The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis.

The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis.
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DOI:
10.1155/2018/7350567
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发表时间:
2018
影响因子:
4.3
通讯作者:
Ding M
Ding M
中科院分区:
医学3区
文献类型:
--
作者:
Chao M;Wang C;Dong X;Ding M

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采用系统回顾和荟萃分析的方法,探讨太极运动对2型糖尿病(2型DM)患者的影响。搜索7个电子资源数据库,检索关于太极在2型糖尿病患者中作用的随机对照试验。用Revman 5.3软件进行Meta分析,用改良的Jadad量表进行研究质量评价。纳入了14项研究,涉及798人,与太极对糖尿病的干预有关。结果表明,与非运动项目相比,太极拳具有降低空腹血糖的作用[MD = −1.39,95%CI(−1.95,−0.84),P<0.0001],且亚组效应大小随总运动量的增加而减小,与其他有氧运动无显著差异[MD = −0.50,95%CI(−1.02,0.02),P=0.06];太极拳可降低糖化血红蛋白[MD = −0.2 1,95%CI(−0.6 1,0.19),P=0.31],且团体效应大小随总运动量的增加而减小。太极拳的降HbA1c效果优于其他有氧运动,但差异有统计学意义[MD = −0.19,95%CI(−0.37,0.00),P=0.05];与非运动相比,太极拳具有降低2 h餐后血糖的作用[MD = −2.0 7,95%CI(−2.89,−1.2 6),P=0.0002],太极拳与其他有氧运动降低2 h餐后血糖差异无统计学意义[MD = −0.44,95%CI(−1.42,0.54),P=0.38]。太极拳能有效影响2型糖尿病患者的血糖和糖化血红蛋白的管理。长期坚持太极拳在降低2型糖尿病患者血糖和糖化血红蛋白水平方面有更好的作用。
To investigate the effects of Tai chi in type 2 diabetes mellitus (type-2 DM) patients using systematic review and meta-analysis. Seven electronic resource databases were searched, and randomized controlled trials on the role of Tai chi in type-2 DM patients were retrieved. The meta-analysis was performed with RevMan 5.3, and research quality evaluation was conducted with the modified Jadad scale. Fourteen studies, with 798 individuals related to the intervention of Tai chi on diabetes, were included. The results showed that, compared with nonexercise, Tai chi had the effect of lowering fasting blood glucose [MD = −1.39, 95% CI (−1.95, −0.84), P < 0.0001] and the subgroup effect size decreased with the increase of total exercise amount, there is no significant difference between Tai chi and other aerobic exercises [MD = −0.50, 95% CI (−1.02, 0.02), P = 0.06]; compared with nonexercise, Tai chi could reduce HbA1c [MD = −0.21, 95% CI (−0.61, 0.19), P = 0.31], and the group effect size decreased with the increase of total exercise amount. The reducing HbA1c effect of Tai chi was better than that of other aerobic exercises, but the difference was at the margin of statistical significance [MD = −0.19, 95% CI (−0.37, 0.00), P = 0.05]; compared with nonexercise, Tai chi had the effect of reducing 2 h postprandial blood glucose [MD = −2.07, 95% CI (−2.89, −1.26), P = 0.0002], there is no significant difference between Tai chi and other aerobic exercises in reducing 2 h postprandial blood glucose [MD = −0.44, 95% CI (−1.42, 0.54), P = 0.38]. Tai chi can effectively affect the management of blood glucose and HbA1c in type-2 DM patients. Long-term adherence to Tai chi has a better role in reducing blood glucose and HbA1c levels in type 2 DM patients.
DOI: 10.7326/m17-1362
发表时间: 2017-11-07
影响因子: 39.2
作者:
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通讯作者: Pogach, Leonard
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发表时间: 2016
期刊: PloS one
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量化体育活动与心血管疾病与糖尿病之间的关联:系统评价和荟萃分析。
DOI: 10.1161/jaha.115.002495
发表时间: 2016-09-14
影响因子: 5.4
作者:
Wahid A;Manek N;Nichols M;Kelly P;Foster C;Webster P;Kaur A;Friedemann Smith C;Wilkins E;Rayner M;Roberts N;Scarborough P
通讯作者: Scarborough P
DOI: 10.1016/0197-2456(95)00134-4
发表时间: 1996-02-01
期刊: CONTROLLED CLINICAL TRIALS
影响因子: --
作者:
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通讯作者: McQuay, HJ
DOI: 10.1016/j.ctim.2016.03.009
发表时间: 2016-06-01
影响因子: 3.6
作者:
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