Lee, M.S., Choi, TY., Lim, HJ. et al. Tai chi for management of type 2 diabetes mellitus: A systematic review., Chin. J. Integr. Med. 17, 789–793 (2011). https://doi.org/10.1007/s11655-011-0812-1
Myeong Soo Lee, Tae-Young Choi, Hyun-Ja Lim, et al. Tai chi for management of type 2 diabetes mellitus: A systematic review[J]. Chinese Journal of Integrative Medicine, 2011,17(10):789-793.
Lee, M.S., Choi, TY., Lim, HJ. et al. Tai chi for management of type 2 diabetes mellitus: A systematic review., Chin. J. Integr. Med. 17, 789–793 (2011). https://doi.org/10.1007/s11655-011-0812-1DOI:
Myeong Soo Lee, Tae-Young Choi, Hyun-Ja Lim, et al. Tai chi for management of type 2 diabetes mellitus: A systematic review[J]. Chinese Journal of Integrative Medicine, 2011,17(10):789-793. DOI: 10.1007/s11655-011-0812-1.
Tai chi for management of type 2 diabetes mellitus: A systematic review
摘要
Tai chi has been recommended for treating type 2 diabetes mellitus. The purpose of this systematic review was to evaluate evidence from controlled clinical trials testing the effectiveness of tai chi in treating type 2 diabetes mellitus. Systematic searches were conducted on 14 electronic databases without restrictions on either population characteristics or language of publication. The outcome measures considered for inclusion were changes in fasting blood glucose (FBG)
glycosylated haemoglobin A1c (HbA1c) and quality of life (QOL). Eight randomised clinical trials (RCTs) and two controlled clinical trials (CCTs) met all inclusion criteria. Three RCTs from 1 trial compared the effects of tai chi with sham exercise and failed to show effectiveness of tai chi on FBG
HbA1c
or QOL. The other 3 RCTs tested the effects of tai chi compared with other types of exercise on FBG. The meta-analysis failed to show an FBG-lowering effect of tai chi [n=118
weighted mean difference (WMD): −0.14 mmol/L
95% CI: −0.86 to 0.58
P=0.70]. Four studies (2 RCTs and 2 CCT) compared tai chi with no treatment or self-management programme and failed to report significant differences between the experimental and control groups except for QOL from 1 RCT and 1 CCT. The existing evidence does not suggest that tai chi is an effective therapy for type 2 diabetes. Currently
there are few high-quality trials on which to make definitive judgements.
Abstract
Tai chi has been recommended for treating type 2 diabetes mellitus. The purpose of this systematic review was to evaluate evidence from controlled clinical trials testing the effectiveness of tai chi in treating type 2 diabetes mellitus. Systematic searches were conducted on 14 electronic databases without restrictions on either population characteristics or language of publication. The outcome measures considered for inclusion were changes in fasting blood glucose (FBG)
glycosylated haemoglobin A1c (HbA1c) and quality of life (QOL). Eight randomised clinical trials (RCTs) and two controlled clinical trials (CCTs) met all inclusion criteria. Three RCTs from 1 trial compared the effects of tai chi with sham exercise and failed to show effectiveness of tai chi on FBG
HbA1c
or QOL. The other 3 RCTs tested the effects of tai chi compared with other types of exercise on FBG. The meta-analysis failed to show an FBG-lowering effect of tai chi [n=118
weighted mean difference (WMD): −0.14 mmol/L
95% CI: −0.86 to 0.58
P=0.70]. Four studies (2 RCTs and 2 CCT) compared tai chi with no treatment or self-management programme and failed to report significant differences between the experimental and control groups except for QOL from 1 RCT and 1 CCT. The existing evidence does not suggest that tai chi is an effective therapy for type 2 diabetes. Currently
there are few high-quality trials on which to make definitive judgements.
关键词
type 2 diabetes mellitustai chifast blood glucoseComplementary Medicine
Keywords
type 2 diabetes mellitustai chifast blood glucoseComplementary Medicine
references
World Health Organization. Diabetes. 2006: Avaiable at http://www.who.int/mediacentre/factsheets/fs312/en/. Accessed at 30 April, 2011.
