Effect of <i>T'ai Chi</i> Exercise on Biochemical Profiles and Oxidative Stress Indicators in Obese Patients with Type 2 Diabetes

Chen, Shih-Chueh; Ueng, Kwo‐Chang; Lee, Shu-Hsin; Sun, Kuo‐Ting; Lee, Meng-Chih

doi:10.1089/acm.2009.0560

Cited by 82 publications

(148 citation statements)

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“…Three trials were excluded for Tai Chi combined with other interventions, no baseline data including lipid profiles were reported in Records excluded on title (n=103): 63 comments, reviews or editorial 1 adolescent and child 7 animal or in-vitro studies 32 not relevant one trial, and it was not possible to extract lipid data from the outcomes in two trials. Six randomized placebo-controlled trials (Tsai et al, 2003;Thomas et al, 2005;Lam et al, 2008;Zhang and Fu, 2008;Chen et al, 2010;Lu and Kuo, 2012) fulfilled the inclusion criteria and were included in the final meta-analysis.…”

Section: Study Selectionmentioning

confidence: 99%

“…Most of the subjects were elderly Chinese. Subject characteristics included type 2 diabetes (Lam et al, 2008;Zhang and Fu, 2008;Chen et al, 2010) and obesity (Chen et al, 2010). The trial including obese subjects reported a significant reduction of body mass index (BMI) after practicing Tai Chi (Chen et al, 2010).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…No significant changes in BMI were reported in the remaining studies. Two studies reported that participants were advised to maintain their diet (Tsai et al, 2003;Chen et al, 2010). Regarding the type of Tai Chi, the Yang style was applied in 5 of the 6 studies (Tsai et al, 2003;Thomas et al, 2005;Lam et al, 2008;Zhang and Fu, 2008;Lu and Kuo, 2012), and one of them was mixed with Sun style (Lam et al, 2008).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Regarding the type of Tai Chi, the Yang style was applied in 5 of the 6 studies (Tsai et al, 2003;Thomas et al, 2005;Lam et al, 2008;Zhang and Fu, 2008;Lu and Kuo, 2012), and one of them was mixed with Sun style (Lam et al, 2008). Chen style was introduced in one study (Chen et al, 2010). The forms of Tai Chi varied from 13 to 108 forms.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The effects of Tai Chi on blood lipid in patients with dyslipidemia have been investigated in several randomized controlled trials (RCTs) (Tsai et al, 2003;Thomas et al, 2005;Lam et al, 2008;Zhang and Fu, 2008;Chen et al, 2010;Lu and Kuo, 2012). However, the sample sizes are relatively small, and results remain inconsistent and inconclusive.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Tai Chi exercise on blood lipid profiles: a meta-analysis of randomized controlled trials

Pan

Mahemuti

Zhang

et al. 2016

J. Zhejiang Univ. Sci. B

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Abstract:Objective: Studies have demonstrated that Tai Chi exercise improves blood lipid level with inconsistent results. A meta-analysis was conducted to quantify the effects of Tai Chi on blood lipid profiles in humans. Methods: We screened the databases of PubMed, EMBASE, Cochrane Library (Central), Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang data, and Clinicaltrials.gov for randomized controlled trials with Physiotherapy Evidence Database (PEDro) score more than 3 points up to June 2015. Six studies involving 445 subjects were included. Most trials applied 12-week Tai Chi intervention courses. Results: In comparison with the control group, blood triglyceride (TG) level difference between follow-up and baseline was statistically significantly lower in the Tai Chi practicing group (weighted mean difference (WMD) −16.81 mg/dl; 95% confidence intervals (CI) −31.27 to −2.35 mg/dl; P=0.02). A trend to improving total cholesterol (TC) reduction was found with Tai Chi (WMD −7.96 mg/dl; 95% CI −17.30 to 1.39 mg/dl; P=0.10). However, no difference was found in blood low-density lipoprotein cholesterol (LDL-C) or high-density lipoprotein cholesterol (HDL-C). Conclusions: Tai Chi exercise lowered blood TG level with a trend to decrease blood TC level. Our data suggest that Tai Chi has the potential to implement meaningful blood lipid modification and serve as an adjunctive exercise modality. The relationship between Tai Chi exercise regimen and lipid profile change might have a scientific priority for future investigation.

