The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis

Objective. To investigate the effects of Tai chi in type 2 diabetes mellitus (type-2 DM) patients using systematic review and meta-analysis. Methods. Seven electronic resource databases were searched, and randomized controlled trials on the role of Tai chi in type-2 DM patients were retrieved. The m...

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Main Authors: Mengyao Chao, Chunyan Wang, Xiaosheng Dong, Meng Ding
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2018/7350567
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author Mengyao Chao
Chunyan Wang
Xiaosheng Dong
Meng Ding
author_facet Mengyao Chao
Chunyan Wang
Xiaosheng Dong
Meng Ding
author_sort Mengyao Chao
collection DOAJ
description Objective. To investigate the effects of Tai chi in type 2 diabetes mellitus (type-2 DM) patients using systematic review and meta-analysis. Methods. Seven electronic resource databases were searched, and randomized controlled trials on the role of Tai chi in type-2 DM patients were retrieved. The meta-analysis was performed with RevMan 5.3, and research quality evaluation was conducted with the modified Jadad scale. Results. Fourteen studies, with 798 individuals related to the intervention of Tai chi on diabetes, were included. The results showed that, compared with nonexercise, Tai chi had the effect of lowering fasting blood glucose [MD = −1.39, 95% CI (−1.95, −0.84), P<0.0001] and the subgroup effect size decreased with the increase of total exercise amount, there is no significant difference between Tai chi and other aerobic exercises [MD = −0.50, 95% CI (−1.02, 0.02), P=0.06]; compared with nonexercise, Tai chi could reduce HbA1c [MD = −0.21, 95% CI (−0.61, 0.19), P=0.31], and the group effect size decreased with the increase of total exercise amount. The reducing HbA1c effect of Tai chi was better than that of other aerobic exercises, but the difference was at the margin of statistical significance [MD = −0.19, 95% CI (−0.37, 0.00), P=0.05]; compared with nonexercise, Tai chi had the effect of reducing 2 h postprandial blood glucose [MD = −2.07, 95% CI (−2.89, −1.26), P=0.0002], there is no significant difference between Tai chi and other aerobic exercises in reducing 2 h postprandial blood glucose [MD = −0.44, 95% CI (−1.42, 0.54), P=0.38]. Conclusion. Tai chi can effectively affect the management of blood glucose and HbA1c in type-2 DM patients. Long-term adherence to Tai chi has a better role in reducing blood glucose and HbA1c levels in type 2 DM patients.
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spelling doaj-art-cc270a0f83b249b085881b5e1b0ae1632025-08-20T02:19:58ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/73505677350567The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-AnalysisMengyao Chao0Chunyan Wang1Xiaosheng Dong2Meng Ding3College of Physical Education, Shandong Normal University, 88 Wenhuadong Street, Jinan 250014, ChinaCollege of Physical Education, Shandong Normal University, 88 Wenhuadong Street, Jinan 250014, ChinaCollege of Physical Education, Shandong Normal University, 88 Wenhuadong Street, Jinan 250014, ChinaCollege of Physical Education, Shandong Normal University, 88 Wenhuadong Street, Jinan 250014, ChinaObjective. To investigate the effects of Tai chi in type 2 diabetes mellitus (type-2 DM) patients using systematic review and meta-analysis. Methods. Seven electronic resource databases were searched, and randomized controlled trials on the role of Tai chi in type-2 DM patients were retrieved. The meta-analysis was performed with RevMan 5.3, and research quality evaluation was conducted with the modified Jadad scale. Results. Fourteen studies, with 798 individuals related to the intervention of Tai chi on diabetes, were included. The results showed that, compared with nonexercise, Tai chi had the effect of lowering fasting blood glucose [MD = −1.39, 95% CI (−1.95, −0.84), P<0.0001] and the subgroup effect size decreased with the increase of total exercise amount, there is no significant difference between Tai chi and other aerobic exercises [MD = −0.50, 95% CI (−1.02, 0.02), P=0.06]; compared with nonexercise, Tai chi could reduce HbA1c [MD = −0.21, 95% CI (−0.61, 0.19), P=0.31], and the group effect size decreased with the increase of total exercise amount. The reducing HbA1c effect of Tai chi was better than that of other aerobic exercises, but the difference was at the margin of statistical significance [MD = −0.19, 95% CI (−0.37, 0.00), P=0.05]; compared with nonexercise, Tai chi had the effect of reducing 2 h postprandial blood glucose [MD = −2.07, 95% CI (−2.89, −1.26), P=0.0002], there is no significant difference between Tai chi and other aerobic exercises in reducing 2 h postprandial blood glucose [MD = −0.44, 95% CI (−1.42, 0.54), P=0.38]. Conclusion. Tai chi can effectively affect the management of blood glucose and HbA1c in type-2 DM patients. Long-term adherence to Tai chi has a better role in reducing blood glucose and HbA1c levels in type 2 DM patients.http://dx.doi.org/10.1155/2018/7350567
spellingShingle Mengyao Chao
Chunyan Wang
Xiaosheng Dong
Meng Ding
The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis
Journal of Diabetes Research
title The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis
title_full The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis
title_fullStr The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis
title_full_unstemmed The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis
title_short The Effects of Tai Chi on Type 2 Diabetes Mellitus: A Meta-Analysis
title_sort effects of tai chi on type 2 diabetes mellitus a meta analysis
url http://dx.doi.org/10.1155/2018/7350567
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