Liu Weimin, Che Chong Chin, Chui Ping Lei, Ma Zifeng, Chen Jing
Department of Oncology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Department of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.
Front Endocrinol (Lausanne). 2025 May 8;16:1499051. doi: 10.3389/fendo.2025.1499051. eCollection 2025.
This systematic review and meta-analysis aimed to evaluate the effects of traditional Chinese exercises (TCEs) on blood glucose, glycosylated hemoglobin (HbA1c), body mass index (BMI), and health-related quality of life in older patients with diabetes mellitus (DM).
Database searches were systematically conducted across multiple platforms. The review adhered to PRISMA guidelines, utilizing the Cochrane Risk of Bias Assessment Tool to gauge literature quality. Review Manager 5.3 was employed for data evaluation, calculating mean differences to ascertain pooled effect sizes.
This study encompassed 11 randomized controlled trials involving 944 individuals. The results showed that TCEs reduced fasting blood glucose (-0.76, 95% CI [-1.14, -0.38], P = 0.0001), HbA1c (-2.64, 95% CI [-4.81, -0.47], P = 0.02), and BMI (-0.83, 95% CI [-1.42, -0.24], P = 0.006), and improved health-related quality of life. Among the various forms of TCEs, Baduanjin (BDJ) appeared particularly beneficial.
Traditional Chinese exercises can improve blood glucose levels, BMI and quality of life-related indicators to varying degrees in older diabetes patients, and may be a useful complementary therapy for this population.
本系统评价和荟萃分析旨在评估传统中式运动对老年糖尿病患者血糖、糖化血红蛋白（HbA1c）、体重指数（BMI）及健康相关生活质量的影响。
在多个平台系统地进行数据库检索。本评价遵循PRISMA指南，使用Cochrane偏倚风险评估工具来衡量文献质量。采用Review Manager 5.3进行数据评估，计算平均差值以确定合并效应量。
本研究纳入了11项随机对照试验，涉及944名个体。结果显示，传统中式运动降低了空腹血糖（-0.76，95%可信区间[-1.14，-0.38]，P = 0.0001）、糖化血红蛋白（-2.64，95%可信区间[-4.81，-0.47]，P = 0.02）和体重指数（-0.83，95%可信区间[-1.42，-0.24]，P = 0.006），并改善了健康相关生活质量。在各种形式的传统中式运动中，八段锦似乎特别有益。
传统中式运动可在不同程度上改善老年糖尿病患者的血糖水平、体重指数和生活质量相关指标，可能是该人群有用的辅助治疗方法。
