The effects of Tai Chi on quality of life of cancer survivors: a systematic review and meta-analysis

Ni, Xiaosha; Chan, Raymond Javan; Yates, Patsy; Hu, Wenyi; Huang, Xianhong; Lou, Yan

doi:10.1007/s00520-019-04911-0

Cited by 43 publications

(53 citation statements)

References 40 publications

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“…Based on the results, we could say that the practitioners obtained an average score in the health domains of the SF-36 questionnaire, classified as "good" and "very good" for generic quality of life. This classification was similar to that found in other studies [18,19].…”

Section: Resultssupporting

confidence: 92%

Quality of life in tai chi chuan practitioners in regions of Brazil

et al. 2020

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In Brazil, the supportive scientific evidence along with the increasing Tai Chi Chuan (TCC) popularity has contributed to its current insertion in the complementary integrative practices of the Brazilian Unified Health System. This study aimed to analyze the quality of life in TCC practitioners in several Brazilian cities, to compare the quality of life among cities and between genders, and to investigate if the TCC practice time interferes with the quality of life. The sample consisted of 104 individuals (69 women) who reported regular practice of Yang style TCC at least twice a week for a minimum period of three months. The sample was 50.3 ± 15.4 years old, with practice time of 74.8 ± 50.3 months. We classified the participants as beginners (3-12 months; n = 42), intermediate (12-24 months; n = 17), and advanced ( 24 months; n = 45). The participants answered the Short Form Health Survey (SF-36) questionnaire (Portuguese version) to obtain a measure of quality of life. Based on the results, the practitioners were classified in the SF-36 as “good” and “very good”, with higher scores found in men vs women. Quality of life scores observed were similar among all levels and cities. The health domain that obtained the highest overall score was functional capacity with 89.42 ± 12.21, and the lowest one was the general health status with 66.94 ± 18.08. This is corroborated by international scientific literature, with emphasis on the regular practitioners’ quality of life.

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Section: Resultssupporting

confidence: 92%

Quality of life in tai chi chuan practitioners in regions of Brazil

et al. 2020

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“…We included some new studies that might produce the different pooled result. TCC improved the physical and mental health domains of QOL in cancer survivors at a low-level evidence in a recent review (76). Due to the limited number of included studies in the meta-analysis of QOL, we conducted a meta-analysis of overall QOL total score rather than a meta-analysis of each QOL domain in breast cancer patients, but obtained a very low-level evidence.…”

Section: Discussionmentioning

confidence: 99%

Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

et al. 2020

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Background: Tai Chi Chuan(TCC), as a mind-body exercise, may have a positive impact on physical function and psychological well-being in breast cancer patients. The latest systematic review and meta-analysis of TCC for breast cancer was made 4 years ago and some new clinical trials about it were published. We remade a systematic review and meta-analysis to evaluate the effect of TCC in breast cancer patients.Methods: In this systematic review and meta-analysis, we searched MEDLINE (via PubMed), EMBASE (via embase.com), CENTRAL, CNKI, COVIP, Wanfang, Chaoxing, CiNii, J-SSTAGE, DBpia, and ThaiJO with no language restrictions from inception to December 31, 2018 (updated on February 16, 2020), for randomized clinical trials comparing TCC with non-exercised therapy in breast cancer patients. The primary outcome was quality of life in patients with breast cancer and data pooled by a randomeffects model. Subgroup analyses were conducted to estimate the effect of different durations of TCC for breast cancer patients. This study was registered in PROSPERO, number CRD 4201810326.Results: Fifteen articles involving a total of 885 breast cancer participants were included in this review. Compared with non-exercised therapy, TCC had a significant effect on quality of life in breast cancer patients (SMD = 0.37, 95% CI 0.15-0.59, p = 0.001), and subgroup analysis found that TCC showed beneficial effect in 12 weeks and 25 weeks (12 weeks: SMD = 0.40, 95% CI 0.19-0.62, p = 0.0003; 25 weeks: SMD = 0.38, 95% CI 0.15-0.62, p = 0.002). Meta-analyses of secondary outcomes showed that 3 weeks TCC increased shoulder function (SMD = 1.08, 95% CI 0.28-1.87, p = 0.008), 12 weeks TCC improved pain (SMD = 0.30, 95% CI 0.08-0.51, p = 0.007), shoulder function (SMD = 1.34, 95% CI 0.43-2.25, p = 0.004), strength of arm (SMD = 0.44, 95% CI 0.20-0.68, p = 0.0004), and anxiety (MD = −4.90, 95% CI −7.83 to −1.98, p = 0.001) in breast cancer patients compared with the control group.Conclusions: TCC appears to be effective on some physical and psychological symptoms and improves the quality of life in patients with breast cancer. Additional randomized controlled trials with a rigorous methodology and low risk of bias are needed to provide more reliable evidence.

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“…11,14 However there is very limited information about the combination of Tai Chi with traditional pulmonary rehabilitation exercise programs after lung cancer surgery. 15 Therefore, the purpose of this study was to investigate whether a multi-modal exercise training program comprised of aerobic exercise, resistance training and 8-style Tai Chi is safe and feasible to integrate into the routine postoperative care of patients 6 to 12 weeks after lung cancer surgery in China. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines 16 were followed in reporting this study.…”

Section: Introductionmentioning

confidence: 99%

“… 11 , 14 However there is very limited information about the combination of Tai Chi with traditional pulmonary rehabilitation exercise programs after lung cancer surgery. 15 …”

Section: Introductionmentioning

confidence: 99%

A 12-Week Multi-Modal Exercise Program: Feasibility of Combined Exercise and Simplified 8-Style Tai Chi Following Lung Cancer Surgery

Denehy

Cao

et al. 2020

Integr Cancer Ther

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Objective: To assess the feasibility, safety, and preliminary effect of a 12-week multi-modal rehabilitation program targeted at improving health-related quality of life and physical activity levels of patients with lung cancer following treatment. Methods: Patients with stage I to IIIA non-small cell lung cancer were included 6 to 12 weeks following completion of treatment. The intervention comprised of aerobic exercise (brisk walking), resistance training and 8-style Tai Chi. The 12-week program included 2 supervised center-based sessions per week of 90 minutes duration and home-based exercise. The primary outcomes were the feasibility and safety of the intervention. Secondary outcomes (assessed pre and post program) were physical and patient-reported outcomes. Results: Seventy-eight patients were approached during the 6-month recruitment period and 17 (22%) consented to the study. Eight participants (47%) met the definition of adherence to the program (attending at least 70% of supervised sessions). No serious adverse events occurred. A significant reduction in anxiety and depression was observed post-program. In addition, improvements in respiratory function, sleep quality, and some health-related quality of life domains were observed post-program. There were no significant differences in functional capacity or physical activity levels. Conclusion: This multi-modal exercise training program was safe, although the feasibility of the program in its current state is not supported given the low consent rate and low adherence to the intervention.

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The effects of Tai Chi on quality of life of cancer survivors: a systematic review and meta-analysis

Cited by 43 publications

References 40 publications

Quality of life in tai chi chuan practitioners in regions of Brazil

Quality of life in tai chi chuan practitioners in regions of Brazil

Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

A 12-Week Multi-Modal Exercise Program: Feasibility of Combined Exercise and Simplified 8-Style Tai Chi Following Lung Cancer Surgery

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