太极拳对改善15至24岁年轻人抑郁情绪的有效性：一项系统综述和荟萃分析。
The effectiveness of Tai Chi in improving depressive mood among young individuals aged 15-24 years: a systematic review and meta-analysis.
作者信息
Huang Bozhen, Zhou Meijiao, Jiang Min, Song Shanshan, Liu Lei, Wang Luyao, Wang Liang, Jian Yanhong, Wang Ping, Yang Tao, Shan Xinjue, Liu Xinqian
机构信息
Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
出版信息
Front Public Health. 2025 Sep 3;13:1517350. doi: 10.3389/fpubh.2025.1517350. eCollection 2025.
BACKGROUND
Depression is a leading mental health concern among young individuals aged 15-24 years. Tai Chi, a low-cost, low-risk practice that has been shown to significantly alleviate depressive mood in the middle-aged and older adults, has not been rigorously evaluated in young individuals aged 15-24 years.
METHODS
RCTs evaluating Tai Chi therapy for young individuals aged 15-24 years with depressive mood were retrieved from several databases, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang Database, VIP Database, and CBM, covering the period from the database inception to May 18, 2025. The Cochrane Risk of Bias tool was employed to assess the bias risk in all included studies. Following a thorough screening process, data extraction, and coding, a meta-analysis was conducted using RevMan 5.2 and Stata 12.0.
RESULTS
A total of 11 articles were included in the analysis, comprising 782 participants, with 434 in the Tai Chi intervention group and 348 in the control group. The meta-analysis results indicated that Tai Chi therapy effectively reduced depression scale scores in young individuals aged 15-24 years with depressive mood compared to the control group [SMD = -0.80, 95% CI (-1.14, -0.46), < 0.001], but heterogeneity was high ( = 79.3%). Subgroup analyses showed that the intervention effect was optimal when the duration was 12 weeks [SMD = -1.11, 95% CI (-1.77, -0.45), < 0.001]. The most significant intervention effect was observed when participants practiced Tai Chi for >3 h per week [SMD = -2.03, 95% CI (-3.63, -0.43), < 0.001]. Sensitivity analyses indicated that the results of this study were robust and reliable. Publication bias was indicated by funnel plot asymmetry and Egger's test ( = 0.042). The trim-and-fill analysis adjusted the pooled SMD from -0.80 ( = 79.30%) to -0.94 ( = 83.80%), indicating that the initial conclusion remained robust even in the presence of possible publication bias.
CONCLUSION
As a non-pharmacological intervention, Tai Chi shows great promise in addressing depressive mood in young individuals aged 15-24 years within the field of mental health, warranting further research and promotion.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42024580026.
背景
抑郁症是15至24岁年轻人中主要的心理健康问题。太极拳是一种低成本、低风险的锻炼方式，已被证明能显著缓解中老年人的抑郁情绪，但尚未在15至24岁的年轻人中进行严格评估。
方法
从多个数据库检索评估太极拳疗法对15至24岁有抑郁情绪年轻人的随机对照试验，包括PubMed、Embase、科学网、Cochrane图书馆、中国知网、万方数据库、维普数据库和中国生物医学文献数据库，涵盖从数据库建立到2025年5月18日的时间段。采用Cochrane偏倚风险工具评估所有纳入研究的偏倚风险。经过全面筛选、数据提取和编码后，使用RevMan 5.2和Stata 12.0进行荟萃分析。
结果
分析共纳入11篇文章，包括782名参与者，其中太极拳干预组434名，对照组348名。荟萃分析结果表明，与对照组相比，太极拳疗法能有效降低15至24岁有抑郁情绪年轻人的抑郁量表得分[标准化均数差（SMD）=-0.80，95%置信区间（-1.14，-0.46），P<0.001]，但异质性较高（I²=79.3%）。亚组分析显示，疗程为12周时干预效果最佳[SMD=-1.11，95%置信区间（-1.77，-0.45），P<0.001]。参与者每周练习太极拳>3小时时观察到最显著的干预效果[SMD=-2.03，95%置信区间（-3.63，-0.43），P<0.001]。敏感性分析表明本研究结果稳健可靠。漏斗图不对称和Egger检验提示存在发表偏倚（P=0.042）。剪补分析将合并的SMD从-0.80（I²=79.30%）调整为-0.94（I²=83.80%），表明即使存在可能的发表偏倚，初始结论仍然稳健。
结论
作为一种非药物干预措施，太极拳在心理健康领域解决15至24岁年轻人的抑郁情绪方面显示出巨大潜力，值得进一步研究和推广。
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