The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysis
Objectives: To explore the optimal exercise parameters of Tai Chi for improving glucose and lipid metabolism in type 2 diabetes mellitus (T2DM) patients. Methods: This meta-analysis was conducted in accordance with the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229923000821 |
| _version_ | 1797422626333786112 |
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| author | Haotian Zhao Jin Teng Ge Song Xuancheng Fu Xinliang Pan Siqin Shen Yi Yan Chang Liu |
| author_facet | Haotian Zhao Jin Teng Ge Song Xuancheng Fu Xinliang Pan Siqin Shen Yi Yan Chang Liu |
| author_sort | Haotian Zhao |
| collection | DOAJ |
| description | Objectives: To explore the optimal exercise parameters of Tai Chi for improving glucose and lipid metabolism in type 2 diabetes mellitus (T2DM) patients. Methods: This meta-analysis was conducted in accordance with the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Six databases were retrieved, with retrieval dates ranging from the establishment of the databases to December 2022. Data extraction and study quality assessment were independently performed by two researchers according to the Physical Therapy Evidence Database (PEDro) scale. The effects of different Tai Chi exercise parameters on glucose and lipid metabolism in T2DM patients were analyzed by subgroup analyses and meta-regressions. Results: A total of sixteen randomized controlled trials were included in the meta-analysis. The results indicated that Tai Chi had a significant and moderate impact on fasting blood glucose in T2DM patients, as well as a significant and large impact on glycosylated hemoglobin. Tai Chi had a significant and moderate impact on triglyceride, and a small, non-significant improvement on total cholesterol. The intervention frequency and duration of a single session were identified as predictors of the impact of Tai Chi on triglyceride. The optimal exercise parameters identified were the 24-style simplified Tai Chi, with a recommended exercise duration of 45–60 min per session, performed 5–7 times per week, and continued for at least 4–7 weeks. Conclusions: Tai Chi can significantly improve the glucose and lipid metabolism in T2DM patients, and the 24-style simplified Tai Chi with high exercise frequency and short duration may be the optimal exercise parameter for enhancing glucose and lipid metabolism. Prospero: Registration number: CRD42023395282 |
| first_indexed | 2024-03-09T07:36:07Z |
| format | Article |
| id | doaj.art-3c885585a4c74062ba31e8480df9d54e |
| institution | Directory Open Access Journal |
| issn | 0965-2299 |
| language | English |
| last_indexed | 2024-03-09T07:36:07Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj.art-3c885585a4c74062ba31e8480df9d54e2023-12-03T05:39:34ZengElsevierComplementary Therapies in Medicine0965-22992023-12-0179102995The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysisHaotian Zhao0Jin Teng1Ge Song2Xuancheng Fu3Xinliang Pan4Siqin Shen5Yi Yan6Chang Liu7Department of Physical Education, Jiangnan University, Wuxi, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaDepartment of Chemistry, Syracuse University, New York, USASchool of Sport Science, Beijing Sport University, Beijing, ChinaFaculty of Sports Science, Ningbo University, Ningbo, China; Faculty of Engineering, University of Pannonia, Veszprém, HungarySchool of Sport Science, Beijing Sport University, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, China; Correspondence to: Beijing Sport University, 48 Xinxi Road, Haidian District, Beijing, China.Objectives: To explore the optimal exercise parameters of Tai Chi for improving glucose and lipid metabolism in type 2 diabetes mellitus (T2DM) patients. Methods: This meta-analysis was conducted in accordance with the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Six databases were retrieved, with retrieval dates ranging from the establishment of the databases to December 2022. Data extraction and study quality assessment were independently performed by two researchers according to the Physical Therapy Evidence Database (PEDro) scale. The effects of different Tai Chi exercise parameters on glucose and lipid metabolism in T2DM patients were analyzed by subgroup analyses and meta-regressions. Results: A total of sixteen randomized controlled trials were included in the meta-analysis. The results indicated that Tai Chi had a significant and moderate impact on fasting blood glucose in T2DM patients, as well as a significant and large impact on glycosylated hemoglobin. Tai Chi had a significant and moderate impact on triglyceride, and a small, non-significant improvement on total cholesterol. The intervention frequency and duration of a single session were identified as predictors of the impact of Tai Chi on triglyceride. The optimal exercise parameters identified were the 24-style simplified Tai Chi, with a recommended exercise duration of 45–60 min per session, performed 5–7 times per week, and continued for at least 4–7 weeks. Conclusions: Tai Chi can significantly improve the glucose and lipid metabolism in T2DM patients, and the 24-style simplified Tai Chi with high exercise frequency and short duration may be the optimal exercise parameter for enhancing glucose and lipid metabolism. Prospero: Registration number: CRD42023395282http://www.sciencedirect.com/science/article/pii/S0965229923000821Tai ChiType 2 diabetes mellitusExercise parametersGlucose metabolismLipid metabolismMeta-analysis |
| spellingShingle | Haotian Zhao Jin Teng Ge Song Xuancheng Fu Xinliang Pan Siqin Shen Yi Yan Chang Liu The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysis Complementary Therapies in Medicine Tai Chi Type 2 diabetes mellitus Exercise parameters Glucose metabolism Lipid metabolism Meta-analysis |
| title | The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysis |
| title_full | The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysis |
| title_fullStr | The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysis |
| title_full_unstemmed | The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysis |
| title_short | The optimal exercise parameters of Tai Chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus: A meta-analysis |
| title_sort | optimal exercise parameters of tai chi on the effect of glucose and lipid metabolism in patients with type 2 diabetes mellitus a meta analysis |
| topic | Tai Chi Type 2 diabetes mellitus Exercise parameters Glucose metabolism Lipid metabolism Meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S0965229923000821 |
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