The impact of Tai Chi on cognitive rehabilitation of elder adults with mild cognitive impairment: a systematic review and meta-analysis

Li, Wei; Chai, Qianwen; Chen, Jin; Wang, Qin; Bao, Yuting; Xu, Weiwei; Ma, Enting

doi:10.1080/09638288.2020.1830311

Cited by 28 publications

(23 citation statements)

References 34 publications

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“…Furthermore, these findings were consistent with those of past studies examining exercise mode as a moderator, in which Tai Chi was found to have larger EF effects than aerobic exercise, resistance exercise, and even other types of mind-body exercise (Northey et al, 2018;Chen et al, 2020a). It is possible that this is because Tai Chi has a multi-modal nature that provides more effects, although this topic warrants further examination (Chang et al, 2014;Lim et al, 2019;Yang et al, 2019;Wei et al, 2020).…”

Section: Sample and Study Characteristicssupporting

confidence: 88%

“…CMBEs also involve mental stimulation through memorizing, concentrating, and meditating during a series of postures, such that CMBEs simultaneously facilitate physical, cognitive, social, and even spiritual functions (Fong et al, 2014;Wayne et al, 2014;Zhang et al, 2018). Studies associated with CMBEs on EF have mainly focused on Tai Chi (Miller and Taylor-Piliae, 2014;Wayne et al, 2014;Chan et al, 2019;Wei et al, 2020). Despite that Tai Chi has shown benefits compared to other single forms of exercise (e.g., aerobic exercise and resistance exercise) (Northey et al, 2018;Chen et al, 2020a), these studies have either focused on an overall EF with a small number of RCT studies (k =4) (Wayne et al, 2014) or a specific EF sub-domain with a limited number of RCT and Non-RCT studies (k =2-5) without considering core EF and higher-level EF in particular (Wu et al, 2013;Zheng et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Effects of Chinese Mind-Body Exercises on Executive Function in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis

et al. 2021

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Chinese mind-body exercises (CMBEs) are positively associated with executive function (EF), but their effects on EF, from synthesized evidence using systematic and meta-analytic reviews, have not been conducted. Therefore, the present systematic review with meta-analysis attempted to determine whether CMBEs affect EF and its sub-domains, as well as how exercise, sample, and study characteristics moderate the causal relationship between CMBEs and EF in middle-aged and older adults. Seven electronic databases were searched for relevant studies published from the inception of each database through June 2020 (PubMed, Web of Science, Embase, Cochrane Controlled Trials Register, Wanfang, China National Knowledge Infrastructure, and Weipu). Randomized controlled trials with at least one outcome measure of CMBEs on EF in adults of mean age ≥ 50 years with intact cognition or mild cognitive impairment (MCI) and with or without chronic diseases were included. A total of 29 studies (N = 2,934) ultimately were included in this study. The results indicated that CMBEs improved overall EF (Standardized Mean Differences = 0.28, 95% CI 0.12, 0.44), as well as its sub-domains of working memory and shifting. The beneficial effects of CMBEs on EF occurred regardless of type (Tai Chi, Qigong), frequency of group classes (≤2 time, 3-4 time, ≥5 times), session time (≤45 min, 46-60 min), total training time (≥150 to ≤300 min, >300 min), and length of the CMBEs (4-12 week, 13-26 week, and >26 week), in addition to that more frequent participation in both group classes and home practice sessions (≥5 times per week) resulted in more beneficial effects. The positive effects of CMBEs on EF were also demonstrated, regardless of participants mean age (50-65 years old, >65 years old), sex (only female, both), and cognitive statuses (normal, MCI, not mentioned), health status (with chronic disease, without chronic disease), as well as training mode (group class, group class plus home practice) and study language (English, Chinese). This review thus suggests that CMBEs can be used as an effective method with small to moderate and positive effects in enhancing EF, and that more frequent group classes and home practice sessions may increase these effects. However, certain limitations, including strictly design studies, limited ES (effect size) samples for specific variables, and possible biased publications, required paying particular attention to, for further exploring the effects of CMBEs on EF.

