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Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials
To systematically review the effects of Tai chi on sleep quality, depression, and anxiety in patients with insomnia. The electronic databases including PubMed, Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure (CNKI), WanFang Data, Chinese Biomedical Literature Databa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959787/ https://www.ncbi.nlm.nih.gov/pubmed/36833762 http://dx.doi.org/10.3390/ijerph20043074 |
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author | Yang, Min Yang, Jiaqi Gong, Mingjun Luo, Rui Lin, Qinqin Wang, Baihui |
author_facet | Yang, Min Yang, Jiaqi Gong, Mingjun Luo, Rui Lin, Qinqin Wang, Baihui |
author_sort | Yang, Min |
collection | PubMed |
description | To systematically review the effects of Tai chi on sleep quality, depression, and anxiety in patients with insomnia. The electronic databases including PubMed, Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure (CNKI), WanFang Data, Chinese Biomedical Literature Database (CBM), and VIP Database for Chinese Technical Periodicals (VIP) were retrieved and screened by computer. Randomized controlled trials (RCT) on patients with insomnia who practiced Tai chi were collected, and the RCT risk of bias assessment criteria was used to evaluate the methodological quality of the included studies. The combined effect size was expressed as the weighted mean difference (WMD), with a confidence interval of 95% (CI). Review Manager 5.4 and Stata16.0 were used for heterogeneity analysis and sensitivity analysis. Tai chi reduced the patients’ Pittsburgh sleep quality index (PSQI) score (WMD = −1.75, 95% CI: −1.88, −1.62, p < 0.001); Hamilton depression scale (HAMD) score (WMD = −5.08, 95% CI: −5.46, −4.69, p < 0.001), Hamilton anxiety scale (HAMA) score (WMD = −2.18, 95% CI: −2.98, −1.37, p < 0.001), and self-rating anxiety scale (SAS) score (WMD = −7.01, 95% CI: −7.72, −6.29, p < 0.001). Tai chi exercise has a good preventive and ameliorating effect on insomnia, which can relieve patients’ depression and anxiety, simultaneously enhancing various functions of the body. However, most of the included studies reported random assignment with some lack of specific descriptions, and the blinding of participants was difficult to achieve due to the nature of exercise, which may cause bias. Therefore, more high-quality, multi-center, and bigger-sample studies need to be included in the future to further verify the results. |
format | Online Article Text |
id | pubmed-9959787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99597872023-02-26 Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials Yang, Min Yang, Jiaqi Gong, Mingjun Luo, Rui Lin, Qinqin Wang, Baihui Int J Environ Res Public Health Review To systematically review the effects of Tai chi on sleep quality, depression, and anxiety in patients with insomnia. The electronic databases including PubMed, Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure (CNKI), WanFang Data, Chinese Biomedical Literature Database (CBM), and VIP Database for Chinese Technical Periodicals (VIP) were retrieved and screened by computer. Randomized controlled trials (RCT) on patients with insomnia who practiced Tai chi were collected, and the RCT risk of bias assessment criteria was used to evaluate the methodological quality of the included studies. The combined effect size was expressed as the weighted mean difference (WMD), with a confidence interval of 95% (CI). Review Manager 5.4 and Stata16.0 were used for heterogeneity analysis and sensitivity analysis. Tai chi reduced the patients’ Pittsburgh sleep quality index (PSQI) score (WMD = −1.75, 95% CI: −1.88, −1.62, p < 0.001); Hamilton depression scale (HAMD) score (WMD = −5.08, 95% CI: −5.46, −4.69, p < 0.001), Hamilton anxiety scale (HAMA) score (WMD = −2.18, 95% CI: −2.98, −1.37, p < 0.001), and self-rating anxiety scale (SAS) score (WMD = −7.01, 95% CI: −7.72, −6.29, p < 0.001). Tai chi exercise has a good preventive and ameliorating effect on insomnia, which can relieve patients’ depression and anxiety, simultaneously enhancing various functions of the body. However, most of the included studies reported random assignment with some lack of specific descriptions, and the blinding of participants was difficult to achieve due to the nature of exercise, which may cause bias. Therefore, more high-quality, multi-center, and bigger-sample studies need to be included in the future to further verify the results. MDPI 2023-02-09 /pmc/articles/PMC9959787/ /pubmed/36833762 http://dx.doi.org/10.3390/ijerph20043074 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Yang, Min Yang, Jiaqi Gong, Mingjun Luo, Rui Lin, Qinqin Wang, Baihui Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials |
title | Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials |
title_full | Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials |
title_fullStr | Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials |
title_full_unstemmed | Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials |
title_short | Effects of Tai Chi on Sleep Quality as Well as Depression and Anxiety in Insomnia Patients: A Meta-Analysis of Randomized Controlled Trials |
title_sort | effects of tai chi on sleep quality as well as depression and anxiety in insomnia patients: a meta-analysis of randomized controlled trials |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959787/ https://www.ncbi.nlm.nih.gov/pubmed/36833762 http://dx.doi.org/10.3390/ijerph20043074 |
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