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Sleep and Breathing

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20-07-2023 | Sleep Breathing Physiology and Disorders • Review

Effects of different Chinese traditional exercises on sleep quality and mental health of adults: systematic review and meta-analysis

Authors: Jin Dong, Desheng Wang, Hang Li, HengBo Ni

Published in: Sleep and Breathing | Issue 1/2024

Abstract

Objective

To evaluate the effects of traditional Chinese exercises on sleep quality and mental health in adults with different health statuses.

Method

This review was registered a priori (CRD42023382188) and executed according to PRISMA statement guidelines. We searched the databases CNKI, China Biology Medicine disc (CBM), Wangfang, PubMed, Web of Science, and Embase from the date of database creation to March 2023. Two researchers independently screened the literature, extracted the data, evaluated the methodological quality of the included literature, and then used Revman 5.4 and Stata 17.0 for the corresponding statistical analysis and graphing.

Results

Thirty-four randomized controlled trials (RCTs) were included, with a total sample of 2563 adults (1276 in the experimental group and 1287 in the control group). The meta-analysis results showed that traditional Chinese exercise significantly improved sleep quality in different groups [WMD = − 1.58, 95% CI = − 2.17, − 1.00, P < 0.00001] and that Badaanjin was better than Taijiquan in improving sleep quality. For mental health, traditional Chinese exercise had good effects on anxiety [WMD = − 1.66, 95% CI = − 2.64, − 0.69, P = 0.0009] and depression [WMD = − 1.67, 95% CI = − 3.23, − 0.11, P = 0.04].

Conclusion

Traditional Chinese exercises can improve the quality of sleep and mental health in different groups of people and are highly recommended for good health effects.

Huang BH, Duncan MJ, Cistulli PA et al (2022) Sleep and physical activity about all-cause, cardiovascular disease and cancer mortality risk. Br J Sports Med 56(13):718–724. https://doi.org/10.1136/bjsports-2021-104046CrossRefPubMed

Guo Y, Shi H, Yu D et al (2016) Health benefits of traditional Chinese sports and physical activity for older adults: a systematic review of evidence. J Sport Health Sci 5(3):270–280. https://doi.org/10.1016/j.jshs.2016.07.002CrossRefPubMedPubMedCentral

Yang GY, Sabag A, Hao WL et al (2021) Tai Chi for health and well-being: a bibliometric analysis of published clinical studies between 2010 and 2020. Complement Ther Med 60:102748. https://doi.org/10.1016/j.ctim.2021.102748CrossRefPubMed

Yu AP, Tam BT, Lai CW et al (2018) Revealing the neural mechanisms underlying the beneficial effects of Tai Chi: a neuroimaging perspective. Am J Chin Med 46(2):231–259. https://doi.org/10.1142/S0192415X18500131CrossRefPubMed

Hsu MC, Wang TS, Liu YP et al (2008) Effects of Baduanjin exercise on oxidative stress and antioxidant status and improving quality of life among middle-aged women. Am J Chin Med 36(5):815–826. https://doi.org/10.1142/S0192415X08006260CrossRefPubMed

Yao L, Sun G, Wang J et al (2022) Effects of Baduanjin imagery and exercise on cognitive function in the elderly: a functional near-infrared spectroscopy study. Front Publ Health 10:968642. https://doi.org/10.3389/fpubh.2022.968642CrossRef

Yang L, Winters-Stone K, Rana B et al (2021) Tai Chi for cancer survivors: a systematic review toward consensus-based guidelines. Cancer Med 10(21):7447–7456. https://doi.org/10.1002/cam4.4273CrossRefPubMedPubMedCentral

Caldwell KL, Bergman SM, Collier SR, Travis Triplett N, Quin R, Bergquist J, Pieper CF (2016) Effects of Tai Chi Chuan on anxiety and sleep quality in young adults: lessons from a randomized controlled feasibility study. Nat Sci Sleep 8:305–14. https://doi.org/10.2147/NSS.S117392CrossRefPubMedPubMedCentral

Carcelén-Fraile MDC, Aibar-Almazán A, Martínez-Amat A, Jiménez-García JD, Brandão-Loureiro V, García-Garro PA, Fábrega-Cuadros R, Rivas-Campo Y, Hita-Contreras F (2022) Qigong for mental health and sleep quality in postmenopausal women: a randomized controlled trial. Medicine (Baltimore) 101(39):e30897. https://doi.org/10.1097/md.0000000000030897CrossRefPubMed

10.

Cetin SY, Calik BB, Ayan A (2020) Investigation of the effectiveness of Tai Chi exercise program in patients with scleroderma: a randomized controlled study. Complement Ther Clin Pract 40:101181. https://doi.org/10.1016/j.ctcp.2020.101181CrossRefPubMed

11.

