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
Author: Haotian Zhao1, Jin Teng2, Ge Song2, Xuancheng Fu3, Xinliang Pan2, Siqin Shen4, Yi Yan2, Chang Liu5
Affiliation:
1 Department of Physical Education, Jiangnan University, Wuxi, China.
2 School of Sport Science, Beijing Sport University, Beijing, China.
3 Department of Chemistry, Syracuse University, New York, USA.
4 Faculty of Sports Science, Ningbo University, Ningbo, China; Faculty of Engineering, University of Pannonia, Veszprém, Hungary.
5 School of Sport Science, Beijing Sport University, Beijing, China. Electronic address: c.liu@bsu.edu.cn.
Conference/Journal: Complement Ther Med
Date published: 2023 Oct 17
Other:
Volume ID: 79 , Pages: 102995 , Special Notes: doi: 10.1016/j.ctim.2023.102995. , Word Count: 283
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.
Keywords: Exercise parameters; Glucose metabolism; Lipid metabolism; Meta-analysis; Tai Chi; Type 2 diabetes mellitus.
PMID: 37858683 DOI: 10.1016/j.ctim.2023.102995
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