A Meta-Analysis of the Effects of Tai Chi on Glucose and Lipid Metabolism in Middle-Aged and Elderly Diabetic Patients: Evidence from Randomized Controlled Trials.
A Meta-Analysis of the Effects of Tai Chi on Glucose and Lipid Metabolism in Middle-Aged and Elderly Diabetic Patients: Evidence from Randomized Controlled Trials.
复制标题
DOI：
10.1155/2021/6699935
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Qian YL
中科院分区：
文献类型：
--
作者：
Liu YN;Wang L;Fan X;Liu S;Wu Q;Qian YL
本研究旨在探讨太极拳对中老年糖尿病患者糖脂代谢的影响。进一步，旨在为练习太极拳改善中老年糖尿病患者糖脂代谢提供理论依据。因此，我们在Web of Science、PubMed、Cochrane Library、EMBASE、谷歌Scholar、CNKI、万方数据库、weiipu等中英文电子数据库中检索了中老年糖尿病患者练习太极拳的随机对照试验。我们收集不迟于2020年8月1日发表的文章。纳入研究的方法学质量按照Cochrane协作系统评价手册（5.1.0版）的标准进行评价。最终纳入14篇文献，物理治疗证据数据库量表平均得分为6.57分。采用Stata 14.0软件对文章进行meta分析，结果显示练习太极拳可显著改善中老年糖尿病患者的空腹血糖（WMD = - 0.60, 95% CI [- 1.08, - 0.12], p=0.015）、糖化血红蛋白（WMD = - 0.87, 95% CI [- 1.60, - 0.14], p=0.019）、总胆固醇（WMD = - 0.48, 95% CI [- 0.83, - 0.14], p=0.006）、甘油三酯（WMD = - 0.21, 95% CI [- 0.37, - 0.04], p=0.014）和低密度脂蛋白胆固醇水平(WMD = - 0.32，95% CI[−0.63,−0.00],p=0.050)。相反，患者高密度脂蛋白胆固醇水平（WMD = 0.09, 95% CI[−0.01,0.17],p=0.136）无明显改善。总之，练习太极50分钟以上（每周至少三次，持续至少12周）可以有效改善中老年糖尿病患者的糖脂代谢。然而，还有其他一些因素影响糖脂代谢；因此，需要进一步的高质量研究。协议注册号：INPLASY2020120107。
This research review aimed to evaluate the effect of practicing Tai Chi on glucose and lipid metabolism in middle-aged and elderly diabetic patients. Furthermore, it aimed to provide a theoretical basis for the practice of Tai Chi as a way to improve glucose and lipid metabolism in middle-aged and elderly diabetic patients. Therefore, we searched for randomized controlled trials on the practice of Tai Chi in middle-aged and elderly diabetic patients in Chinese- and English-language electronic databases, such as Web of Science, PubMed, the Cochrane Library, EMBASE, Google Scholar, CNKI, Wanfang Database, and Weipu. We collected articles published no later than August 1, 2020. The methodological quality of the included studies was evaluated according to the standards of the Cochrane Collaboration System Evaluation Manual (version 5.1.0). Finally, 14 articles were included, showing an average Physiotherapy Evidence Database scale score of 6.57. The articles were meta-analyzed using Stata 14.0 software, showing that practicing Tai Chi improved middle-aged and elderly diabetic patients' fasting blood glucose (WMD = −0.60, 95% CI [−1.08, −0.12], p=0.015), glycosylated hemoglobin (WMD = −0.87, 95% CI [−1.60, −0.14], p=0.019), total cholesterol (WMD = −0.48, 95% CI [−0.83, −0.14], p=0.006), triglycerides (WMD = −0.21, 95% CI [−0.37, −0.04], p=0.014), and low-density lipoprotein cholesterol level significantly (WMD = −0.32, 95% CI [−0.63,−0.00], p=0.050). Conversely, patients' high-density lipoprotein cholesterol levels (WMD = 0.09, 95% CI [−0.01, 0.17], p=0.136) showed no obvious improvement. In conclusion, practicing Tai Chi in sessions lasting longer than 50 minutes (at least three times per week, for at least 12 weeks) can effectively improve glucose and lipid metabolism in middle-aged and elderly diabetic patients. However, several other factors affect glucose and lipid metabolism; therefore, further high-quality research is needed. Protocol registration number: INPLASY2020120107.
登录
查看更多内容
DOI：
10.1089/107555303322524599
发表时间：
2003-10-01
影响因子：
2.6
作者：
Tsai, JC;Wang, WH;Liu, JC
通讯作者：
Liu, JC
影响因子：
4.3
作者：
Chao M;Wang C;Dong X;Ding M
通讯作者：
Ding M
DOI：
10.1002/pri.236
发表时间：
2002-01-01
期刊：
Physiotherapy research international : the journal for researchers and clinicians in physical therapy
影响因子：
--
作者：
Harvey, Lisa;Herbert, Robert;Crosbie, Jack
通讯作者：
Crosbie, Jack
DOI：
10.4274/tftr.57.02
发表时间：
2011-03-01
影响因子：
--
作者：
Nalbant, Ozgur;Nur, Hakan;Toraman, N. Fusun
通讯作者：
Toraman, N. Fusun
影响因子：
7.2
作者：
Macedo, Luciana Gazzi;Elkins, Mark R.;Sherrington, Catherine
通讯作者：
Sherrington, Catherine