Tai Chi Chuan for Subjective Sleep Quality: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials

Si, Yuhao; Wang, Cenyi; Yin, Hui; Zheng, Jinghui; Guo, Yang; Xu, Guihua; Ma, Yong

doi:10.1155/2020/4710527

Cited by 15 publications

(16 citation statements)

References 78 publications

(201 reference statements)

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“…In 2010, Wang and coworkers, in their systematic review, documented the effects of Tai Chi on improvement in psychological well‐being, including mood, decreased stress, and anxiety 65 . Two recently published systematic reviews with meta‐analyses have reported sleep quality improvement via Tai Chi training 66,67 …”

Section: Non‐pharmacologic Therapiesmentioning

confidence: 99%

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Non‐pharmacologic treatment of insomnia in primary care settings

Hrehová

Mezian

2021

Int J Clinical Practice

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Introduction Prevalence of insomnia is higher in females and increases with higher age. Besides primary insomnia, comorbid sleep disorders are also common, accompanying different conditions. Considering the possible adverse effects of commonly used drugs to promote sleep, a non‐pharmacologic approach should be preferred in most cases. Although generally considered first‐line treatment, the non‐pharmacologic approach is often underestimated by both patients and physicians. Objective To provide primary care physicians an up‐to‐date approach to the non‐pharmacologic treatment of insomnia. Methods PubMed, Web of Science, and Scopus databases were searched for relevant articles about the non‐pharmacologic treatment of insomnia up to December 2020. We restricted our search only to articles written in English. Main message Most patients presenting with sleep disorder symptoms can be effectively managed in the primary care setting. Primary care physicians may use pharmacologic and non‐pharmacologic approaches, while the latter should be generally considered first‐line treatment. A primary care physician may opt to refer the patient to a subspecialist for refractory cases. Conclusions This paper provides an overview of current recommendations and up‐to‐date evidence for the non‐pharmacologic treatment of insomnia. This article emphasizes the importance of cognitive‐behavioral therapy for insomnia, likewise, exercise and relaxation techniques. Complementary and alternative approaches are also covered, eg, light therapy, aromatherapy, music therapy, and herbal medicine.

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Section: Non‐pharmacologic Therapiesmentioning

confidence: 99%

“…Chi training. 66,67 Yoga, in its ancient spiritual concept, originated in the Indian subcontinent more than 5000 years ago, comprises meditation, breathing exercises, lifestyle advice, and body positions. The Western version, known as "modern postural yoga" consists mainly of postures usually connected by flowing sequences.…”

Section: Exercisementioning

confidence: 99%

Non‐pharmacologic treatment of insomnia in primary care settings

Hrehová

Mezian

2021

Int J Clinical Practice

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“…For healthy adults, there were moderate improvements in sleep quality (low certainty) and small improvements for adults with chronic diseases (low certainty) [85]. Two of the three RCTs in the meta-analysis of sleep quality for cancer survivors (very low certainty, equivalent effect) [82] overlapped with the this larger meta-analysis of 15 RCTs for adults with chronic diseases [85].…”

Section: Cognitive Function and Impairmentmentioning

confidence: 95%

“…Twenty of the other SRs included in the evidence synthesis also reported AEs (Table 2). Of which, 18 reported no AEs [61,69,71,75,80,82,83,85,88,89,92,93,[95][96][97][102][103][104] and two reported mild, transient musculoskeletal AEs [81,84].…”

Section: Adverse Eventsmentioning

confidence: 99%

Determining the safety and effectiveness of Tai Chi: A critical overview of 210 systematic reviews of controlled clinical trials