Chan JS, Ho RT, Chung KF, Wang CW, Yao TJ, Ng SM, Chan CL (2014) Qigong exercise alleviates fatigue, anxiety, and depressive symptoms, improves sleep quality, and shortens sleep latency in persons with chronic fatigue syndrome-like illness. Evidence-Based Complementary and Alternative Medicine 2014:e106048. https://doi.org/10.1155/2014/106048CrossRef

12.

Chan SH, Chan WW, Chao JY, Chan PK (2020) A randomized controlled trial on the comparative effectiveness of mindfulness-based cognitive therapy and health Qigong-based cognitive therapy among Chinese people with depression and anxiety disorders. Bmc Psychiatry 20(1):1–14. https://doi.org/10.1186/s12888-020-02994-2MathSciNetCrossRef

13.

Chen M-C, Liu H-E, Huang H-Y, Chiou A-F (2012) The effect of a simple traditional exercise programme (Baduanjin exercise) on sleep quality of older adults: a randomized controlled trial. Int J Nurs Stud 49(3):265–273. https://doi.org/10.1016/j.ijnurstu.2011.09.009CrossRefPubMed

14.

Cheng D, Wang X, Hu J, Dai LL, Lv Y, Feng H, Zhang Y, Guo Y, Wang L (2021) Effect of Tai Chi and resistance training on cancer-related fatigue and quality of life in middle-aged and elderly cancer patients. Chin J Integr Med 27:265–272. https://doi.org/10.1007/s11655-021-3278-9.fCrossRefPubMed

15.

Cheung DST, Takemura N, Lam TC, Ho JCM, Deng W, Smith R, Yan Y, Lee AWM, Lin CC (2021) Feasibility of aerobic exercise and Tai-Chi interventions in advanced lung cancer patients: a randomized controlled trial”. Integr Cancer Ther 20:15347354211033352. https://doi.org/10.1177/15347354211033352CrossRefPubMedPubMedCentral

16.

Fan B, Song W, Zhang J, Er Y, Xie B, Zhang H, Liao Y et al (2020) The efficacy of mind-body (Baduanjin) exercise on self-reported sleep quality and quality of life in elderly subjects with sleep disturbances: a randomized controlled trial. Sleep Breathing 24(2):695–701. https://doi.org/10.1007/s11325-019-01999-wCrossRefPubMed

17.

Frye B, Scheinthal S, Kemarskaya T, Pruchno R (2007) Tai Chi and low impact exercise: effects on the physical functioning and psychological well-being of older people. J Appl Gerontol 26(5):433–453. https://doi.org/10.1177/0733464807306915CrossRef

18.

Yilmaz Gokmen G, Akkoyunlu ME, Kilic L, Algun C (2019) The effect of Tai Chi and Qigong training on patients with obstructive sleep apnea: a randomized controlled study. J Altern Complement Med 25(3):317–25. https://doi.org/10.1089/acm.2018.0197CrossRefPubMed

19.

Hosseini H, Esfirizi MF, Marandi SM, Rezaei A (2011) The effect of Ti Chi exercise on the sleep quality of the elderly residents in Isfahan, Sadeghieh elderly home. Iran J Nurs Midwifery Res 16(1):55–60PubMedPubMedCentral

20.

Irwin MR, Olmstead R, Carrillo C, Sadeghi N, Nicassio P, Ganz PA, Bower JE (2017) Tai Chi Chih compared with cognitive behavioral therapy for the treatment of insomnia in survivors of breast cancer: a randomized, partially blinded, noninferiority trial. J Clin Oncol 35(23):2656. https://doi.org/10.1200/JCO.2016.71.0285

21.

Irwin MR, Olmstead R, Motivala SJ (2008) Improving sleep quality in older adults with moderate sleep complaints: a randomized controlled trial of Tai Chi Chih. Sleep 31(7):1001–08PubMedPubMedCentral

22.

Jones KD, Sherman CA, Mist SD, Carson JW, Bennett RM, Li F (2012) A randomized controlled trial of 8-form Tai Chi improves symptoms and functional mobility in fibromyalgia patients. Clin Rheumatol 31(8):1205–14. https://doi.org/10.1007/s10067-012-1996-2CrossRefPubMedPubMedCentral

23.

Larkey LK, Roe DJ, Weihs KL, Jahnke R, Lopez AM, Rogers CE, Oh B, Guillen-Rodriguez J (2015) Randomized controlled trial of Qigong/Tai Chi easy on cancer-related fatigue in breast cancer survivors. Ann Behav Med 49(2):165–76. https://doi.org/10.1007/s12160-014-9645-4CrossRefPubMed

24.

