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太极拳对老年人的有效性:一项采用再Meta分析的系统评价的系统综述

Effectiveness of Tai Chi on older adults: A systematic review of systematic reviews with re-meta-analysis.

作者信息

Leung Leona Yuen Ling, Tam Hon Lon, Ho Jonathan Ka Ming

机构信息

The Ronin Institute, Montclair, NJ 07043-2314, USA; Canadian Academy of Independent Scholar, Vancouver, Canada.

Kiang Wu Nursing College of Macau, Macau; The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.

出版信息

Arch Gerontol Geriatr. 2022 Nov-Dec;103:104796. doi: 10.1016/j.archger.2022.104796. Epub 2022 Aug 27.

Abstract

This overview study examined and synthesized the effect of Tai Chi (TC) on the physical conditions, psychological conditions, cognitive abilities, and quality of life (QoL) of older adults. This study was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement. Using Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register, PubMed, Scopus, and Web of Science, English-language systematic reviews (SRs) published within the latest decade (2010-2020) were included. SRs with meta-analysis were selected if TC was the examined intervention and older adults was the targeted population. A total of 16 SRs covering 89 original studies were included. A number of the pooled results of the included SRs were inconclusive. Taking into consideration of the new meta-analyses of this study, TC significantly improved most outcomes, including the mobility, pain level, physical function, psychological distress, depressive symptoms, anxiety, global cognitive function, mental speed and attention, learning ability, verbal fluency, executive function, and QoL of older adults. TC can be an effective intervention for older adults for improving physical and psychological conditions, cognitive abilities, and QoL. Additional high-quality studies with larger samples investigating the effectiveness of TC in older adults are warranted.

摘要

这项综述研究考察并综合了太极拳对老年人身体状况、心理状况、认知能力和生活质量的影响。本研究按照《系统评价和Meta分析优先报告项目2020声明》进行。通过Cochrane系统评价数据库、Cochrane对照试验中心注册库、Cochrane方法学注册库、PubMed、Scopus和科学网,纳入了近十年(2010 - 2020年)发表的英文系统评价。如果太极拳是被研究的干预措施且老年人是目标人群,则选择进行Meta分析的系统评价。共纳入16项系统评价,涵盖89项原始研究。纳入的一些系统评价的汇总结果尚无定论。考虑到本研究的新Meta分析,太极拳显著改善了大多数结果,包括老年人的活动能力、疼痛程度、身体功能、心理困扰、抑郁症状、焦虑、整体认知功能、思维速度和注意力、学习能力、语言流畅性、执行功能和生活质量。太极拳可以作为一种有效的干预措施,用于改善老年人的身体和心理状况、认知能力及生活质量。有必要开展更多高质量、大样本的研究,以探究太极拳对老年人的有效性。

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