The Effects of Tai Chi in Centrally Obese Adults with Depression Symptoms

Liu, Xin; Vitetta, Luis; Kostner, Karam; Crompton, David; Williams, Gail M.; Brown, Wendy J.; López, Alan D.; Xue, Charlie Changli; Oei, Tian P. S.; Byrne, Gerard; Martin, Jennifer; Whiteford, Harvey

doi:10.1155/2015/879712

Cited by 22 publications

(63 citation statements)

References 29 publications

(36 reference statements)

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“…Many different types of Tai Chi exist, but most consist of movement, meditation and breathing, while concentrating on the mind and maintaining low intensity [19, 20], and further modulate various aspects of the body including the physical, the psychological, mood and spirit [21]. In the theory of Chinese medicine (CM), Tai Chi can maintain the harmony between qi and the blood , keep yin and yang in balance and also enhance immunity [22, 23].…”

Section: Introductionmentioning

confidence: 99%

Does Tai Chi relieve fatigue? A systematic review and meta-analysis of randomized controlled trials

Lu²,

Chen³

et al. 2017

PLoS ONE

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BackgroundFatigue is not only a familiar symptom in our daily lives, but also a common ailment that affects all of our bodily systems. Several randomized controlled trials (RCTs) have proven Tai Chi to be beneficial for patients suffering from fatigue, however conclusive evidence is still lacking. A systematic review and meta-analysis was performed on all RCTs reporting the effects of Tai Chi for fatigue.MethodsIn the end of April 2016, seven electronic databases were searched for RCTs involving Tai Chi for fatigue. The search terms mainly included Tai Chi, Tai-ji, Taiji, fatigue, tiredness, weary, weak, and the search was conducted without language restrictions. Methodological quality was assessed using the Cochrane Risk of Bias tool. RevMan 5.3 software was used for meta-analysis. Publication bias was estimated with a funnel plot and Egger’s test. We also assessed the quality of evidence with the GRADE system.ResultsTen trials (n = 689) were included, and there was a high risk of bias in the blinding. Two trials were determined to have had low methodological quality. Tai Chi was found to have improved fatigue more than conventional therapy (standardized mean difference (SMD): -0.45, 95% confidence interval (CI): -0.70, -0.20) overall, and have positive effects in cancer-related fatigue (SMD:-0.38, 95% CI: -0.65, -0.11). Tai Chi was also more effective on vitality (SMD: 0.63, 95% CI: 0.20, 1.07), sleep (SMD: -0.32, 95% CI: -0.61, -0.04) and depression (SMD: -0.58, 95% CI: -1.04, -0.11). However, no significant difference was found in multiple sclerosis-related fatigue (SMD: -0.77, 95% CI: -1.76, 0.22) and age-related fatigue (SMD: -0.77, 95% CI: -1.78, 0.24). No adverse events were reported among the included studies. The quality of evidence was moderate in the GRADE system.ConclusionsThe results suggest that Tai Chi could be an effective alternative and /or complementary approach to existing therapies for people with fatigue. However, the quality of the evidence was only moderate and may have the potential for bias. There is still absence of adverse events data to evaluate the safety of Tai Chi. Further multi-center RCTs with large sample sizes and high methodological quality, especially carefully blinded design, should be conducted in future research.Registration numberPROSPERO CRD42016033066

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Section: Introductionmentioning

confidence: 99%

Does Tai Chi relieve fatigue? A systematic review and meta-analysis of randomized controlled trials

