太极拳对有或有代谢综合征风险的社区成年人健康结局的影响：系统评价。
Effects of Tai Chi on health outcomes among community-dwelling adults with or at risk of metabolic syndrome: A systematic review.
机构信息
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
出版信息
Complement Ther Clin Pract. 2021 Aug;44:101445. doi: 10.1016/j.ctcp.2021.101445. Epub 2021 Jul 10.
OBJECTIVES
This systematic review evaluated the effects of Tai Chi on health outcomes among community-dwelling adults with or at risk of metabolic syndrome (MetS).
METHODS
Randomized controlled trials (RCTs) were searched in 10 databases. Data were statistically pooled for meta-analysis.
RESULTS
Twenty RCTs were included. One study involved adults with MetS, and the other 19 studies involved adults with at least one risk factor for MetS. Tai Chi was found to reduce waist circumference and increase high-density lipoprotein cholesterol in obese adults. Tai Chi also reduces waist circumference, body mass index, blood glucose level, insulin resistance, and increases the quality of life (QoL) in adults with elevated blood glucose/type 2 diabetes (T2DM). Among participants with hypertension, Tai Chi improves blood pressure, lipid profiles, anxiety, depression, and physical QoL.
CONCLUSIONS
Tai Chi may be effective for enhancing the physiological and psychosocial wellbeing of community-dwelling adults at risk of MetS. Further RCTs are needed to examine its effects in adults with MetS and identify optimal regimes.
目的
本系统评价评估了太极拳对代谢综合征（MetS）患者或有 MetS 风险的社区居民健康结果的影响。
方法
在 10 个数据库中搜索随机对照试验（RCT）。对数据进行统计汇总进行荟萃分析。
结果
纳入 20 项 RCT。一项研究涉及代谢综合征患者，另外 19 项研究涉及至少有一个代谢综合征风险因素的成年人。太极拳可减少肥胖成年人的腰围和增加高密度脂蛋白胆固醇。太极拳还可降低血糖升高/2 型糖尿病（T2DM）成年人的腰围、体重指数、血糖水平、胰岛素抵抗，并提高生活质量（QoL）。在高血压患者中，太极拳可改善血压、血脂谱、焦虑、抑郁和身体 QoL。
结论
太极拳可能对增强有 MetS 风险的社区居民的生理和心理社会健康有益。需要进一步的 RCT 来检验其在代谢综合征患者中的效果，并确定最佳方案。
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