An evidence map of the effect of Tai Chi on health outcomes.
An evidence map of the effect of Tai Chi on health outcomes.
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DOI：
10.1186/s13643-016-0300-y
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发表时间：
2016-07-27
影响因子：
3.7
通讯作者：
Hempel S
中科院分区：
文献类型：
--
作者：
Solloway MR;Taylor SL;Shekelle PG;Miake-Lye IM;Beroes JM;Shanman RM;Hempel S
这张证据图描述了太极拳研究报告健康结果的数量和重点。太极最初是作为一种武术发展起来的，通常被教导为一系列缓慢，低影响的运动，将呼吸，思想和身体活动结合起来，以实现更大的意识和幸福感。证据图基于系统评价的系统评价。我们检索了从成立到2014年2月的11个电子数据库，筛选了评论的评论，并咨询了主题专家。我们使用气泡图以图形方式显示临床主题、文献规模、综述数量和有效性的广泛估计。该地图基于107项系统评价。三分之二的评论是在过去五年中发表的。发表的随机对照试验（RCT）数量最多的主题是一般健康益处（51项RCT）、心理健康（37项RCT）、老年人干预（31项RCT）、平衡（27项RCT）、高血压（18项RCT）、跌倒预防（15项RCT）和认知能力（11项RCT）。该地图确定了一些领域，这些领域有证据表明对患者结局具有潜在的积极治疗效果，包括太极拳治疗高血压，机构外跌倒预防，认知能力，骨关节炎，抑郁症，慢性阻塞性肺病，疼痛，平衡信心和肌肉力量。然而，已确定的评论警告说，由于原始研究的方法限制和/或现有研究的数量不足，无法得出确切的结论。太极拳已被应用于不同的临床领域，其中一些，系统评价表明有希望的结果。证据图提供了太极研究量和内容的视觉概述。PROSPERO CRD 42014009907本文的在线版本（doi：10.1186/s13643-016-0300-y）包含补充材料，可供授权用户使用。
This evidence map describes the volume and focus of Tai Chi research reporting health outcomes. Originally developed as a martial art, Tai Chi is typically taught as a series of slow, low-impact movements that integrate the breath, mind, and physical activity to achieve greater awareness and a sense of well-being. The evidence map is based on a systematic review of systematic reviews. We searched 11 electronic databases from inception to February 2014, screened reviews of reviews, and consulted with topic experts. We used a bubble plot to graphically display clinical topics, literature size, number of reviews, and a broad estimate of effectiveness. The map is based on 107 systematic reviews. Two thirds of the reviews were published in the last five years. The topics with the largest number of published randomized controlled trials (RCTs) were general health benefits (51 RCTs), psychological well-being (37 RCTs), interventions for older adults (31 RCTs), balance (27 RCTs), hypertension (18 RCTs), fall prevention (15 RCTs), and cognitive performance (11 RCTs). The map identified a number of areas with evidence of a potentially positive treatment effect on patient outcomes, including Tai Chi for hypertension, fall prevention outside of institutions, cognitive performance, osteoarthritis, depression, chronic obstructive pulmonary disease, pain, balance confidence, and muscle strength. However, identified reviews cautioned that firm conclusions cannot be drawn due to methodological limitations in the original studies and/or an insufficient number of existing research studies. Tai Chi has been applied in diverse clinical areas, and for a number of these, systematic reviews have indicated promising results. The evidence map provides a visual overview of Tai Chi research volume and content. PROSPERO CRD42014009907 The online version of this article (doi:10.1186/s13643-016-0300-y) contains supplementary material, which is available to authorized users.