Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials
Abstract Background Physical activity is an important part of the diabetes management plan. However, the effects caused by different training durations and styles of Tai Chi have not been evaluated. We conducted an updated systematic review of the effects of Tai Chi on patients with type 2 diabetes...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2019-03-01
|
Series: | BMC Complementary and Alternative Medicine |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12906-019-2475-y |
id |
doaj-3eeef93a08b944fd93879f3666ea75f8 |
---|---|
record_format |
Article |
spelling |
doaj-3eeef93a08b944fd93879f3666ea75f82020-11-25T02:19:13ZengBMCBMC Complementary and Alternative Medicine1472-68822019-03-0119111310.1186/s12906-019-2475-yDifferent training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trialsTing-Wei Xia0Yue Yang1Wei-Hong Li2Zhao-Hui Tang3Zong-Run Li4Li-Jun Qiao5Basic Medical College, Chengdu University of TCMSchool of Clinical Medicine, Chengdu University of TCMBasic Medical College, Chengdu University of TCMBasic Medical College, Chengdu University of TCMBasic Medical College, Chengdu University of TCMBasic Medical College, Chengdu University of TCMAbstract Background Physical activity is an important part of the diabetes management plan. However, the effects caused by different training durations and styles of Tai Chi have not been evaluated. We conducted an updated systematic review of the effects of Tai Chi on patients with type 2 diabetes based on different training durations and styles. Methods We performed a search for Chinese and English studies in 8 databases. Two reviewers independently selected the eligible trials and conducted a critical appraisal of the methodological quality. Results Seventeen trials were included. Tai Chi was found to have reduced fasting blood glucose (FBG) [SMD = − 0.54, 95% CI (− 0.91, − 0.16), P = 0.005] and HbA1c [SMD = − 0.68, 95% CI (− 1.17, − 0.19), P = 0.006] overall, compared with a control group. Considering the subgroup analysis, the pooled results showed that 24 movements or Yang-style Tai Chi did not significantly reduce FBG after a duration of ≤3 months [SMD = − 0.46, 95% CI (− 1.42, 0.50), P = 0.35] or > 3 months [SMD = − 0.50, 95% CI (− 1.49, 0.49), P = 0.32], nor did it reduce HbA1c [SMD = − 1.22, 95% CI (− 2.90, 0.47), P = 0.16] after a duration > 3 months in all studies. However, other styles of Tai Chi significantly reduced FBG [SMD = − 0.90, 95% CI (− 1.28, − 0.52), P < 0.00001] and HbA1c [SMD = − 0.90, 95% CI (− 1.28, − 0.52), P < 0.00001] after a duration > 3 months, while no significant reduction in FBG [SMD = − 0.34, 95% CI (− 0.76, 0.08), P = 0.12] or HbA1c [SMD = − 0.34, 95% CI (− 0.76, 0.08), P = 0.12] was found after a duration ≤3 months. Conclusions Tai Chi seems to be effective in treating type 2 diabetes. Different training durations and styles result in variable effectiveness. The evidence was insufficient to support whether long-term Tai Chi training was more effective.http://link.springer.com/article/10.1186/s12906-019-2475-yTai chiTaijiquanType 2 diabetesBlood glucoseSystematic reviewMeta-analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ting-Wei Xia Yue Yang Wei-Hong Li Zhao-Hui Tang Zong-Run Li Li-Jun Qiao |
spellingShingle |
Ting-Wei Xia Yue Yang Wei-Hong Li Zhao-Hui Tang Zong-Run Li Li-Jun Qiao Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials BMC Complementary and Alternative Medicine Tai chi Taijiquan Type 2 diabetes Blood glucose Systematic review Meta-analysis |
author_facet |
Ting-Wei Xia Yue Yang Wei-Hong Li Zhao-Hui Tang Zong-Run Li Li-Jun Qiao |
author_sort |
Ting-Wei Xia |
title |
Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials |
title_short |
Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials |
title_full |
Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials |
title_fullStr |
Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials |
title_full_unstemmed |
Different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials |
title_sort |
different training durations and styles of tai chi for glucose control in patients with type 2 diabetes: a systematic review and meta-analysis of controlled trials |
publisher |
BMC |
series |
BMC Complementary and Alternative Medicine |
issn |
1472-6882 |
publishDate |
2019-03-01 |
description |
Abstract Background Physical activity is an important part of the diabetes management plan. However, the effects caused by different training durations and styles of Tai Chi have not been evaluated. We conducted an updated systematic review of the effects of Tai Chi on patients with type 2 diabetes based on different training durations and styles. Methods We performed a search for Chinese and English studies in 8 databases. Two reviewers independently selected the eligible trials and conducted a critical appraisal of the methodological quality. Results Seventeen trials were included. Tai Chi was found to have reduced fasting blood glucose (FBG) [SMD = − 0.54, 95% CI (− 0.91, − 0.16), P = 0.005] and HbA1c [SMD = − 0.68, 95% CI (− 1.17, − 0.19), P = 0.006] overall, compared with a control group. Considering the subgroup analysis, the pooled results showed that 24 movements or Yang-style Tai Chi did not significantly reduce FBG after a duration of ≤3 months [SMD = − 0.46, 95% CI (− 1.42, 0.50), P = 0.35] or > 3 months [SMD = − 0.50, 95% CI (− 1.49, 0.49), P = 0.32], nor did it reduce HbA1c [SMD = − 1.22, 95% CI (− 2.90, 0.47), P = 0.16] after a duration > 3 months in all studies. However, other styles of Tai Chi significantly reduced FBG [SMD = − 0.90, 95% CI (− 1.28, − 0.52), P < 0.00001] and HbA1c [SMD = − 0.90, 95% CI (− 1.28, − 0.52), P < 0.00001] after a duration > 3 months, while no significant reduction in FBG [SMD = − 0.34, 95% CI (− 0.76, 0.08), P = 0.12] or HbA1c [SMD = − 0.34, 95% CI (− 0.76, 0.08), P = 0.12] was found after a duration ≤3 months. Conclusions Tai Chi seems to be effective in treating type 2 diabetes. Different training durations and styles result in variable effectiveness. The evidence was insufficient to support whether long-term Tai Chi training was more effective. |
topic |
Tai chi Taijiquan Type 2 diabetes Blood glucose Systematic review Meta-analysis |
url |
http://link.springer.com/article/10.1186/s12906-019-2475-y |
work_keys_str_mv |
AT tingweixia differenttrainingdurationsandstylesoftaichiforglucosecontrolinpatientswithtype2diabetesasystematicreviewandmetaanalysisofcontrolledtrials AT yueyang differenttrainingdurationsandstylesoftaichiforglucosecontrolinpatientswithtype2diabetesasystematicreviewandmetaanalysisofcontrolledtrials AT weihongli differenttrainingdurationsandstylesoftaichiforglucosecontrolinpatientswithtype2diabetesasystematicreviewandmetaanalysisofcontrolledtrials AT zhaohuitang differenttrainingdurationsandstylesoftaichiforglucosecontrolinpatientswithtype2diabetesasystematicreviewandmetaanalysisofcontrolledtrials AT zongrunli differenttrainingdurationsandstylesoftaichiforglucosecontrolinpatientswithtype2diabetesasystematicreviewandmetaanalysisofcontrolledtrials AT lijunqiao differenttrainingdurationsandstylesoftaichiforglucosecontrolinpatientswithtype2diabetesasystematicreviewandmetaanalysisofcontrolledtrials |
_version_ |
1724877571047292928 |