Yang Fei-Chi, Desai Aishwarya B, Esfahani Pelareh, Sokolovskaya Tatiana V, Bartlett Doreen J
Western University, London, Ontario, Canada.
Am J Lifestyle Med. 2021 Mar 24;16(6):700-716. doi: 10.1177/15598276211001291. eCollection 2022 Nov-Dec.
. Tai Chi is a form of exercise that is accessible to people from different socioeconomic backgrounds, making it a potentially valuable activity for health promotion of older adults. . The objective of this scoping review was to summarize the current knowledge about the effectiveness of Tai Chi for older adults across a range of general health outcomes from published, peer reviewed, unique meta-analyses. . Meta-analyses were retrieved from Medline, Embase, AMED, CINAHL, SPORTDiscus, PsychINFO, Web of Science, PubMed Health, and the Cochrane Library from database inception to late August 2019. Multistage deduplication and screening processes identified eligible full-length meta-analyses. Two people independently appraised 27 meta-analyses based on the GRADE system and organized results into 3 appendices subsequently collated into heterogeneous, statistically significant, and statistically insignificant tables. . "High" and "moderate" quality evidence extracted from these meta-analyses demonstrated that practicing Tai Chi can significantly improve balance, cardiorespiratory fitness, cognition, mobility, proprioception, sleep, and strength; reduce the incidence of falls and nonfatal stroke; and decrease stroke risk factors. . Health care providers can now recommend Tai Chi with high level of certainty for health promotion of older adults across a range of general health outcomes for improvement of overall well-being.
太极拳是一种不同社会经济背景的人都能参与的运动形式，这使其成为促进老年人健康的一项具有潜在价值的活动。本范围综述的目的是从已发表的、经过同行评审的、独特的荟萃分析中总结目前关于太极拳对老年人一系列总体健康结局有效性的知识。从Medline、Embase、AMED、CINAHL、SPORTDiscus、PsychINFO、科学网、PubMed Health和Cochrane图书馆检索从数据库建立到2019年8月下旬的荟萃分析。多阶段重复数据删除和筛选过程确定了符合条件的全文荟萃分析。两人根据GRADE系统独立评估了27项荟萃分析，并将结果整理成3个附录，随后整理成异质性、统计学显著和统计学不显著的表格。从这些荟萃分析中提取的“高”和“中等”质量证据表明，练习太极拳可显著改善平衡、心肺功能、认知、活动能力、本体感觉、睡眠和力量；降低跌倒和非致命性中风的发生率；并降低中风危险因素。医疗保健提供者现在可以高度确定地推荐太极拳，以促进老年人在一系列总体健康结局方面的健康，从而改善整体幸福感。
