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The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Author

Listed:
  • Liye Zou

    (Psychosomatic Laboratory, Springfield College, Springfield, MA 01109, USA
    College of Sports Science, Jishou 416000, China)

  • Chaoyi Wang

    (College of Physical Education, Jilin University, Changchun 130022, China)

  • Kevin Chen

    (Integrative Medicine Lab, University of Maryland, Baltimore, MD 21201, USA)

  • Yankai Shu

    (College of Sports Science, Jishou 416000, China)

  • Xiaoan Chen

    (College of Sports Science, Jishou 416000, China)

  • Lin Luo

    (Department of Physical Education, North China Electric Power University, Beijing 102206, China)

  • Xitang Zhao

    (Department of Physical Education, ZhaoQing University, Zhaoqing 526061, China)

Abstract

Objective : The purpose of this study was to determine the effects of practicing Taichi on attenuating bone mineral density (BMD) loss. Methods: Both electronic and manual searches were performed for randomized controlled trials (RCTs) examining Taichi for bone health. Two review authors independently performed study selection and data extraction according to inclusion criteria. A third party (Lin Luo) emerged to discuss with the two review authors and resolve a disagreement. Results: Twenty RCTs were found to meet the inclusion criteria and used for meta-analysis with a total effective sample of 1604. The aggregated results from this systematic review have shown significant benefits in favour of Taichi on BMD at lumbar spine (Standard Mean Difference, SMD) = 0.29; 95% CI 0.15 to 0.43; p < 0.0001), femur neck (SMD = 0.56; 95% CI 0.38 to 0.75; p < 0.00001), femur trochanter (SMD = 0.04; 95% CI 0.01 to 0.07; p = 0.007), total hip BMD (SMD = 0.46; 95% CI 0.16 to 0.76; p = 0.003). Conclusion s : The aggregated results from this systematic review suggests that Taichi is effective on attenuating BMD loss at the regions of lumbar spine and proximal femur neck in special populations (e.g., older adults, perimenopausal and postmenopausal women, people with osteoarthritis, and cancer survivors). Researchers should further examine the effect of Taichi on the proximal femur trochanter and total hip so that a more definitive claim can be made regarding the beneficial effects for attenuating BMD loss in these musculoskeletal regions.

Suggested Citation

  • Liye Zou & Chaoyi Wang & Kevin Chen & Yankai Shu & Xiaoan Chen & Lin Luo & Xitang Zhao, 2017. "The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 14(9), pages 1-19, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:9:p:1000-:d:110545
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Xiaojia Ni & Shaonan Liu & Fuchang Lu & Xiaogeng Shi & Xinfeng Guo, 2014. "Efficacy and Safety of Tai Chi for Parkinson's Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-11, June.
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    Cited by:

    1. Zhaowei Kong & Tat-Ming Sze & Jane Jie Yu & Paul D. Loprinzi & Tao Xiao & Albert S. Yeung & Chunxiao Li & Hua Zhang & Liye Zou, 2019. "Tai Chi as an Alternative Exercise to Improve Physical Fitness for Children and Adolescents with Intellectual Disability," IJERPH, MDPI, vol. 16(7), pages 1-12, March.
    2. Shi-Jie Liu & Zhanbing Ren & Lin Wang & Gao-Xia Wei & Liye Zou, 2018. "Mind–Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 15(9), pages 1-19, August.
    3. Liye Zou & Yangjie Zhang & Jeffer Eidi Sasaki & Albert S. Yeung & Lin Yang & Paul D. Loprinzi & Jian Sun & Shijie Liu & Jane Jie Yu & Shengyan Sun & Yuqiang Mai, 2019. "Wuqinxi Qigong as an Alternative Exercise for Improving Risk Factors Associated with Metabolic Syndrome: A Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 16(8), pages 1-15, April.
    4. Yanjie Zhang & Chunxiao Li & Liye Zou & Xiaolei Liu & Wook Song, 2018. "The Effects of Mind-Body Exercise on Cognitive Performance in Elderly: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 15(12), pages 1-16, December.
    5. Liye Zou & Albert Yeung & Xinfeng Quan & Sean David Boyden & Huiru Wang, 2018. "A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases," IJERPH, MDPI, vol. 15(2), pages 1-19, January.
    6. Liye Zou & Chaoyi Wang & Xiaoan Chen & Huiru Wang, 2018. "Baduanjin Exercise for Stroke Rehabilitation: A Systematic Review with Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 15(4), pages 1-10, March.
    7. Liye Zou & Albert Yeung & Chunxiao Li & Shin-Yi Chiou & Nan Zeng & Huey-Ming Tzeng & Lin Wang & Zhanbing Ren & Taquesha Dean & Garrett Anthony Thomas, 2018. "Effects of Mind–Body Movements on Balance Function in Stroke Survivors: A Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 15(6), pages 1-15, June.
    8. Liye Zou & Albert Yeung & Nan Zeng & Chaoyi Wang & Li Sun & Garrett Anthony Thomas & Huiru Wang, 2018. "Effects of Mind-Body Exercises for Mood and Functional Capabilities in Patients with Stroke: An Analytical Review of Randomized Controlled Trials," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
    9. Jing Liu & Huihui Xie & Ming Liu & Zongbao Wang & Liye Zou & Albert S. Yeung & Stanley Sai-chuen Hui & Qing Yang, 2018. "The Effects of Tai Chi on Heart Rate Variability in Older Chinese Individuals with Depression," IJERPH, MDPI, vol. 15(12), pages 1-9, December.
    10. Shengwen Zhou & Yanjie Zhang & Zhaowei Kong & Paul D. Loprinzi & Yang Hu & Jiajie Ye & Shijie Liu & Jane Jie Yu & Liye Zou, 2019. "The Effects of Tai Chi on Markers of Atherosclerosis, Lower-limb Physical Function, and Cognitive Ability in Adults Aged Over 60: A Randomized Controlled Trial," IJERPH, MDPI, vol. 16(5), pages 1-12, March.
    11. Liye Zou & Albert Yeung & Xinfeng Quan & Stanley Sai-Chuen Hui & Xiaoyue Hu & Jessie S. M. Chan & Chaoyi Wang & Sean David Boyden & Li Sun & Huiru Wang, 2018. "Mindfulness-Based Baduanjin Exercise for Depression and Anxiety in People with Physical or Mental Illnesses: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 15(2), pages 1-17, February.
    12. Jing Liu & Albert Yeung & Tao Xiao & Xiaopei Tian & Zhaowei Kong & Liye Zou & Xueqiang Wang, 2019. "Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial," IJERPH, MDPI, vol. 16(3), pages 1-9, February.
    13. Xiaohu Jin & Lin Wang & Shijie Liu & Lin Zhu & Paul Dinneen Loprinzi & Xin Fan, 2019. "The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(1), pages 1-16, December.

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