College of Nursing, Chungnam National University, 266 Munhwa-ro, Jung-gu, Daejeon, Republic of Korea.
Eur Geriatr Med. 2024 Apr;15(2):381-396. doi: 10.1007/s41999-023-00923-6. Epub 2024 Jan 16.
While clinical research has shown that Tai Chi exercise may improve the sleep quality of older adults, there is a lack of robust evidence-based verification. Therefore, this study conducted a systematic review of published research on the effect of Tai Chi exercise on the sleep quality of community-dwelling older adults, aiming to provide solid evidence-based medicine to enhance their sleep quality.
A systematic search was conducted on PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang, VIP, and SinoMed databases from their inception to December 9, 2022. The Cochrane risk of bias assessment tool 2.0 was used to assess the risk of bias in the included studies.
This systematic review included 12 original articles, involving a total of 1,058 community-dwelling older adults, with 553 in the Tai Chi group and 505 in the control group. The meta-analysis results revealed a significant improvement in the sleep quality of community-dwelling older adults who practiced Tai Chi compared to the control group [WMD = - 1.96 (95% CI: - 3.02 to - 0.90, z = 3.62, P < 0.001)]. Subgroup analysis showed that Tai Chi had significantly beneficial effects regardless of age, country/region, intervention time, and Tai Chi type.
Tai Chi exercise can serve as an effective non-medication approach for addressing sleep problems in this demographic. Among the various types of Tai Chi exercises, the 24-form Tai Chi exercise emerges as a preferred option. Moreover, Tai Chi exercise proves to be an excellent choice for older people in their later years, promoting their overall well-being and health.
虽然临床研究表明，太极拳运动可以改善老年人的睡眠质量，但缺乏强有力的循证验证。因此，本研究对太极拳运动对社区居住老年人睡眠质量影响的已发表研究进行了系统评价，旨在提供基于坚实证据的医学方法，以提高他们的睡眠质量。
系统检索了 PubMed、Embase、Cochrane Library、Web of Science、CNKI、WanFang、VIP 和 SinoMed 数据库，检索时间从建库至 2022 年 12 月 9 日。使用 Cochrane 偏倚风险评估工具 2.0 评估纳入研究的偏倚风险。
本系统评价共纳入 12 篇原始研究，共纳入 1058 名社区居住的老年人，其中太极拳组 553 人，对照组 505 人。Meta 分析结果显示，与对照组相比，练习太极拳的社区老年人睡眠质量有显著改善[WMD=-1.96(95%CI：-3.02 至-0.90，z=3.62，P<0.001)]。亚组分析显示，无论年龄、国家/地区、干预时间和太极拳类型如何，太极拳都有显著的有益效果。
太极拳运动可以作为解决这一人群睡眠问题的有效非药物方法。在各种类型的太极拳运动中，24 式太极拳是首选。此外，太极拳运动被证明是老年人晚年的绝佳选择，促进他们的整体健康和福祉。
