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太极拳锻炼对免疫和感染的影响:对照试验的系统评价。

The effect of t'ai chi exercise on immunity and infections: a systematic review of controlled trials.

机构信息

Center on Behavioral Health, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

出版信息

J Altern Complement Med. 2013 May;19(5):389-96. doi: 10.1089/acm.2011.0593. Epub 2013 Jan 14.

DOI:10.1089/acm.2011.0593
PMID:23317394
Abstract

PURPOSE

The aim of this review is to summarize and assess critically clinical trial evidence of the effect of t'ai chi (TC) exercise on immunity and TC efficacy for treating infectious diseases.

METHODS

Fourteen databases were searched from their respective inceptions through January 2011. No language restrictions were imposed. Quality and validity of the included clinical trials were evaluated using standard scales.

RESULTS

Sixteen (16) studies, including 7 randomized controlled trials, 4 controlled clinical trials, and 5 retrospective case-control studies, met the inclusion criteria for this review. One (1) study examined clinical symptoms, 3 studies tested functional measures of immunity (antigen-induced immunity), and the other studies tested enumerative parameters of immunity. such as lymphocytes, immunoglobulins, complements, natural-killer cells, and myeloid dendritic cells. Overall, these studies suggested favorable effects of TC exercise.

CONCLUSIONS

TC exercise appears to improve both cell-mediated immunity and antibody response in immune system, but it remains debatable whether or not the changes in immune parameters are sufficient to provide protection from infections.

摘要

目的

本综述旨在总结和批判性评估太极拳(TC)运动对免疫的临床试验证据,并评估 TC 治疗传染病的疗效。

方法

从各自的开始时间到 2011 年 1 月,共检索了 14 个数据库。未对语言进行限制。使用标准量表评估纳入临床试验的质量和有效性。

结果

本综述共纳入 16 项研究,包括 7 项随机对照试验、4 项对照临床试验和 5 项回顾性病例对照研究。其中 1 项研究观察了临床症状,3 项研究检测了免疫功能指标(抗原诱导的免疫),其余研究检测了免疫的计数参数,如淋巴细胞、免疫球蛋白、补体、自然杀伤细胞和髓样树突状细胞。总体而言,这些研究表明 TC 运动具有有益的作用。

结论

TC 运动似乎可以改善免疫系统的细胞免疫和抗体反应,但免疫参数的变化是否足以提供抗感染保护仍存在争议。

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