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Section: Sample and Study Characteristicssupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Effects of Chinese Mind-Body Exercises on Executive Function in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis

et al. 2021

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“…Five reviews which calculated the effect size by meta-analysis found that visuospatial functions could significantly improve with exercise rather than with control interventions (see Figure 2 ). Only two reviews in which visuospatial functions were used as an outcome measure reported that exercise did not have a significantly positive effect (Cai et al., 2020 ; Wei et al., 2020 ). Moderate overlapping (6%) was also found for visuospatial function investigated in 11 reviews with 26 primary studies.…”

Section: Resultsmentioning

confidence: 99%

Does physical exercise improve the capacity for independent living in people with dementia or mild cognitive impairment: an overview of systematic reviews and meta-analyses

Begde

Jain

Hogervorst

et al. 2021

Aging & Mental Health

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Objective To summarise existing systematic reviews which assessed the effects of physical exercise on activities of daily living, walking, balance and visual processing in people with dementia or mild cognitive impairment Methods In this overview of systematic reviews and meta-analyses, seven electronic databases were searched to identify eligible reviews published between January 2015 and April 2021. Results A total of 30 systematic reviews were identified and included in the overview. The most frequent type of exercise for the intervention group was multimodal exercises. Mind-body exercises, exergames, dance intervention and aerobic exercise were other exercise types. Most of the reviews reported that exercise is significantly effective for improving activities of daily living (SMD 95%CI, from 0.27 to 1.44), walking (SMD 95%CI, from 0.08 to 2.23), balance (SMD 95%CI, from 0.37 to 2.24) and visuospatial function (SMD 95%CI, from 0.16 to 0.51), which are among the most leading determinants of independent living in individuals with dementia or mild cognitive impairment. Conclusion Evidence has shown that exercise (especially multicomponent exercise programmes including cognitive, physical and multitasking exercises) with sufficient intensity improves the activities of daily living skills. Exercise also improves walking, balance and visual processing, which can provide a more independent life for people with dementia and mild cognitive impairment. Cognitively impaired people should therefore be encouraged to exercise regularly in order to be more independent. Supplemental data for this article is available online at http://dx.doi.org/10.1080/13607863.2021.2019192

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“…The trend of Chinese publication themes showed the progress of Chinese research in this field, from the early days of studying the relationship between CBT and cancer, to exploring the refinement of CBT for specific adverse effects caused by specific cancer treatments, and focusing more on patients’ psychological health and living conditions ( 29 , 30 ). In addition, the biggest breakthrough of China in this area was the inclusion of the most representative Chinese elements such as acupuncture and Tai Chi in the research process ( 31 – 33 ), and the study of the effectiveness of these approaches in cognitive behavioral disorders. This is a completely new direction and deserves further research.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of cognitive behavioral therapy for cancer: A scientometric analysis

et al. 2022

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Cognitive behavioral therapy (CBT) is one of the most recognized psychological interventions to improve the overall quality of life of cancer survivors. To analyze current research trends in the field of the link between CBT and cancer and to provide potential future research directions, we conducted the scientometric analysis. The study was conducted on all documents in this field from 2012 to 2022 retrieved from Web of Science. Then Biblioshiny, VOSviewer software, and CiteSpace software were used for getting the information of article postings and citations, countries, institutions, journals, authors, and keywords. The number of documents about the link between CBT and cancer from 2012 to 19 July 2022, was 619, with 476 of articles and 143 of reviews. The number of annual publications has been fluctuating, with the highest number of publications in 2020. The country with the maximum number of publications and citations was the US. The University of Houston was the organization with the highest quantity of publications and total link strength (TLS). Psycho-Oncology was the most active journal in the field and has the highest h-index. Zvolensky MJ was the author with the highest quantity of publications. The most cited keywords were “Quality-of-life,” “Cognitive-behavioral therapy,” “Depression,” “Cognitive therapy” and “Breast-cancer.” And as evidenced by the keyword citations, the focus of this research area has gradually shifted to the mental health of patients and the underlying pathogenesis. The impact of CBT in cancer treatment is now well established and has gradually evolved toward symptom-specific treatment. However, the relationship between CBT and cancer has not been further developed. Future research is needed to be further developed in the identification of a generic formula for CBT in cancer and the exploration of mechanisms of CBT and cancer.

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The impact of Tai Chi on cognitive rehabilitation of elder adults with mild cognitive impairment: a systematic review and meta-analysis

Cited by 28 publications

References 34 publications

Effects of Chinese Mind-Body Exercises on Executive Function in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis

Effects of Chinese Mind-Body Exercises on Executive Function in Middle-Aged and Older Adults: A Systematic Review and Meta-Analysis

Does physical exercise improve the capacity for independent living in people with dementia or mild cognitive impairment: an overview of systematic reviews and meta-analyses

The efficacy of cognitive behavioral therapy for cancer: A scientometric analysis

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