Liao J, Chen Y, Cai L, Wang K, Wu S, Wu L, Song B, Hu M, Hou X (2022) Baduanjin’s impact on quality of life and sleep quality in breast cancer survivors receiving aromatase inhibitor therapy: A randomized controlled trial. Front Oncol 12:807531. https://doi.org/10.3389/fonc.2022.807531

25.

Lu J, Huang L, Xie Wu, Weijie Fu, Liu Yu (2017) Effect of Tai Ji Quan training on self-reported sleep quality in elderly Chinese women with knee osteoarthritis: a randomized controlled trail. Sleep Med 33:70–75. https://doi.org/10.1016/j.sleep.2016.12.024CrossRefPubMed

26.

Lu Y, Qu QH, Chen FY, Li XT, Cai L, Chen S, Sun YY (2019) Effect of Baduanjin Qigong exercise on cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy: a randomized controlled trial. Oncol Res Treat 42(9):431–38. https://doi.org/10.1159/000501127CrossRefPubMedPubMedCentral

27.

Nguyen MH, Kruse A (2012) A randomized controlled trial of Tai Chi for balance, sleep quality and cognitive performance in elderly Vietnamese. Clin Interv Aging 7:185–89. https://doi.org/10.2147/CIA.S32600CrossRefPubMedPubMedCentral

28.

McQuade JL, Prinsloo S, Chang DZ, Spelman A, Wei Q, Basen-Engquist K, Harrison C et al (2017) Qigong/Tai Chi for sleep and fatigue in prostate cancer patients undergoing radiotherapy: a randomized controlled trial. Psycho-Oncol 26(11):1936–43. https://doi.org/10.1002/pon.4256CrossRef

29.

Siu PM, Angus PY, Tam BT, Chin EC, Doris SY, Chung KF, Hui SS et al (2021) Effects of Tai Chi or exercise on sleep in older adults with insomnia a randomized clinical trial. Jama Netw Open 4(2):e2037199–e2037199. https://doi.org/10.1001/jamanetworkopen.2020.37199CrossRefPubMedPubMedCentral

30.

Song J, Wei L, Cheng K, Lin Q, Xia P, Wang X, Wang X, Yang T, Chen B, Ding A, Sun M, Chen A, Li X (2022) The Effect of modified tai chi exercises on the physical function and quality of life in elderly women with knee osteoarthritis. Front Aging Neurosci 14:860762. https://doi.org/10.3389/fnagi.2022.860762

31.

Taylor-Piliae RE, Hoke TM, Hepworth JT, Latt LD, Najafi B, Coull BM (2014) Effect of Tai Chi on physical function, fall rates and quality of life among older stroke survivors. Arch Phys Med Rehabil 95(5):816–24. https://doi.org/10.1016/j.apmr.2014.01.001CrossRefPubMed

32.

Wang C, Schmid CH, Fielding RA et al (2018) Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial[J/OL]. BMJ (Clinical research ed.) 360:k851. https://doi.org/10.1136/bmj.k851

33.

Wang S, Tian L, Ma T et al (2022) Effectiveness of tai chi on blood pressure, stress, fatigue, and sleep quality among chinese women with episodic migraine: a randomised controlled trial[J/OL]. Evidence-Based Complementary and Alternative Medicine 2022:e2089139. https://doi.org/10.1155/2022/2089139

34.

35.

Zhu D, Dai G, Xu D, Xu X, Geng J, Zhu W, Jiang X, Theeboom M (2018) Long-term effects of tai chi intervention on sleep and mental health of female individuals with dependence on amphetamine-type stimulants. Front Psychol 9:1476. https://doi.org/10.3389/fpsyg.2018.01476CrossRefPubMedPubMedCentral

36.

Fan X, Ma J, Liu SR, Song HY, Ju QB, Liao W (2015) The effects of different nourishing gong methods on sleep quality in patients with depressive sleep disorders of the heart and spleen deficiency type. Chin J Tradit Chin Med 33(5):1148–52. https://doi.org/10.13193/j.issn.1673-7717.2015.05.038CrossRef

37.

Qiang L (2016) Effects of 16 weeks of taijiquan exercise and 8 weeks of cessation on the mental health of older women. J Shandong Inst Phys Educ 32(6):99–103

38.

Wang F, Wang W, Wang W, Zhang R, Lin YN, Hong L, Zhao Y, Ni Q et al (2009) “Effects of different health maintenance gong methods on sleep quality in patients with type 2 diabetes mellitus with insomnia. J Beijing Univ Tradit Chin Med 32(9):636–40. https://doi.org/10.3321/j.issn:1006-2157.2009.09.017CrossRef

39.

