不同类型的太极拳锻炼对老年人焦虑和抑郁的影响：系统评价和网络荟萃分析。
The effects of different types of Tai Chi exercise on anxiety and depression in older adults: a systematic review and network meta-analysis.
机构信息
College of Physical Education and Health, Guilin University, Guilin, China.
College of Physical Education and Health, Guangxi Normal University, Guilin, China.
出版信息
Front Public Health. 2024 Jan 8;11:1295342. doi: 10.3389/fpubh.2023.1295342. eCollection 2023.
BACKGROUND
The body of evidence supporting the beneficial effects of Tai Chi in reducing anxiety and depressive symptoms in older adults is steadily increasing. Nonetheless, there remains a scarcity of studies directly comparing the clinical effectiveness of various Tai Chi exercises in addressing anxiety and depressive symptoms in older adults. Thus, this study aimed to systematically review and analyze the therapeutic efficacy of four types of Tai Chi interventions in enhancing anxiety and depressive symptoms in older adults.
METHODS
During the period up to July 26, 2023, searches were conducted in the Web of Science, PubMed, the Cochrane Library, CNKI, and the Chinese Scientific Journal Database (VIP). The language scope encompassed both English and Chinese. Two independent reviewers conducted the literature review and data extraction. Review Manager 5.4 was employed for traditional meta-analysis and risk assessment, while version 15 of STATA software was used for generating evidence and funnel plots for network meta-analysis. This study was registered in PROSPERO number CRD 42023442270.
RESULT
In this analysis, a total of 20 studies were included, involving 1798 participants. The findings of the pairwise meta-analysis revealed that Tai Chi intervention was more effective than the control group in reducing anxiety (SMD: -1.19, 95% CI: -2.04, -0.34, < 0.05) and depression (SMD: -0.65, 95% CI: -0.95, -0.65, < 0.05) symptoms among older adults. The network meta-analysis specifically focused on anxiety symptoms and found that Yang-style Tai Chi (69.9%) had the most favorable outcome, followed by the 24-form Simplified Tai Chi (66.8%). In terms of depression symptoms, the Tai Chi Exercise Program (92.6%) had the highest performance, followed by Yang-style Tai Chi (77.9%).
CONCLUSION
The findings of this study imply that Tai Chi can have beneficial outcomes in the reduction of anxiety and depressive symptoms among older individuals. Specifically, when examining various forms of Tai Chi interventions, it was observed that Yang-style Tai Chi exhibited a greater efficacy in alleviating anxiety symptoms, whereas Tai Chi exercise programs demonstrated a higher effectiveness in improving depressive symptoms. Nonetheless, it is strongly advised that older adults select an exercise program that aligns with their interests and preferences, as this can enhance social integration and overall well-being.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023442270, identifier [CRD42023442270].
背景
越来越多的证据表明，太极拳在减轻老年人焦虑和抑郁症状方面具有有益的效果。尽管如此，直接比较各种太极拳练习在改善老年人焦虑和抑郁症状方面的临床效果的研究仍然很少。因此，本研究旨在系统地综述和分析四种类型的太极拳干预措施对改善老年人焦虑和抑郁症状的疗效。
方法
截至 2023 年 7 月 26 日，在 Web of Science、PubMed、Cochrane 图书馆、中国知网和中国科学期刊数据库（VIP）中进行了检索。语言范围包括英语和中文。两名独立的审查员进行了文献回顾和数据提取。使用 Review Manager 5.4 进行传统的荟萃分析和风险评估，使用 STATA 软件版本 15 生成证据和网络荟萃分析的漏斗图。本研究在 PROSPERO 注册，编号为 CRD42023442270。
结果
本分析共纳入 20 项研究，涉及 1798 名参与者。成对荟萃分析的结果表明，太极拳干预组在减轻老年人焦虑（SMD：-1.19，95%CI：-2.04，-0.34，<0.05）和抑郁（SMD：-0.65，95%CI：-0.95，-0.65，<0.05）症状方面比对照组更有效。网络荟萃分析特别关注焦虑症状，发现杨式太极拳（69.9%）的效果最好，其次是 24 式简化太极拳（66.8%）。在抑郁症状方面，太极拳运动方案（92.6%）的效果最高，其次是杨式太极拳（77.9%）。
结论
本研究的结果表明，太极拳对减轻老年人的焦虑和抑郁症状有有益的效果。具体来说，在检查各种形式的太极拳干预措施时，观察到杨式太极拳在缓解焦虑症状方面更有效，而太极拳运动方案在改善抑郁症状方面更有效。然而，强烈建议老年人选择符合自己兴趣和偏好的运动方案，因为这可以增强社会融合和整体幸福感。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023442270，标识符[CRD42023442270]。
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