The Effect of Tai Chi for Improving Sleep Quality: A Systematic Review and Meta-analysis

Huanjie, Li; Chen, Juexuan; Xu, Guang-Zhen; Duan, Yuting; Huang, Danxuan; Tang, Chunzhi; Liu, Jihong

doi:10.1016/j.jad.2020.05.076

Cited by 43 publications

(30 citation statements)

References 43 publications

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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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“…Nevertheless, studies focusing on the effect of TC on EFs of MA dependents are relatively few. Researchers have focused on the effects of TC on physical and mental health of both male and female drug users, and they reached the consensus that TC exercise has positive influences on mindbody health, specifically on cardiopulmonary function, physical functional performance, and mental status (63)(64)(65). A related study provided evidences of the remarkable effects of TC on blood pressure, vital capacity, flexibility, and aerobic endurance in drug users (66).…”

Section: Introductionmentioning

confidence: 99%

Effects of Tai Chi on the Executive Function and Physical Fitness of Female Methamphetamine Dependents: A Randomized Controlled Trial

et al. 2021

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Purpose: Exercise improves the health and mental status of drug dependents. The way by which Tai Chi (TC) as a special exercise treatment affects executive functions (EFs) of methamphetamine (MA) dependents is yet to be established. This study aimed to explore the effects of TC on the EFs and physical fitness of MA dependents.Methods: A total of 76 female MA dependents were randomly assigned to the exercise and control groups. The exercise group underwent three 60-min sessions of TC training per week for 12 weeks. The control group was trained with conventional exercises including the 9th Guang Bo Ti Cao and square dance. Physical fitness and EF assessments that evaluated inhibitory control (IC, go/no-go task), working memory (3-back task) and cognitive flexibility (switching task) were performed at baseline and at 12 weeks. A repeated-measures ANOVA was applied to analyze the differences of group and time.Results: The exercise group showed decreased response time (RT) with a significant main effect of time on the go/no-go task [F(1, 68) = 9.6, p < 0.05]. The interaction effect between time and group was significant on accuracy [F(1, 61) = 4.73, p < 0.05], and the main effect of time was significant on RT [F(1, 61) = 4.66, p < 0.05] in the 3-back task of the exercise group. Significant changes in BMI [F(1, 68) = 19.57, p < 0.05], vital capacity [F(1, 68) = 6.00, p < 0.05], and systolic blood pressure [F(1, 68) = 6.11, p < 0.05] were observed in the exercise group.Conclusion: These findings showed that 3 months of TC training can improve the IC and maintain the working memory and cognitive flexibility of MA dependents. Other data implied that TC may improve the physical fitness of MA dependents.Clinical Trial Registration:http://www.chictr.org.cn/, ChiCTR1900022091.

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“…It should be noted that Tai Chi training can also improve frontline healthcare workers’ sleep quality and anxiety symptoms that was proved in this study, expanding the applicability of Tai Chi effects in the crowd. Another point worth mentioning is that many studies showed that Tai Chi was helpful to people’s mental health, but most of them compared it with a blank control group or could not figure out the differences between different methods ( 26 , 27 ). This study compared the effect of Tai Chi training and relaxation training, indicating that the effect of Tai Chi training in improving sleep quality and anxiety symptoms is probably better than relaxation training.…”

Section: Discussionmentioning

confidence: 99%

The Sleep Quality of the Frontline Healthcare Workers and the Improving Effect of Tai Chi

Zhan

Yang²,

Sun

et al. 2022

Front. Psychiatry

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BackgroundA number of studies have documented that coronavirus disease 2019 (COVID-19) brought more negative impact on the physical and psychological functioning of frontline healthcare workers. Especially, sleep quality was focused. This study aimed to investigate the sleep quality of frontline healthcare workers, risk factors for sleep quality, and the effect of Tai Chi training.MethodsA total of 98 frontline healthcare workers were recruited, coming from the infection department, fever clinic, laboratory, and medical imaging department in a COVID-19-designated hospital in Shanghai. Of them, 50 participated in a 2-week intervention and were randomized to receive a Tai Chi training or relaxation training. Participants were assessed at baseline, 7 and 14 days after participation. Demographic information, sleep quality, and anxiety were measured by using the demographic questionnaire, Pittsburgh Sleep Quality Index (PSQI) and Beck Anxiety Inventory (BAI).Results13.3% participants were above the cut-off score (>10) for the PSQI. Regression analysis showed gender, age, working years, and job category had effect on sleep quality. Compared to the control group, participants in the Tai Chi training group had lower scores on both PSQI (p < 0.05) and BAI (p < 0.01) after the 2-week intervention.ConclusionIt was demonstrated that poor sleep quality existed in the frontline healthcare workers, which was related to gender, age, working years, and job category. Tai Chi training can dramatically improve their sleep quality and reduce anxiety symptoms.

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The Effect of Tai Chi for Improving Sleep Quality: A Systematic Review and Meta-analysis

Cited by 43 publications

References 43 publications

Non‐pharmacologic treatment of insomnia in primary care settings

Non‐pharmacologic treatment of insomnia in primary care settings

Effects of Tai Chi on the Executive Function and Physical Fitness of Female Methamphetamine Dependents: A Randomized Controlled Trial

The Sleep Quality of the Frontline Healthcare Workers and the Improving Effect of Tai Chi

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