Gao Yanan, Yu Lei, Li Xiaohan, Yang Chen, Wang Aiwen, Huang Huiming
Faculty of Sports Science, Ningbo University, Ningbo 315211, China.
Research Academy of Grand Health, Ningbo University, Ningbo 315211, China.
Life (Basel). 2021 Jul 19;11(7):714. doi: 10.3390/life11070714.
Although the impact of physical exercise on blood lipids is well documented, less information is available regarding the effect of traditional Chinese exercises (TCEs), and it is unclear what the best TCE treatment for dyslipidemia in middle-aged and elderly individuals is. The aim of this study was to systematically assess the effects of TCEs (Taijiquan, TJQ; Wuqinxi, WQX; Baduanjin, BDJ; Liuzijue, LZJ; Yijinjing, YJJ; Dawu, DW) on blood lipids in middle-aged and elderly individuals. Chinese and English databases were searched, including PubMed, China National Knowledge Infrastructure, Wanfang Database, Chongqing VIP, and Web of Science. A total of 42 randomized controlled trials (RCTs) including 2977 subjects were analyzed. Outcome indicators include total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triacylglyceride (TAG), and high-density lipoprotein cholesterol (HDL-C). Summary mean differences (MD) were calculated using pairwise and network meta-analysis with a random-effects model. The results of this study showed that compared to non-exercise intervention (NEI), all six kinds of TCE treatment had some kind of influence on blood lipid indicators, among which WQX and TJQ could improve all four blood lipid indicators, whereas BDJ was effective on three indicators but not on TC. The results of cumulative probability ranking showed that WQX (84.9%, 73.8%, 63.4%, 63.1% to TC, TAG, HDL-C, LDL-C, respectively) was at the top spot being the best intervention, followed by BDJ (55.6%, 83.7%, 68.4%, 56.1%) and TJQ (73.7%, 47.6%, 63.1%, 54.1%). The network meta-analysis of RCTs demonstrates that WQX may be the best TCE treatment for dyslipidemia in middle-aged and elderly individuals.
尽管体育锻炼对血脂的影响已有充分记录，但关于传统中式锻炼（TCEs）的效果的信息较少，且尚不清楚针对中老年血脂异常患者的最佳TCE治疗方法是什么。本研究的目的是系统评估TCEs（太极拳、五禽戏、八段锦、六字诀、易筋经、大舞）对中老年人群血脂的影响。检索了中英文数据库，包括PubMed、中国知网、万方数据库、维普资讯和Web of Science。共分析了42项随机对照试验（RCTs），涉及2977名受试者。结局指标包括总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、甘油三酯（TAG）和高密度脂蛋白胆固醇（HDL-C）。采用随机效应模型，通过成对和网络荟萃分析计算汇总平均差（MD）。本研究结果表明，与非运动干预（NEI）相比，所有六种TCE治疗对血脂指标均有某种影响，其中五禽戏和太极拳可改善所有四项血脂指标，而八段锦对三项指标有效，但对TC无效。累积概率排序结果显示，五禽戏（分别对TC、TAG、HDL-C、LDL-C的概率为84.9%、73.8%、63.4%、63.1%）位居榜首，是最佳干预措施，其次是八段锦（55.6%、83.7%、68.4%、56.1%）和太极拳（73.7%、47.6%、63.1%、54.1%）。RCTs的网络荟萃分析表明，五禽戏可能是中老年血脂异常患者的最佳TCE治疗方法。