Wang YW, Li XD, Bi X (2019) The effects of Badaanjin fitness qigong on sleep quality and memory function in community-dwelling older adults. Chin J Gerontol 39(14):3435–37. https://doi.org/10.3969/j.issn.1005-9202.2019.14.029CrossRef

40.

Yang C, Yan M, Junhua M et al (2021) Efficacy of Badaanjin combined with auricular acupressure in the treatment of novel coronavirus pneumonia with insomnia[J]. Chinese Acupuncture 41(03):243–246. https://doi.org/10.13703/j.0255-2930.20200327-0002

41.

Feiyi Z, Yiru D, Haixia Y, Li Aijun H, Ying ZZ, Hong X (2016) Evaluation of clinical efficacy of moxibustion combined with taijiquan and Jacobson progressive muscle relaxation training to intervene in exercise insomnia. J Shenyang Inst Phys Educ 35(5):75–80. https://doi.org/10.3969/j.issn.1004-0560.2016.05.014CrossRef

42.

Li Kuangshi W, Kang LY et al (2023) Effect of tai chi on fractional low-frequency amplitude in functional magnetic resonance imaging in patients with chronic fatigue syndrome. J Tradit Chin Med 64(4):370–376. https://doi.org/10.13288/j.11-2166/r.2023.04.011CrossRef

43.

Schumacher LM, Farris SG, Thomas JG (2023) Interrelationships of sleep quality, obesity severity, and clinical headache features among women with comorbid migraine and obesity. J Clin Med 12(5):1742. https://doi.org/10.3390/jcm12051742CrossRefPubMedPubMedCentral

44.

Cheng FK (2015) Effects of Baduanjin on mental health: a comprehensive review. J Bodyw Mov Ther 19(1):138–149. https://doi.org/10.1016/j.jbmt.2014.11.001CrossRefPubMed

45.

Zou L, Pan Z, Yeung A et al (2018) A review study on the beneficial effects of Baduanjin. J Altern Complement Med 24(4):324–335. https://doi.org/10.1089/acm.2017.0241CrossRefPubMed

46.

Koh T (1982) Baduanjin - an ancient Chinese exercise. Am J Chin Med 10(1–4):14–21. https://doi.org/10.1142/S0192415X8200004XCrossRefPubMed

47.

Zhang Y, Wu J, Wang X et al (2022) Baduanjin exercise for balance function in community-dwelling older adults with cognitive frailty: a randomized controlled trial protocol. Bmc Complement Med Ther 22(1):295. https://doi.org/10.1186/s12906-022-03764-1CrossRefPubMedPubMedCentral

48.

Jiang YH, Tan C, Yuan S (2017) Baduanjin exercise for insomnia: a systematic review and meta-analysis. Behav Sleep Med 0(0):1–13. https://doi.org/10.1080/15402002.2017.1363042CrossRef

49.

Yang F, Lyu D, Yan R et al (2018) Effect of Tai Chi for post-stroke mental disorders and sleep disorders. Medicine 97(39):e12554. https://doi.org/10.1097/MD.0000000000012554CrossRefPubMedPubMedCentral

50.

Jia D, Zhou J, Xu Y (2022) Effectiveness of traditional Chinese health-promoting exercise as an adjunct therapy for drug use disorders: a systematic review and meta-analysis. J Integr Complement Med 28(4):294–308. https://doi.org/10.1089/jicm.2021.0285CrossRefPubMed

51.

Simko F, Baka T, Paulis L et al (2016) Elevated heart rate and non dipping heart rate as potential targets for melatonin: a review. J Pineal Res 61(2):127–137. https://doi.org/10.1111/jpi.12348CrossRefPubMed

52.

Guo Y, Qiu P, Liu T (2014) Tai Ji Quan: an overview of its history, health benefits, and cultural value[J/OL]. J Sport Health Sci 3(1):3–8. https://doi.org/10.1016/j.jshs.2013.10.004CrossRef

53.

Yang F, Zhang J (2022) Traditional Chinese sports under China’s health strategy. J Environ Public Health 2022:e1381464. https://doi.org/10.1155/2022/1381464CrossRef

54.

Zou L, Sasaki JE, Wang H et al (2017) A systematic review and meta-analysis of Baduanjin Qigong for health benefits: randomized controlled trials. Evid-based Complement Altern Med 2017:e4548706. https://doi.org/10.1155/2017/4548706CrossRef

Title: Effects of different Chinese traditional exercises on sleep quality and mental health of adults: systematic review and meta-analysis
Authors: Jin Dong
Desheng Wang
Hang Li
HengBo Ni
Publication date: 20-07-2023
Publisher: Springer International Publishing
Published in: Sleep and Breathing / Issue 1/2024
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-023-02881-6

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