Effects of tai chi exercise on bone health in perimenopausal and postmenopausal women: a systematic review and meta-analysis

Sun, Zilin; Chen, H.; Berger, Mike; Zhang, L.; Guo, Haiying; Huang, Yung-Fa

doi:10.1007/s00198-016-3626-3

Cited by 28 publications

(21 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding Tai Chi, the issue is in increasing debate; recent literature [21, 22, 44–46] suggests a positive effect on attenuating BMD loss at the lumbar spine and the proximal femoral neck and on biomarkers of bone metabolism. However, in order to be effective, this activity has to last 12 months as minimum [21].…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients

Benedetti

Furlini

Zati

et al. 2018

BioMed Research International

230

134

View full text Add to dashboard Cite

Physical exercise is considered an effective means to stimulate bone osteogenesis in osteoporotic patients. The authors reviewed the current literature to define the most appropriate features of exercise for increasing bone density in osteoporotic patients. Two types emerged: (1) weight-bearing aerobic exercises, i.e., walking, stair climbing, jogging, and Tai Chi. Walking alone did not appear to improve bone mass; however it is able to limit its progressive loss. In fact, in order for the weight-bearing exercises to be effective, they must reach the mechanical intensity useful to determine an important ground reaction force. (2) Strength and resistance exercises: these are carried out with loading (lifting weights) or without (swimming, cycling). For this type of exercise to be effective a joint reaction force superior to common daily activity with sensitive muscle strengthening must be determined. These exercises appear extremely site-specific, able to increase muscle mass and BMD only in the stimulated body regions. Other suggested protocols are multicomponent exercises and whole body vibration. Multicomponent exercises consist of a combination of different methods (aerobics, strengthening, progressive resistance, balancing, and dancing) aimed at increasing or preserving bone mass. These exercises seem particularly indicated in deteriorating elderly patients, often not able to perform exercises of pure reinforcement. However, for these protocols to be effective they must always contain a proportion of strengthening and resistance exercises. Given the variability of the protocols and outcome measures, the results of these methods are difficult to quantify. Training with whole body vibration (WBV): these exercises are performed with dedicated devices, and while it seems they have effect on enhancing muscle strength, controversial findings on improvement of BMD were reported. WBV seems to provide good results, especially in improving balance and reducing the risk of falling; in this, WBV appears more efficient than simply walking. Nevertheless, contraindications typical of senility should be taken into account.

show abstract

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients

Benedetti

Furlini

Zati

et al. 2018

BioMed Research International

230

134

View full text Add to dashboard Cite

show abstract

“…Three previous meta-analyses56–58 have reported on the same topic, as presented in Table 4. Differences between the present meta-analyses and the previous ones are as follows: firstly, our analyses included four additional trials that were published in the past 2 years.…”

Section: Discussionmentioning

confidence: 99%

Tai chi for treating osteopenia and primary osteoporosis: a meta-analysis and trial sequential analysis

Zhang¹,

Chai²,

Pan³

et al. 2019

CIA

View full text Add to dashboard Cite

The aim of this meta-analysis was to evaluate the efficacy of Tai chi (TC) as an adjuvant treatment for osteopenia and primary osteoporosis. Methods: We went through eight databases to identify relevant randomized controlled trials that compared TC with a control group. The primary outcome was osteoporosis-related fractures (fracture incidence). Meta-analyses and trial sequential analyses (TSA) were conducted using RevMan 5.3 and TSA 0.9. Results: Fifteen randomized controlled trials involving a total of 857 patients were included in the analyses. No trials reported primary outcome; however, bone mineral density (BMD) values differed significantly in subgroup 1 (TC vs no treatment; weighted mean difference [WMD] =0.05 g/cm 2 , 95% CI 0.03 to 0.07; P,0.00001; P for heterogeneity =0.22, I 2 =22%) and subgroup 2 (TC vs conventional treatments; WMD =0.16 g/cm 2 , 95% CI 0.11 to 0.21; P,0.00001; P for heterogeneity =0.008, I 2 =75%). In addition, two trials compared TC with conventional treatments, which found a significant difference in bone gla protein (standardized mean difference =-1.18, 95% CI-1.66 to-0.70; P,0.00001; P for heterogeneity =0.58, I 2 =75%). The results of the BMD were confirmed by TSA. Also, TC may have a certain effect on the relief of osteoporotic pain (WMD =-2.61, 95% CI-3.51 to-1.71; WMD =-1.39, 95% CI-2.01 to-0.77). However, it did not promote the quality of life, level of serum calcium, serum phosphorus, and also had no effect on bone turnover markers. Conclusion: Although there is no study monitoring fracture incidence, TC may be beneficial for patients in improving BMD values, level of bone gla protein, and relieving osteoporotic pain. However, due to the low methodological quality, current evidence for treating osteopenia and primary osteoporosis through TC is insufficient.

show abstract

“…Up till now, only three systematic reviews have been published examining the protective effect of Taichi for people who are experiencing bone mineral density (BMD) loss, which are either now outdated or only focused on postmenopausal women [ 17 , 18 , 19 ]. In the latest systematic review, researchers utilized a meta-analytic method and synthesized the existing evidence, but it is worth noting that sharing a control between two Taichi intervention groups (i.e., double counting participants in the control) resulted in a unit-of-analysis error that was not considered [ 18 ]. In addition, because of a small number of randomized controlled trials (RCTs) that existed in the previous systematic reviews, a definitive conclusion relating to Taichi to bone health is difficult to draw.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Zou

Wang

Chen

et al. 2017

IJERPH

View full text Add to dashboard Cite

Objective: The purpose of this study was to determine the effects of practicing Taichi on attenuating bone mineral density (BMD) loss. Methods: Both electronic and manual searches were performed for randomized controlled trials (RCTs) examining Taichi for bone health. Two review authors independently performed study selection and data extraction according to inclusion criteria. A third party (Lin Luo) emerged to discuss with the two review authors and resolve a disagreement. Results: Twenty RCTs were found to meet the inclusion criteria and used for meta-analysis with a total effective sample of 1604. The aggregated results from this systematic review have shown significant benefits in favour of Taichi on BMD at lumbar spine (Standard Mean Difference, SMD) = 0.29; 95% CI 0.15 to 0.43; p < 0.0001), femur neck (SMD = 0.56; 95% CI 0.38 to 0.75; p < 0.00001), femur trochanter (SMD = 0.04; 95% CI 0.01 to 0.07; p = 0.007), total hip BMD (SMD = 0.46; 95% CI 0.16 to 0.76; p = 0.003). Conclusions: The aggregated results from this systematic review suggests that Taichi is effective on attenuating BMD loss at the regions of lumbar spine and proximal femur neck in special populations (e.g., older adults, perimenopausal and postmenopausal women, people with osteoarthritis, and cancer survivors). Researchers should further examine the effect of Taichi on the proximal femur trochanter and total hip so that a more definitive claim can be made regarding the beneficial effects for attenuating BMD loss in these musculoskeletal regions.

show abstract

Effects of tai chi exercise on bone health in perimenopausal and postmenopausal women: a systematic review and meta-analysis

Cited by 28 publications

References 45 publications

The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients

The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients

Tai chi for treating osteopenia and primary osteoporosis: a meta-analysis and trial sequential analysis

The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Contact Info

Product

Resources

About