Reid Kieran F, Bannuru Raveendhara R, Wang Chenchen, Mori DeAnna L, Niles Barbara L
Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA, USA.
Center for Complementary and Integrative Medicine and Division of Rheumatology, Tufts Medical Center, Tufts University School of Medicine, Boston, MA. USA.
Integr Med Res. 2019 Sep;8(3):167-172. doi: 10.1016/j.imr.2019.05.003. Epub 2019 May 30.
Gulf War illness (GWI) is a chronic and multisymptom disorder affecting military veterans deployed to the 1991 Persian Gulf War. It is characterized by a range of acute and chronic symptoms, including but not limited to, fatigue, sleep disturbances, psychological problems, cognitive deficits, widespread pain, and respiratory and gastrointestinal difficulties. The prevalence of many of these chronic symptoms affecting Gulf War veterans occur at markedly elevated rates compared to nondeployed contemporary veterans. To date, no effective treatments for GWI have been identified. The overarching goal of this umbrella review was to critically evaluate the evidence for the potential of Tai Chi mind-body exercise to benefit and alleviate GWI symptomology. Based on the most prevalent GWI chronic symptoms and case definitions established by the Centers for Disease Control and Prevention and the Kansas Gulf War Veterans Health Initiative Program, we reviewed and summarized the evidence from 7 published systematic reviews and meta-analyses. Our findings suggest that Tai Chi may have the potential for distinct therapeutic benefits on the major prevalent symptoms of GWI. Future clinical trials are warranted to examine the feasibility, efficacy, durability and potential mechanisms of Tai Chi for improving health outcomes and relieving symptomology in GWI.
海湾战争综合征（GWI）是一种慢性、多症状疾病，影响曾部署到1991年海湾战争的退伍军人。其特征是一系列急性和慢性症状，包括但不限于疲劳、睡眠障碍、心理问题、认知缺陷、全身疼痛以及呼吸和胃肠道问题。与未部署的当代退伍军人相比，影响海湾战争退伍军人的许多这些慢性症状的患病率明显更高。迄今为止，尚未确定GWI的有效治疗方法。本综合性综述的总体目标是严格评估太极身心锻炼改善和缓解GWI症状的潜在证据。基于疾病控制与预防中心以及堪萨斯州海湾战争退伍军人健康倡议计划确定的最常见的GWI慢性症状和病例定义，我们回顾并总结了7篇已发表的系统评价和荟萃分析的证据。我们的研究结果表明，太极可能对GWI的主要常见症状具有独特的治疗益处。未来有必要进行临床试验，以检验太极改善GWI健康结局和缓解症状的可行性、疗效、持久性及潜在机制。