Lu²,

Chen³

et al. 2017

PLoS ONE

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“…[ 44 ] A final total of 26 publications were included in the systematic review, reporting a total of 21 trials and n = 1604 participants. [ 45 – 70 ] Of those, 8 trials investigated the effects of Tai Chi or qigong on hypertension, [ 46 , 48 , 49 , 54 – 56 , 60 , 63 , 67 ] 1 on hyperlipidaemia, [ 61 ] 7 on diabetes, [ 47 , 53 , 58 , 59 , 62 , 65 , 66 , 68 – 70 ] 6 on overweight and obesity, [ 45 , 47 , 50 – 52 , 57 , 61 ] and 1 on the metabolic syndrome. [ 64 ] No included trials were identified which examined the effects of Tai Chi or qigong on tobacco or alcohol use.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies which met the inclusion criteria originated in Asia, including China (including Hong Kong and Taiwan), [ 47 , 49 , 61 , 63 , 67 , 68 , 70 ] Malaysia, [ 46 , 48 ] Korea, [ 54 – 56 ] and Thailand; [ 64 , 69 ] Europe, including France [ 50 ] and the United Kingdom; [ 60 ] the United States; [ 45 , 47 , 51 , 52 , 59 , 62 ] and Australia. [ 53 , 57 , 58 , 65 , 66 ] Below we discuss the studies included and the results of this review separately for each risk factor population. Characteristics of the included studies can be found in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…[ 45 , 47 , 50 – 52 , 57 , 61 ] Of these, 4 trials exclusively included patients with obesity, [ 45 , 47 , 50 , 52 , 61 ] and 3 provided specific inclusion criteria based on the BMI. The other 2 trials included not only included obese patients but also overweight patients, [ 51 , 57 ] based on participants’ BMI, [ 51 , 57 ] and/or the waist circumference. [ 57 ] All but 1 trial [ 51 ] used Tai Chi as the intervention.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors

Lauche¹,

Peng²,

Ferguson

et al. 2017

Medicine

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Background:This review aims to summarize the evidence of Tai Chi and qigong interventions for the primary prevention of stroke, including the effects on populations with major stroke risk factors.Methods:A systematic literature search was conducted on January 16, 2017 using the PubMed, Scopus, Cochrane Library, and CINAHL databases. Randomized controlled trials examining the efficacy of Tai Chi or qigong for stroke prevention and stroke risk factors were included. Risk of bias was assessed using the Cochrane Risk of Bias tool.Results:Twenty-one trials with n = 1604 patients with hypertension, hyperlipidaemia, diabetes, overweight or obesity, or metabolic syndrome were included. No trials were found that examined the effects of Tai Chi/qigong on stroke incidence. Meta-analyses revealed significant, but not robust, benefits of Tai Chi/qigong over no interventions for hypertension (systolic blood pressure: −15.55 mm Hg (95% CI: −21.16; −9.95); diastolic blood pressure: −10.66 mm Hg (95% CI: −14.90, −6.43); the homeostatic model assessment (HOMA) index (−2.86%; 95% CI: −5.35, −0.38) and fasting blood glucose (−9.6 mg/dL; 95% CI: −17.28, −1.91), and for the body mass index compared with exercise controls (−1.65 kg/m2; 95% CI: −3.11, −0.20). Risk of bias was unclear or high for the majority of trials and domains, and heterogeneity between trials was high. Only 6 trials adequately reported safety. No recommendation for the use of Tai Chi/qigong for the prevention of stroke can be given.Conclusion:Although Tai Chi and qigong show some potential more robust studies are required to provide conclusive evidence on the efficacy and safety of Tai Chi and qigong for reducing major stroke risk factors.

