 0.015) and social function (mean difference 13.84; 95% CI 6.22-21.47; p < 0.001)). However, no impact was exerted on fasting insulin (standardized mean difference -0.32; 95% CI -0.71 to 0.07; p = 0.110) or balance (mean difference 2.71 s; 95% CI -3.29 to 8.71 s; p = 0.376).
Tai chi is effective in controlling biomedical outcomes and improving quality of life-related outcomes in individuals with type 2 diabetes mellitus, although no effects were observed on balance and fasting insulin. Further high-quality research is needed to elucidate the effects of tai chi between various types, the long-term effects of tai chi, the impact on respiratory function, and the association between tai chi and risk of type 2 diabetes mellitus.</description><subject>Balance</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cholesterol</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Diabetes</subject><subject>Diabetics</subject><subject>Evidence-based medicine</subject><subject>Fasting</subject><subject>Glucose</subject><subject>Hemoglobin</subject><subject>Infrastructure</subject><subject>Insulin</subject><subject>Insulin resistance</subject><subject>Long term</subject><subject>Martial arts</subject><subject>Meta-analysis</subject><subject>Pain</subject><subject>Physical ability</subject><subject>Physiology</subject><subject>Quality of life</subject><subject>Rehabilitation</subject><subject>Resistance</subject><subject>Systematic review</subject><subject>Tai chi</subject><subject>Type 2 diabetes mellitus</subject><issn>1650-1977</issn><issn>1651-2081</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>DOA</sourceid><recordid>eNpdkU1v1DAQhiMEoqVw5IosceFAwB9xbHOrqtJWqsQFztbEGXe9SuJt7G2VH8D_xtlte-Dkr0fPjOetqo-MfuOiod9ZKykzStVcSvmqOi1nVnOq2evDntbr40n1LqUtpUxJod5WJ4KaVpuGnVZ_L71HlxOJnmQIxG0CiRPZbZYU4hDvlq-kgwEmhwSmntzvYQh5WekheCShoJADTsXwGPKG5GWHhJM-QIcZ0w9yTtKSMo6FcmTGh4CPB9OIGWqYYCiF0vvqjYch4Yen9az68_Py98V1ffvr6ubi_LZ2DW9zrTgwp1DKRhhJnUPNTceAg-t8oxujZC9VS7XU0FPZtVQwBgJbzTh24Iw4q26O3j7C1u7mMMK82AjBHi7ifGdhLo0OaA1g2ymjy9BEw7zUpheaemVYpxpKfXF9Obp2c7zfY8p2DMnhUIaFcZ8s51SxtmGGFfTzf-g27ufy95XSipbOW12o-ki5OaY0o39pkFG7Zm2fs7Zr1oX_9GTddyP2L_RzuOIfJkKh6g</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Zhou, Zonglei</creator><creator>Zhou, Ruzhen</creator><creator>Zhu, Yan</creator><creator>Li, Kunpeng</creator><creator>Luo, Yun</creator><creator>Zhang, Zengqiao</creator><creator>Luan, Rongsheng</creator><general>Journal of Rehabilitation Medicine</general><general>Medical Journals Sweden</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>20190601</creationdate><title>Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis</title><author>Zhou, Zonglei ; Zhou, Ruzhen ; Zhu, Yan ; Li, Kunpeng ; Luo, Yun ; Zhang, Zengqiao ; Luan, Rongsheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-72a1c7e5543950cce829b1a2acbf484975d5760858ad05b60311a3e6812ebac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Balance</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cholesterol</topic><topic>Clinical trials</topic><topic>Confidence intervals</topic><topic>Diabetes</topic><topic>Diabetics</topic><topic>Evidence-based medicine</topic><topic>Fasting</topic><topic>Glucose</topic><topic>Hemoglobin</topic><topic>Infrastructure</topic><topic>Insulin</topic><topic>Insulin resistance</topic><topic>Long term</topic><topic>Martial arts</topic><topic>Meta-analysis</topic><topic>Pain</topic><topic>Physical ability</topic><topic>Physiology</topic><topic>Quality of life</topic><topic>Rehabilitation</topic><topic>Resistance</topic><topic>Systematic review</topic><topic>Tai chi</topic><topic>Type 2 diabetes mellitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Zonglei</creatorcontrib><creatorcontrib>Zhou, Ruzhen</creatorcontrib><creatorcontrib>Zhu, Yan</creatorcontrib><creatorcontrib>Li, Kunpeng</creatorcontrib><creatorcontrib>Luo, Yun</creatorcontrib><creatorcontrib>Zhang, Zengqiao</creatorcontrib><creatorcontrib>Luan, Rongsheng</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Zonglei</au><au>Zhou, Ruzhen</au><au>Zhu, Yan</au><au>Li, Kunpeng</au><au>Luo, Yun</au><au>Zhang, Zengqiao</au><au>Luan, Rongsheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis</atitle><jtitle>Journal of rehabilitation medicine</jtitle><addtitle>J Rehabil Med</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>51</volume><issue>6</issue><spage>405</spage><epage>417</epage><pages>405-417</pages><issn>1650-1977</issn><eissn>1651-2081</eissn><abstract>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 < 0.001), HbA1c (mean difference -0.88%; 95% CI -1.45 to -0.31; p =0.002) and insulin resistance (mean difference -0.41; 95% CI -0.78 to -0.04; p = 0.029). Beneficial effects of tai chi were also found in decreasing body mass index (mean difference -0.82 kg/m2; 95% CI -1.28 to -0.37 kg/m2; p < 0.001) and total cholesterol (standardized mean difference -0.59; 95% CI -0.90 to -0.27; p < 0.001). In addition, tai chi reduced blood pressure (systolic blood pressure (mean difference -10.03 mmHg; 95% CI -15.78 to -4.29 mmHg; p = 0.001), diastolic blood pressure (mean difference -4.85 mmHg; 95% CI -8.23 to -1.47 mmHg; p = 0.005)) and improved quality of life (QoL)-related outcomes (physical function (mean difference 7.07; 95% CI 0.79-13.35; p = 0.027), bodily pain (mean difference 4.30; 95% CI 0.83-7.77; p = 0.015) and social function (mean difference 13.84; 95% CI 6.22-21.47; p < 0.001)). However, no impact was exerted on fasting insulin (standardized mean difference -0.32; 95% CI -0.71 to 0.07; p = 0.110) or balance (mean difference 2.71 s; 95% CI -3.29 to 8.71 s; p = 0.376).
Tai chi is effective in controlling biomedical outcomes and improving quality of life-related outcomes in individuals with type 2 diabetes mellitus, although no effects were observed on balance and fasting insulin. Further high-quality research is needed to elucidate the effects of tai chi between various types, the long-term effects of tai chi, the impact on respiratory function, and the association between tai chi and risk of type 2 diabetes mellitus.</abstract><cop>Sweden</cop><pub>Journal of Rehabilitation Medicine</pub><pmid>30968941</pmid><doi>10.2340/16501977-2555</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of rehabilitation medicine, 2019-06, Vol.51 (6), p.405-417 |
| issn | 1650-1977 1651-2081 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| 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 |
| title | Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis |
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