The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Front Public Health. 2024 Sep 18;12:1347201. doi: 10.3389/fpubh.2024.1347201. eCollection 2024.
This study aimed to assess and visually depict the clinical evidence landscape of traditional Chinese exercises and identify any research gaps and future research needs.
We comprehensively searched seven Chinese and English databases to identify randomized controlled trials (RCTs) and systematic reviews (SRs) evaluating the effects of traditional Chinese exercises from their inception until May 2023. The quality of evidence was assessed via the GRADE approach, and the research topics, intervention effects, and strength of evidence were graphically displayed.
This evidence map includes 2,017 studies, comprising 1,822 RCTs and 195 SRs. These studies were conducted globally in various countries. Among the traditional Chinese exercises, Tai Chi and Baduanjin have received the most research attention, with a growing number of publications. When traditional Chinese exercises were compared with the control groups, 88.2% of the included SRs reported significantly positive effects, 4.1% reported unclear effects, and 7.7% reported no significant differences. The findings suggested that traditional Chinese exercises could benefit patients with osteoarthritis, osteoporosis, hypertension, coronary heart disease, diabetes, chronic obstructive pulmonary disease, stroke, Parkinson's disease, anxiety, and depression. However, the overall quality of the evidence was suboptimal, with 11.3% rated as moderate, 45.6% as low, and 43.1% as critically low.
This evidence map visually represents valuable information on traditional Chinese exercises. While most studies have reported significant benefits, the overall quality of evidence is low.
本研究旨在评估和直观呈现传统中医运动的临床证据现状，确定研究空白和未来研究需求。
我们全面检索了 7 个中文和英文数据库，以确定自成立以来评估传统中医运动效果的随机对照试验（RCT）和系统评价（SR）。采用 GRADE 方法评估证据质量，并以图形方式展示研究主题、干预效果和证据强度。
该证据图谱包括 2017 项研究，其中 1822 项 RCT 和 195 项 SR。这些研究在全球不同国家进行。在传统中医运动中，太极拳和八段锦受到最多关注，相关出版物数量不断增加。与对照组相比，纳入的 SR 中有 88.2%报告了显著的积极效果，4.1%报告效果不明确，7.7%报告无显著差异。研究结果表明，传统中医运动可使骨关节炎、骨质疏松症、高血压、冠心病、糖尿病、慢性阻塞性肺疾病、中风、帕金森病、焦虑和抑郁症患者受益。然而，整体证据质量欠佳，11.3%评为中度，45.6%评为低度，43.1%评为极低度。
本证据图谱直观呈现了传统中医运动的有价值信息。尽管大多数研究报告了显著的益处，但证据质量整体较低。