Yang

Hunter

et al. 2021

Preprint

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Background: This overview aims to critically appraise the best available systematic review (SR) evidence on the health effects of Tai Chi. Methods: Nine databases (English and Chinese languages) were searched for SRs of controlled clinical trials of Tai Chi interventions published between Jan-2010 and Dec-2020 in any language. Excluded were primary studies and meta-analyses that combined Tai Chi with other interventions. To minimise overlap, effect estimates were extracted from the most recent, comprehensive, highest quality SR for each population, condition, and outcome. SR quality was appraised using AMSTAR 2 and effect estimates with GRADE.Results: Of the 210 included SRs, 193 only included randomised controlled trials, one only included non-randomised studies of interventions, and 16 included both. The most common conditions were neurological (18.6%), falls/balance (14.7%), cardiovascular (14.7%), musculoskeletal (11.0%), cancer (7.1%) and diabetes mellitus (6.7%). Except for stroke, no evidence for disease prevention was found, instead proxy-outcomes/risks factors were evaluated. 114 effect estimates were extracted from 37 SRs (2 high quality, 6 moderate, 18 low, and 11 critically low), representing 59,306 adults. Compared to active and/or inactive controls, a clinically important benefit from Tai Chi was reported for 66 effect estimates; 53 reported an equivalent or marginal benefit, and 6 an equivalent risk of adverse events. Eight effect estimates (7.0%) were graded as high certainty evidence, 43 (37.7%) moderate, 36 (31.6%) low, and 27 (23.7%) very low. This was due to concerns with risk of bias in 92 (80.7%) effect estimates, imprecision in 43 (37.7%), inconsistency in 37 (32.5%) and publication bias in 3 (2.6%). SR quality was limited by the search strategies, language bias, inadequate consideration of clinical, methodological and statistical heterogeneity, poor reporting standards, and/or no registered protocol. Conclusions: The findings suggest Tai Chi has multisystem effects with physical, psychological, and quality of life benefits for a wide range of conditions, including individuals with multiple health problems. Clinically important benefits were most consistently reported for Parkinson’s disease, falls risk, knee osteoarthritis, low back pain, cardiovascular diseases including hypertension, and stroke. Notwithstanding, for most conditions, higher quality primary studies and SRs are required.

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“…50 Two recently published systematic reviews with meta-analyses have reported sleep quality improvement via Tai Chi training. 51,52 Yoga , in its ancient spiritual concept, originated in the Indian subcontinent more than 5.000 years ago, comprises meditation, breathing exercises, lifestyle advice, and body positions. The Western version, known as 'modern postural yoga' consists mainly of postures usually connected by flowing sequences.…”

Section: Exercisementioning

confidence: 99%

Nonpharmacologic Treatment of Insomnia in Primary Care Settings

Hrehová¹,

Mezian

2020

Preprint

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Introduction: Prevalence of insomnia is higher in females and increases with higher age. Besides primary insomnia, comorbid sleep disorders are also common, accompanying different conditions. Considering the possible adverse effects of commonly used drugs to promote sleep, a nonpharmacologic approach should be preferred in most cases. Although generally considered first-line treatment, the nonpharmacologic approach is often underestimated by both patients and physicians. Objective: To provide primary care physicians an up-to-date approach to the nonpharmacologic treatment of insomnia. Methods: PubMed, Web of Science, and Scopus databases were searched for relevant articles about the nonpharmacologic treatment of insomnia up to December 2020. We restricted our search only to articles written in English. Main Message: Most patients presenting with sleep disorder symptoms can be effectively managed in the primary care setting. Primary care physicians may use pharmacologic and nonpharmacologic approaches, while the latter should be generally considered first-line treatment. A primary care physician may opt to refer the patient to a sleep medicine specialist for refractory cases. Conclusions: This paper provides an overview of current recommendations and up-to-date evidence for the nonpharmacologic treatment of insomnia. This article emphasizes the importance of cognitive-behavioral therapy for insomnia, likewise, exercise and relaxation techniques. Complementary and alternative approaches are also covered.

show abstract

Tai Chi Chuan for Subjective Sleep Quality: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials

Cited by 15 publications

References 78 publications

Non‐pharmacologic treatment of insomnia in primary care settings

Non‐pharmacologic treatment of insomnia in primary care settings

Determining the safety and effectiveness of Tai Chi: A critical overview of 210 systematic reviews of controlled clinical trials

Nonpharmacologic Treatment of Insomnia in Primary Care Settings

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