Effects of Tai Chi on health outcomes among community-dwelling adults with or at risk of metabolic syndrome: A systematic review

Chau, Janita Pak Chun; Leung, Leona Yuen Ling; Liu, Xu; Lo, Suzanne Hoi Shan; Choi, Kai Chow; Zhao, Jie; Chiang, Helen Chung Yan

doi:10.1016/j.ctcp.2021.101445

Cited by 13 publications

(16 citation statements)

References 47 publications

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“…Tai chi has been reported to alleviate the lipid profile disorders in other conditions [31][32][33][34], which was also observed in this trial. A significant difference was observed between the two intervention groups in TC, TG, and LDL-C. BMI and HOMA-IR were also decreased in the Tai chi group, which seems consistent with reports that Tai chi could contribute to weight loss and improve insulin resistance [35], and the effect seemed similar to other aerobic exercises [36]. Aerobic exercises could improve insulin measures in women with PCOS, especially those involved in more vigorous activity and/or more frequent weekly exercise or sessions of longer duration [37].…”

Section: Evidence-based Complementary and Alternative Medicinesupporting

confidence: 90%

Tai Chi for Overweight/Obese Adolescents and Young Women with Polycystic Ovary Syndrome: A Randomized Controlled Pilot Trial

Peng

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Exercise is one of the recommended interventions for polycystic ovary syndrome (PCOS), and current evidence has shown that Tai chi may have favorable effects. The objective of this randomized controlled pilot trial was to study the feasibility and potential effects of Tai chi for overweight/obese adolescents and young women with PCOS, so a future definitive randomized controlled trial (RCT) can be well designed and implemented. Materials and Methods. This study recruited 50 patients who were randomly assigned to two groups (Tai chi and self-monitored exercise) at a ratio of 3 : 2. The intervention lasted for 3 months, and the feasibility and effectiveness outcomes were measured. Results. A total of 42 patients completed the study, including 24 in the Tai chi group and 18 in the control group. Compared with the self-monitored exercise group, there was a significantly decreased body mass index (BMI) in the Tai chi group adjusted for baseline BMI. The testosterone level and lipid profile were also decreased compared to controls; the same tendency was also observed for the homeostasis model assessment of insulin resistance (HOMA-IR), but the difference did not achieve statistical significance. Twenty-four (out of 30, 80%) patients in the Tai chi group and 18 (out of 20, 90%) patients in the self-monitored exercise group completed the data collection. A total of 36 exercise sessions were held in both groups. Patients in the Tai chi group took a mean of 34.0 ± 2.21 classes (93.06%), and those in the self-monitored exercise group engaged in 32 ± 3.06 exercise sessions (88.27%) out of the 36 required exercise sessions. Conclusions. The present pilot study was feasible to deliver; there was a decrease in BMI, testosterone level, and lipid profile for PCOS patients in the Tai chi group at 3 months. In a future definitive trial, lower recruitment rate and outcome measurements lead to poor patient acceptance such as the 5-time point oral glucose tolerance test need to be considered and one fixed type of aerobic exercise and supervision from the investigator for the control group are also needed. Trial registration: ClinicalTrials.gov, NCT02608554.

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Section: Evidence-based Complementary and Alternative Medicinesupporting

confidence: 90%

Tai Chi for Overweight/Obese Adolescents and Young Women with Polycystic Ovary Syndrome: A Randomized Controlled Pilot Trial

Peng

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…Subsequently, 16 articles were obtained. After reading the full text, 6 articles [25][26][27][28][29][30] were found irrelevant to SRs/MAs in RCTs, and 2 SRs/MAs [31,32] were not about people with T2DM. Thus, 8 SRs/MAs [33][34][35][36][37][38][39][40] were finally included in this overview.…”

Section: Resultsmentioning

confidence: 99%

The Effects of Tai Chi Exercise for Patients with Type 2 Diabetes Mellitus: An Overview of Systematic Reviews and Meta-Analyses

