The effectiveness of Tai Chi for patients with mild cognitive impairment: a systematic review and meta-analysis

被引：0
作者：
Shao, Xinxin [1 ]
Xi, Yawei [2 ]
Pan, Lijie [1 ]
Li, Xinru [1 ]
Lin, Qianxin [1 ]
Tian, Keming [1 ]
Wang, Rui [1 ]
Gao, Yutong [1 ]
Gao, Hainan [1 ]
Tan, Zili [1 ]
Zhu, Xiangyu [1 ]
机构：
[1] Beijing Univ Chinese Med, Sch Acupuncture Moxibust & Tuina, Beijing, Peoples R China
[2] Liangxiang Hosp Beijing Fangshan Dist, Acupuncture & Rehabil Dept, Beijing, Peoples R China
来源：
FRONTIERS IN NEUROSCIENCE | 2024年 / 18卷
关键词：
Tai Chi; mild cognitive impairment; cognitive function; memory; neuroplastic changes; OLDER-ADULTS; DEMENTIA; DISEASE;
D O I：
10.3389/fnins.2024.1467595
中图分类号：
Q189 [神经科学];
学科分类号：
071006 ;
摘要：
Objective: To explore the effectiveness of Tai Chi on cognitive function in patients with mild cognitive impairment (MCI). Methods: According to the PRISMA guidelines, randomized controlled trial (RCT) literature on the efficacy of Tai Chi on MCI patients was searched in China National Knowledge Network (CNKI), China Biomedical Literature Database (CBM), Wanfang Data, China Scientific Journal Database (VIP), PubMed, Embase, Duxiu Database, Web of Science and Cochrane Library from their inception to April 2024. The risk of bias in each study was appraised using the Cochrane risk-of-bias tool using Revman 5.4. Random effect model or fixed effect model was used to compare the effects of Tai Chi and control conditions on baseline and post-intervention assessment of cognitive function. Meta-analysis was performed using Stata15.0 software. Results: Nine studies fulfilled the inclusion criteria. Tai Chi significantly improved Montreal Cognitive Assessment (MoCA, SMD, 1.43, p < 0.00001), Delayed Recall Test (DRT, SMD, 0.90, p < 0.00001), verbal fluency test (VFT, SMD, 0.40, p < 0.00001), and Trail Making Test (TMT, SDM, -0.69, p < 0.00001) in MCI patients. Subgroup analyses showed that 24-forms Tai Chi was more effective than 8-forms Tai Chi in improving MoCA (SMD, 1.89, p < 0.00001) and 10-forms Tai Chi was more effective than 24-forms Tai Chi in improving DRT (SMD, 1.53, p < 0.00001). Conclusion: Tai Chi improved cognitive function in MCI patients, and Tai Chi types might be the influence factor on Tai Chi improving the global cognitive function and memory function in MCI patients. Systematic review registration: https://www.crd.york.ac.uk/prospero/.
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页数：14
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  • [21] Li F.Z., Harmer P., Fitzgerald K., Winters-Stone K., A cognitively enhanced online tai Ji Quan training intervention for community−dwelling older adults with mild cognitive impairment: a feasibility trial [J], BMC Geriatr, 22, (2022)
  • [22] Li G., Huang P., Cui S., He Y., Jiang Q., Li B., Et al., Tai chi improves non−motor symptoms of Parkinson's disease: one−year randomized controlled study with the investigation of mechanisms, Parkinsonism Relat. Disord, 120, (2024)
  • [23] Li R., Qi J., Yang Y., Wu Y., Yin P., Zhou M., Et al., Disease burden and attributable risk factors of Alzheimer's disease and dementia in China from 1990 to 2019, J. Prev Alzheimers Dis, 9, pp. 306-314, (2022)
  • [24] Li B., Tang H., He G., Jin Z., He Y., Huang P., Et al., Tai chi enhances cognitive training effects on delaying cognitive decline in mild cognitive impairment, Alzheimers Dement, 19, pp. 136-149, (2023)
  • [25] Li R., Zhu X., Yin S., Niu Y., Zheng Z., Huang X., Et al., Multimodal intervention in older adults improves resting−state functional connectivity between the medial prefrontal cortex and medial temporal lobe, Front. Aging Neurosci, 6, (2014)
  • [26] Liberati A., Altman D.G., Tetzlaff J., Mulrow C., Gotzsche P.C., Ioannidis J.P.A., Et al., The PRISMA statement for reporting systematic reviews and meta−analyses of studies that evaluate healthcare interventions: explanation and elaboration, BMJ, 339, (2009)
  • [27] Lin M., Liu W., Ma C., Gao J., Huang L., Zhu J., Et al., Tai chi−induced Exosomal LRP1 is associated with memory function and Hippocampus plasticity in aMCI patients, Am. J. Geriatr. Psychiatry, 32, pp. 1215-1230, (2024)
  • [28] Lin J., Ning S., Lyu S., Gao H., Shao X., Tan Z., Et al., The effects of different types of Tai Chi exercises on preventing falls in older adults: a systematic review and network meta-analysis, Aging Clin. Exp. Res, 36, (2024)
  • [29] Liqin Y., Changfa T., Weiqiang L., Tao X., Li F., Effect of multimodal exercise on cognitive function, neurotrophic factors, and whole brain volume in older adults with mild cognitive impairment, China Sports Technol, 59, pp. 50-57, (2023)
  • [30] Liu C.L., Cheng F.Y., Wei M.J., Liao Y.Y., Effects of exergaming−based Tai Chi on cognitive function and dual−task gait performance in older adults with mild cognitive impairment: a randomized control trial [J], Front. Aging Neurosci, 14, (2022)
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