American Diabetes A. Standards of medical care in diabetes. Diabetes Care 2007;30:S4–S41.
Dham S, Shah V, Hirsch S, Banerji MA. The role of complementary and alternative medicine in diabetes. Curr Diabetes Rep 2006;6:251–258.
National Center for Complementary and Alternative Medicine. Tai chi: an introduction. Available at: http://nccam.nih.gov/health/taichi/D322taichi.pdf. Accessed at 30 April, 2011.
Tai Chi Productions. Tai chi for diabetes. Available at: http://www.taichifordiabetes.com/. Accessed at 30 April, 2011.
Lee MS, Pittler MH, Ernst E, Kim MS. Tai chi for type 2 diabetes: a systematic review. Diabetic Medicine 2008;25:240–241.
Higgins JPT, Altman DG. Assessing risk of bias in included studies. In: Higgins JPT, Green S, eds. Cochrane handbook for systematic reviews of interventions. West Sussex, England: Wiley-Blackwell; 2008:187–241.
Orr R, Tsang T, Lam P, Comino E, Singh MF. Mobility impairment in type 2 diabetes: association with muscle power and effect of tai chi intervention. Diabetes Care 2006;29:2120–2122.
Tsang T, Orr R, Lam P, Comino E, Singh MF. Effects of tai chi on glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: a randomised double-blind sham-exercise-controlled trial. Age Ageing 2008;37:64–71.
Tsang T, Orr R, Lam P, Comino EJ, Singh MF. Health benefi ts of tai chi for older patients with type 2 diabetes: the “move it for diabetes study”—a randomized controlled trial. Clin Interv Aging 2007;2:429–439.
Kan Y, Zhao Y, Shao H. Affect the insulin sensitivity of tai chi exercise for obesity with type 2 diabetic patients. J Tradit Chin Med Chin Mater Med Jilin (Chin) 2004;24:11.
Wang J, Cao Y. Effects of tai chi exercise on plasma neuropeptide y of type 2 diabetes mellitus with geriatric obesity. J Sports Sci (Chin) 2003;24:67–68,72.
Wang P, Han QY, Li GT, Liang RR. Evaluation of varying aerobics interferential effects on type 2 diabetes patients in community. China Med Herald 2009;6:34–35.
Zhang Y, Fu FH. Effects of 14-week tai ji quan exercise on metabolic control in women with type 2 diabetes. Am J Chin Med 2008;36:647–654.
Lam P, Dennis SM, Diamond TH, Zwar N. Improving glycaemic and BP control in type 2 diabetes. The effectiveness of tai chi. Aust Fam Physician 2008;37:884–887.
Jeong IS, Lee HJ, Kim MH. The effect of the taeguk gi-gong exercise on insulin resistance and blood glucose in patients with type 2 diabetes mellitus. J Korean Acad Fundam Nurs (Korean) 2007;14:44–52.
Song R, Lee EO, Bae SC, Ahn Y, Lam P, Lee I. Effects of tai chi self-help program on glucose control, cardiovascular risks and quality of life in type ii diabetic patients. J Muscle Joint Health (Korean) 2007;14:13–25.
Lee MS, Chen KW, Choi TY, Ernst E. Qigong for type 2 diabetes care: a systematic review. Complement Ther Med 2009;17:236–242.
Ernst E, Pittler MH. Alternative therapy bias. Nature 1997;385:480.
Pittler MH, Abbot NC, Harkness EF, Ernst E. Location bias in controlled clinical trials of complementary/alternative therapies. J Clin Epidemiol 2000;53:485–489.
Wayne PM, Kaptchuk TJ. Challenges inherent to t’ai chi research: part ii—defining the intervention and optimal study design. J Altern Complement Med 2008;14:191–197.
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相关作者
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相关机构
Guang’anmen Hospital, China Academy of Chinese Medical Sciences
School of Nursing, Midwifery & Social Care, Faculty of Health, Life & Social Sciences, Edinburgh Napier University, Sighthill Campus, Sighthill Court
Department of Law, School of Humanities, Inner Mongolia University of Technology
Herose Clinical Centre
Department of Medicine and Therapeutics, Chinese University of Hong Kong