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“…Inactive elderly men  Skin blood flow  Cutaneous vascular conductance  Skin temperature  VO2 Max 54 min per section, 5.1±1.8 sections per week, 11.2±3.4 years, Yang style (Wang, et al, 2001) Cognitive Function (Wu, et al, 2014) Patients with chronic systolic heart failure  MLHFQ 60 min per section, 2 sections per week, 12 weeks (Yeh, et al, 2011) Patients with MS  Questionnaire of life satisfaction 90 min per section, 2 sections per week, 6 months (Burschka, et al, 2014) Patients with fibromyalgia  SF-36 60 min per section, 2 sections per week, 12 weeks, 10 forms of Yang style Elderly with MDD under escitalopram treatment  SF-36 120 min per section, 1 sections per week, 10 weeks (Lavretsky, et al, 2011) Patients with stable symptomatic chronic heart failure  MLHFQ 55 min per section, 2 sections per week, 16 weeks (Barrow, et al, 2007) Adults (Li, et al, 2004) Anxiety Adults with borderline hypertension  State-Trait Anxiety Inventory 50 min per section, 3 sections per week, 12 weeks, 108 forms of Yang style (Tsai, et al, 2003) Central obese adults with depression  DASS anxiety score 60-90 min per section, 3 sections per week, 12 weeks, Kaimai style (Liu, et al, 2015) Patients with stable symptomatic chronic heart failure  SCL-90-R Anxiety 55 min per section, 2 sections per week, 16 weeks (Barrow, et al, 2007) Older adults with cerebral vascular disorder  GHQ Anxiety/Insomnia 50 min per section, 1 sections per week, 12 weeks, Yang style Depression Patients with MS  CES-D 90 min per section, 2 sections per week, 6 months (Burschka, et al, 2014) Patients with fibromyalgia  CES-D 60 min per section, 2 sections per week, 12 weeks, 10 forms of Yang style Female cancer survivors  Impact of Event Scale-Revised 60 min per section, 2 sections per week, 10 weeks (Reid-Arndt, et al, 2012) Central obese adults with depression  DASS depression score  CES-D 60-90 min per section, 3 sections per week, 12 weeks, Kaimai style (Liu, et al, 2015) Elderly with MDD under escitalopram treatment  Hamilton Depression Rating Score 120 min per section, 1 sections per week, 10 weeks (Lavretsky, et al, 2011) Patients with stable symptomatic chronic heart failure  SCL-90-R Depression 55 min per section, 2 sections per week, 16 weeks (Barrow, et al, 2007) Adults with functional class I or II rheumatoid arthritis  CES-D 60 min per section, 2 sections per week, 12 weeks, Yang style (Wang, 2008) Older adults with cerebral vascular disorder  GHQ severe depression 50 min per section, 1 sections per week, 12 weeks, Yang style Insomnia Patients with fibromyalgia  PSQI 60 min per section, 2 sections per week, 12 weeks, 10 forms of Yang style Patients with fibromyalgia  PSQI 90 min per section, 2 sections per week, 12 weeks, 8 forms of Yang style (Jones, et al, 2012) Older adults with cerebral vascular disorder  PSQI ...…”

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confidence: 99%

Revealing the Neural Mechanisms Underlying the Beneficial Effects of Tai Chi: A Neuroimaging Perspective

Tam

Lai

et al. 2018

Am. J. Chin. Med.

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Tai Chi Chuan (TCC), a traditional Chinese martial art, is well-documented to result in beneficial consequences in physical and mental health. TCC is regarded as a mind-body exercise that is comprised of physical exercise and meditation. Favorable effects of TCC on body balance, gait, bone mineral density, metabolic parameters, anxiety, depression, cognitive function, and sleep have been previously reported. However, the underlying mechanisms explaining the effects of TCC remain largely unclear. Recently, advances in neuroimaging technology have offered new investigative opportunities to reveal the effects of TCC on anatomical morphologies and neurological activities in different regions of the brain. These neuroimaging findings have provided new clues for revealing the mechanisms behind the observed effects of TCC. In this review paper, we discussed the possible effects of TCC-induced modulation of brain morphology, functional homogeneity and connectivity, regional activity and macro-scale network activity on health. Moreover, we identified possible links between the alterations in brain and beneficial effects of TCC, such as improved motor functions, pain perception, metabolic profile, cognitive functions, mental health and sleep quality. This paper aimed to stimulate further mechanistic neuroimaging studies in TCC and its effects on brain morphology, functional homogeneity and connectivity, regional activity and macro-scale network activity, which ultimately lead to a better understanding of the mechanisms responsible for the beneficial effects of TCC on human health.

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The Effects of Tai Chi in Centrally Obese Adults with Depression Symptoms

Cited by 22 publications

References 29 publications

Does Tai Chi relieve fatigue? A systematic review and meta-analysis of randomized controlled trials

Does Tai Chi relieve fatigue? A systematic review and meta-analysis of randomized controlled trials

Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors

Revealing the Neural Mechanisms Underlying the Beneficial Effects of Tai Chi: A Neuroimaging Perspective

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