Shi

Wang

Zhang

et al. 2022

Journal of Diabetes Research

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Objectives. Tai chi (TC) is a potential complementary treatment for type 2 diabetes mellitus (T2DM). This overview systematically summarizes and evaluates the existing evidence of TC in the treatment of T2DM. Methods. Systematic reviews (SRs)/meta-analyses (MAs) on TC interventions for T2DM were comprehensively searched in seven databases. Methodological quality, risk of bias, reporting quality, and quality of evidence were assessed using the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2), the Risk of Bias in Systematic (ROBIS) scale, the list of Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Results. Eight published SRs/MAs were included in our study. Based on the methodology and quality of evidence assessment, all SRs/MAs are considered to be of very low quality, and only 1 SR/MA has been assessed as low risk of bias, and none of the SR/MA has been fully reported on the checklist. A total of 65 outcome indicators extracted from the included SRs/MAs were evaluated, and only 1 item was assessed as high quality. Conclusions. TC may be an effective and safe complementary treatment for T2DM. However, this conclusion must be treated with caution because the quality of the evidence provided by the included SRs/MAs is generally low.

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“…There is accumulating evidence showing that mind–body fitness modalities may induce positive changes in body composition [ 22 , 23 , 24 , 25 ], physical fitness [ 26 , 27 ], cardiovascular disease risk factors [ 13 , 28 , 29 , 30 , 31 ], chronic pain [ 32 , 33 ], and mental health [ 34 , 35 ] in several populations, including those affected by obesity. Hence, mind–body fitness has been defined as a component of integrated therapeutic or preventive interventions for those struggling with obesity or/and other common lifestyle-related chronic diseases [ 36 ].…”

mentioning

confidence: 99%

“…Given that persons with obesity commonly demonstrate physical limitations, movement dysfunctions, postural deviations, and poor stamina [ 4 ], mind–body fitness programs appear to be user-friendly and pain-free exercise strategies for this underserved population seeking for an inclusive exercise environment [ 38 ]. Figure 1 summarizes the effects of mind–body fitness interventions on cardiometabolic health, physical performance, and well-being in overweight and obese individuals [ 17 , 18 , 25 , 30 , 39 ].…”

mentioning

confidence: 99%

“…Overall, both modalities demonstrate mixed results in various anthropometric and body composition parameters when comparing overweight/obese adults with inactive controls [ 25 , 39 ]. In addition, Tai Chi shows some potential since it favors positive changes in central obesity [ 40 ] and several cardiometabolic health-related indicators [ 13 , 30 ]. However, further robust trials are needed to provide conclusive evidence on the efficacy and safety of Tai Chi for improving major cardiovascular disease risk factors in adults with impaired metabolic health.…”

mentioning

confidence: 99%

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Role of Mind–Body Fitness in Obesity

Batrakoulis

2022

Diseases

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Various mind–body fitness modalities such as Pilates, yoga, Tai Chi, and Qigong have become an accepted part of the physical activity, exercise, and leisure sector, serving several populations eligible for meditative movement activities. However, no robust evidence is present in the current literature supporting the efficacy of these meditative movement activities on health, fitness, and well-being markers among obese adults. Interestingly, the feasibility and safety of mind–body fitness programs in this cohort are still questionable. However, the limited available data show the beneficial role of such alternative exercise options in improving numerous physical fitness and cardiometabolic health-related indicators. The major role of mind–body fitness in obese individuals is to promote muscle control, body functionality, flexibility, and balance while reducing physical limitations, chronic pain, and stress through sessions integrating body postures, efficient breathing patterns, meditation, and relaxation. Such a bodily movement-based approach may be associated with increased physical performance and improved cardiometabolic as well as mental health. However, data on anthropometric characteristics, body composition and cardiovascular disease risk factors modification are somewhat equivocal. Future studies are needed to investigate a wider spectrum of physical fitness and cardiometabolic health parameters, since obese people are likely to demonstrate poor functional capacity, impaired glucose control, lipid disorder, and abnormal blood pressure levels.

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Effects of Tai Chi on health outcomes among community-dwelling adults with or at risk of metabolic syndrome: A systematic review

Cited by 13 publications

References 47 publications

Tai Chi for Overweight/Obese Adolescents and Young Women with Polycystic Ovary Syndrome: A Randomized Controlled Pilot Trial

Tai Chi for Overweight/Obese Adolescents and Young Women with Polycystic Ovary Syndrome: A Randomized Controlled Pilot Trial

The Effects of Tai Chi Exercise for Patients with Type 2 Diabetes Mellitus: An Overview of Systematic Reviews and Meta-Analyses

Role of Mind–Body Fitness in Obesity

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