Nursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Department of Orthopedics, Fujian Provincial Hospital, Fuzhou, China.
J Altern Complement Med. 2021 Dec;27(12):1070-1083. doi: 10.1089/acm.2021.0084. Epub 2021 Jul 26.
Tai Chi (TC) is a traditional Chinese martial art with demonstrated beneficial effects on physical and mental health. In this study, the authors performed a systematic review to assess the efficiency of TC in different populations' cognitive function improvement. The present systematic review utilized the Chinese National Knowledge Infrastructure (1915-), Wanfang (1998-), VIP (1989-), Chinese Biomedicine databases (1978-), PubMed (1950-), Web of Science (1900-), Cochrane Library (1948-), Embase (1974-), EBSCOhost (1922-), and OVID (1996-) databases to search and identify relevant articles published in English and Chinese from the beginning of coverage through October 17, 2020. Randomized controlled trials (RCTs) published from the beginning of coverage through October 17, 2020 in English and Chinese were retrieved from many indexing databases. Selected studies were graded according to the Cochrane Handbook for Systematic Reviews of Intervention 5.1.0. The outcome measures of cognitive function due to traditional TC intervention were obtained. Meta-analysis was conducted by using RevMan 5.4 software. We follow the PRISMA 2020 guidelines. Thirty-three RCTs, with a total of 1808 participants, were included. The study showed that TC could progress global cognition when assessed in middle-aged as well as elderly patients suffering from cognitive and executive function impairment. The findings are as follows: Montreal Cognitive Assessment Scale: mean difference (MD) = 3.23, 95% CI = 1.88-4.58, < 0.00001, Mini-Mental State Exam: MD = 3.69, 95% CI = 0.31-7.08, = 0.03, Trail Making Test-Part B: MD = -13.69, 95% CI = -21.64 to -5.74, = 0.0007. The memory function of older adults assessed by the Wechsler Memory Scale was as follows: MD = 23.32, 95% CI = 17.93-28.71, < 0.00001. The executive function of college students evaluated by E-prime software through the Flanker test was as follows: MD = -16.32, 95% CI = -22.71 to -9.94, < 0.00001. The TC might have a positive effect on the improvement of cognitive function in middle-aged and elderly people with cognitive impairment as well as older adults and college students.
太极拳（TC）是一种中国传统武术，已被证明对身心健康有有益的影响。在这项研究中，作者进行了系统评价，以评估 TC 在不同人群认知功能改善方面的效果。本系统评价使用了中国国家知识基础设施（1915-）、万方（1998-）、VIP（1989-）、中国生物医学数据库（1978-）、PubMed（1950-）、Web of Science（1900-）、Cochrane 图书馆（1948-）、Embase（1974-）、EBSCOhost（1922-）和 OVID（1996-）数据库，从开始收录到 2020 年 10 月 17 日，搜索和识别以英语和中文发表的相关文章。从中英文数据库中检索到 2020 年 10 月 17 日开始收录的随机对照试验（RCT）。根据 Cochrane 干预手册 5.1.0 对选定的研究进行分级。获得由于传统 TC 干预而导致的认知功能的结果指标。使用 RevMan 5.4 软件进行荟萃分析。我们遵循 PRISMA 2020 指南。共纳入 33 项 RCT，共 1808 名参与者。研究表明，太极拳可以改善认知和执行功能受损的中老年人的整体认知。结果如下：蒙特利尔认知评估量表：平均差异（MD）=3.23，95%CI=1.88-4.58， <0.00001，简易精神状态检查：MD=3.69，95%CI=0.31-7.08， =0.03，连线测试 B 部分：MD=-13.69，95%CI=-21.64 至-5.74， =0.0007。韦氏记忆量表评估的老年人记忆功能为：MD=23.32，95%CI=17.93-28.71， <0.00001。使用 E-prime 软件通过 Flanker 测试评估的大学生执行功能为：MD=-16.32，95%CI=-22.71 至-9.94， <0.00001。太极拳可能对认知障碍的中老年人以及老年人和大学生的认知功能改善有积极影响。
