太极拳对 2 型糖尿病患者血糖控制、脂代谢和身体成分的影响：荟萃分析和系统评价。

Effect of tai chi on glycaemic control, lipid metabolism and body composition in adults with type 2 diabetes: A meta-analysis and systematic review.

机构信息

Rehabilitation Medicine College, Fujian University of Traditional Chinese Medicine, Fuzhou, China. E-mail:

出版信息

J Rehabil Med. 2021 Mar 22;53(3):jrm00165. doi: 10.2340/16501977-2799.

OBJECTIVE

The aim of this systematic review was to evaluate the effects of tai chi on metabolic control and body composition indicators in patients with type 2 diabetes mellitus.

DESIGN

Systematic review and meta-analysis of existing literature.

METHODS

Electronic resource databases were searched to collect eligible studies. Two reviewers selected studies and independently evaluated method-ological quality.

RESULTS

Twenty-three studies were included in this meta-analysis. The pooled results showed that tai chi had significant effects in improving metabolic indices, such as fasting blood glucose (mean differ-ence (MD) = -1.04; 95% confidence interval (95% CI) -1.42 to 0.66; p < 0.01) and total cholesterol (MD = -0.50; 95% CI -0.86 to -0.13; p < 0.01) compared with conventional clinical therapy. Most in-dices did not support the use of tai chi over aerobic exercise, except for glycated haemoglobin (HbA1c) (MD = -0.24; 95% CI -0.49 to 0.00; p < 0.01) and high-density lipoprotein (MD = 0.07; 95% CI 0.01 to 0.12; p < 0.01).

CONCLUSION

Tai chi had better effects on metabolic control and body composition indicators than clinical conventional therapy, but only on HbA1c and HDL were superior than that of aerobic exercise. The best time-window for tai chi intervention may differ with different metabolic indices.

目的

本系统评价旨在评估太极拳对 2 型糖尿病患者代谢控制和身体成分指标的影响。

设计

对现有文献进行系统评价和荟萃分析。

方法

电子资源数据库搜索以收集合格的研究。两名评审员选择研究并独立评估方法学质量。

结果

本荟萃分析纳入了 23 项研究。汇总结果表明，与常规临床治疗相比，太极拳在改善代谢指标方面具有显著效果，如空腹血糖（平均差异（MD）=-1.04；95%置信区间（95%CI）-1.42 至 0.66；p<0.01）和总胆固醇（MD=-0.50；95%CI-0.86 至-0.13；p<0.01）。除糖化血红蛋白（HbA1c）（MD=-0.24；95%CI-0.49 至 0.00；p<0.01）和高密度脂蛋白（MD=0.07；95%CI0.01 至 0.12；p<0.01）外，大多数指标不支持太极拳优于有氧运动。