PDF(Pubmed)
Abstract：
OBJECTIVE: In light of the mounting prevalence of stress in contemporary society and the growing interest in stress reduction methods, this review investigates the potential of taiji as a viable strategy for alleviating stress.
METHODS: MEDLINE, EMBASE, the Cochrane Controlled Trials Register (CENTRAL), PsycINFO, and Web of Science were searched up to April 2023 to identify randomized controlled trials of taiji. Studies in both patients and healthy populations were considered. They had to provide a measure of perceived stress and include a no treatment or placebo control group. Data were extracted by two reviewers. Pooled standardized mean differences (SMD) were calculated for perceived stress, biological stress markers, anxiety, depression, and quality of life (QoL). Meta-regression analyses were performed to identify sources of heterogeneity.
RESULTS: Eleven trials with a total of 1323 patients comparing taiji to no intervention met the inclusion criteria. The included studies varied strongly with regard to patient characteristics, taiji intervention, and methodological quality. The overall SMD for perceived stress was significant at -0.41 (95% confidence interval, CI, -0.63 to -0.19; I2 = 63%). Exclusion of studies with less than 100 participants yielded a diminished SMD at -0.26 (95% CI, -0.45 to -0.06). The SMD for perceived stress at follow-up was significant (-0.25, 95% CI -0.46 to -0.05). Secondary outcomes highlighted improvements in anxiety and physical QoL, while depression, mental QoL, and biological stress markers remained unchanged.
CONCLUSIONS: Results underscore taiji\'s potential in mitigating perceived stress in both patients and healthy populations, paralleled by enhancements in depressive symptoms, anxiety levels, and physical QoL.
METHODS: MEDLINE, EMBASE, the Cochrane Controlled Trials Register (CENTRAL), PsycINFO, and Web of Science were searched up to April 2023 to identify randomized controlled trials of taiji. Studies in both patients and healthy populations were considered. They had to provide a measure of perceived stress and include a no treatment or placebo control group. Data were extracted by two reviewers. Pooled standardized mean differences (SMD) were calculated for perceived stress, biological stress markers, anxiety, depression, and quality of life (QoL). Meta-regression analyses were performed to identify sources of heterogeneity.
RESULTS: Eleven trials with a total of 1323 patients comparing taiji to no intervention met the inclusion criteria. The included studies varied strongly with regard to patient characteristics, taiji intervention, and methodological quality. The overall SMD for perceived stress was significant at -0.41 (95% confidence interval, CI, -0.63 to -0.19; I2 = 63%). Exclusion of studies with less than 100 participants yielded a diminished SMD at -0.26 (95% CI, -0.45 to -0.06). The SMD for perceived stress at follow-up was significant (-0.25, 95% CI -0.46 to -0.05). Secondary outcomes highlighted improvements in anxiety and physical QoL, while depression, mental QoL, and biological stress markers remained unchanged.
CONCLUSIONS: Results underscore taiji\'s potential in mitigating perceived stress in both patients and healthy populations, paralleled by enhancements in depressive symptoms, anxiety levels, and physical QoL.
摘要：
目的：鉴于当代社会的压力日益普遍，人们对减轻压力的方法越来越感兴趣，这篇综述调查了太极作为缓解压力的可行策略的潜力。
方法：MEDLINE，EMBASE,Cochrane控制试验登记册（中央），PsycINFO,和WebofScience在2023年4月之前进行了搜索，以确定太极拳的随机对照试验。考虑了对患者和健康人群的研究。他们必须提供感知压力的量度，并包括无治疗或安慰剂对照组。数据由两名审阅者提取。计算了感知压力的汇总标准化平均差(SMD)，生物应激标记，焦虑,抑郁症,和生活质量(QoL)。进行荟萃回归分析以确定异质性的来源。
结果：11项试验共1323例患者比较太极拳和无干预措施符合纳入标准。纳入的研究在患者特征方面差异很大，太极干预,和方法学质量。感知压力的整体SMD在-0.41处显著(95%置信区间，CI，-0.63至-0.19；I2=63%）。排除少于100名参与者的研究后，SMD降低，为-0.26（95％CI，-0.45至-0.06）。随访时感知压力的SMD是显着的（-0.25，95％CI-0.46至-0.05）。次要结果强调了焦虑和身体QoL的改善，而抑郁症,心理QoL,生物应激标志物保持不变。
结论：结果强调了太极拳在减轻患者和健康人群的感知压力方面的潜力，伴随着抑郁症状的增强，焦虑程度,和身体QoL。
方法：MEDLINE，EMBASE,Cochrane控制试验登记册（中央），PsycINFO,和WebofScience在2023年4月之前进行了搜索，以确定太极拳的随机对照试验。考虑了对患者和健康人群的研究。他们必须提供感知压力的量度，并包括无治疗或安慰剂对照组。数据由两名审阅者提取。计算了感知压力的汇总标准化平均差(SMD)，生物应激标记，焦虑,抑郁症,和生活质量(QoL)。进行荟萃回归分析以确定异质性的来源。
结果：11项试验共1323例患者比较太极拳和无干预措施符合纳入标准。纳入的研究在患者特征方面差异很大，太极干预,和方法学质量。感知压力的整体SMD在-0.41处显著(95%置信区间，CI，-0.63至-0.19；I2=63%）。排除少于100名参与者的研究后，SMD降低，为-0.26（95％CI，-0.45至-0.06）。随访时感知压力的SMD是显着的（-0.25，95％CI-0.46至-0.05）。次要结果强调了焦虑和身体QoL的改善，而抑郁症,心理QoL,生物应激标志物保持不变。
结论：结果强调了太极拳在减轻患者和健康人群的感知压力方面的潜力，伴随着抑郁症状的增强，焦虑程度,和身体QoL。