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Section: Study Selectionmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of Tai Chi exercise on blood lipid profiles: a meta-analysis of randomized controlled trials

Pan

Mahemuti

Zhang

et al. 2016

J. Zhejiang Univ. Sci. B

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Clinical and biomechanical effectiveness of foot‐ankle exercise programs and weight‐bearing activity in people with diabetes and neuropathy: A systematic review and meta‐analysis

Netten

Sacco

Lavery

et al. 2023

Diabetes Metabolism Res

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BackgroundMost interventions to prevent foot ulcers in people with diabetes do not seek to reverse the foot abnormalities that led to the ulcer. Foot‐ankle exercise programs target these clinical and biomechanical factors, such as protective sensation and mechanical stress. Multiple RCTs exist investigating the effectiveness of such programs, but these have never been summarised in a systematic review and meta‐analysis.MethodsWe searched the available scientific literature in PubMed, EMBASE, CINAHL, Cochrane databases and trial registries for original research studies on foot‐ankle exercise programs for people with diabetes at risk of foot ulceration. Both controlled and non‐controlled studies were eligible for selection. Two independent reviewers assessed the risk of bias of controlled studies and extracted data. Meta‐analysis (using Mantel‐Haenszel's statistical method and random effect models) was performed when >2 RCTs were available that met our criteria. Evidence statements, including the certainty of evidence, were formulated according to GRADE.ResultsWe included a total of 29 studies, of which 16 were RCTs. A foot‐ankle exercise programme of 8–12 weeks duration for people at risk of foot ulceration results in: (a) no increase or decrease risk of foot ulceration or pre‐ulcerative lesion (Risk Ratio (RR): 0.56 (95% CI: 0.20–1.57)); (b) no increase or decrease risk of adverse events (RR: 1.04 (95% CI: 0.65–1.67)); (c) not increase or decrease barefoot peak plantar pressure during walking (Mean Difference (MD): −6.28 kPa (95% CI: −69.90–57.34)); (d) no increase or decrease health‐related quality of life (no meta‐analysis possible). Likely results in increases in ankle joint and first metatarsalphalangeal joint range of motion (MD: 1.49° (95% CI: −0.28–3.26)) may result in improvements in neuropathy signs and symptoms (MD: −1.42 (95% CI: −2.95‐0.12)), may result in a small increase in daily steps in some people (MD: 131 steps (95% CI: ‐492‐754)), and may not increase or decrease foot and ankle muscle strength and function (no meta‐analysis was possible).ConclusionsIn people at risk of foot ulceration, a foot‐ankle exercise programme of 8–12 weeks duration may not prevent or cause diabetes‐related foot ulceration. However, such a programme likely improves the ankle joint and first metatarsalphalangeal joint range of motion and neuropathy signs and symptoms. Further research is needed to strengthen the evidence base, and should also focus on the effects of specific components of foot‐ankle exercise programs.

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Efficacy of five‐element gymnastics in glucose and lipid control in taiwanese patients with type 2 diabetes

Huang

Tai

Yang

et al. 2012

Research in Nursing & Health

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The purpose of this quasi‐experimental study was to determine the efficacy of Five‐Element Gymnastics (FEG) in controlling glycosylated hemoglobin (HbA1C), total cholesterol (TC), high‐density lipoprotein cholesterol (HDL‐C), low‐density lipoprotein cholesterol (LDL‐C), and triglycerides (TG) at the 8th and the 16th weeks of intervention for patients with type 2 diabetes in Taiwan. FEG consolidates several traditional Chinese exercises including Qigong, Xiang Gong, and martial arts with gymnastics. The experimental group (n = 31) practiced FEG at home for 16 weeks. The control group (n = 35) maintained usual activities. FEG was associated with decrease of HbA1C, TG, and LDL‐C levels at the 8th week and continuous decrease of HbA1C through the 16th week. FEG could be an exercise choice for patients with type 2 diabetes. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:419–429, 2012

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Effect of T'ai Chi Exercise on Biochemical Profiles and Oxidative Stress Indicators in Obese Patients with Type 2 Diabetes

Cited by 82 publications

References 39 publications

Effect of Tai Chi exercise on blood lipid profiles: a meta-analysis of randomized controlled trials

Effect of Tai Chi exercise on blood lipid profiles: a meta-analysis of randomized controlled trials

Clinical and biomechanical effectiveness of foot‐ankle exercise programs and weight‐bearing activity in people with diabetes and neuropathy: A systematic review and meta‐analysis

Efficacy of five‐element gymnastics in glucose and lipid control in taiwanese patients with type 2 diabetes

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