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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 5/2018

01-10-2018

Body Composition Outcomes of Tai Chi and Qigong Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Authors: Linda K. Larkey, Dara James, Michael Belyea, Mihyun Jeong, Lisa L. Smith

Published in: International Journal of Behavioral Medicine | Issue 5/2018

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Abstract

Purpose

Meditative movement (MM) practices are increasingly being studied, including examination of the potential for these modalities to contribute to weight management.

Methods

A search was conducted for randomized controlled trials testing one or both of two forms of MM, Tai Chi and Qigong, reporting effects on changes in body composition. Data from these studies were extracted and tabled, and a meta-analysis of studies with inactive control conditions was conducted. Risk of bias was assessed, and seven RCTs had a low risk of bias. Sources of bias include publication bias and selection of English only.

Results

Publications meeting inclusion criteria yielded 24 studies (N = 1621 participants). Significant improvements in body composition, primarily body mass index, were noted for 41.7% of studies. A synthesis table describes the distribution of design factors, including type of comparison condition (inactive vs. active) and baseline body composition status (whether or not overweight/obese). A meta-analysis was conducted on 12 studies with inactive controls (using a random effects model) finding a small-to-medium treatment effect (SMD = − 0.388, CI = [− 0.732, − 0.044], t = 2.48, p < 0.03) for TC or QG interventions with a high level of heterogeneity.

Conclusions

Tai Chi and Qigong show demonstrable effects on body composition, when compared to inactive control conditions. Systematic evaluation and valid conclusions regarding the impact of Tai Chi and Qigong on body composition outcomes will require more targeted study designs and control of comparison conditions.
Literature
1.
Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. J Am Med Assoc. 2010;303:235–41.CrossRef
2.
U.S. Department of Health & Human Services. The surgeon General’s call to action to prevent and decrease overweight and obesity. Rockville: U.S. Department of Health & Human Services, Public Health Service, Office of the Surgeon General; 2010.
3.
4.
5.
Cawley J, Meyerhoefer C. The medical care costs of obesity: an instrumental variables approach. J Health Econ. 2012;3:219–30.CrossRef
6.
La Forge R. Aligning mind and body: exploring the disciplines of mindful exercise. ACSMs Health Fit J. 2005;9:7–14.CrossRef
7.
Larkey LK, Jahnke R, Etnier J, Gonzalez J. Meditative movement as a category of exercise: implications for research. J Phys Act Health. 2009;6:230–8.CrossRefPubMed
8.
Lan C, Chou S, Chen S, Lai J, Wong M. The aerobic capacity and ventilatory efficiency during exercise in qigong and tai chi chuan practitioners. Am J Chin Med. 2004;32:141–50.CrossRefPubMed
9.
Taylor-Piliae RE, Froelicher ES. The effectiveness of tai chi exercise in improving aerobic capacity: a meta-analysis. J Cardiovasc Nurs. 2004;19:48–57.CrossRefPubMed
10.
Smith LL, Wherry SJ, Larkey LK, Ainsworth BE, Swan PD. Energy expenditure and cardiovascular responses to tai chi easy. Complement Ther Med. 2015;23:802–5.CrossRefPubMed
11.
Ross A, Thomas S. The health benefits of yoga and exercise: a review of comparison studies. J Altern Complement Med. 2010;16:3–12.CrossRefPubMed
12.
Jahnke RJ. The healing promise of qi: creating extraordinary wellness through qigong and tai chi. Chicago: Contemporary Books; 2002.
13.
14.
Pace TW, Negi LT, Adame DD, Cole SP, Silvilli TI. Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology. 2004;34:87–98.CrossRef
15.
Livhits M, Mercado C, Yermilov I, Parikh JA, Dutson MM. Behavioral factors associated with successful weight loss after gastric bypass. Am Surg. 2010;76:1139–42.PubMed
16.
Miller CK, Kristeller JL, Headings A, Nagaraja H, Miser WF. Comparative effectiveness of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a pilot study. J Acad Nutr Diet. 2012;112:1835–42.CrossRefPubMedPubMedCentral
17.
Song A, Fernstrom MH. Nutritional and psychological considerations after bariatric surgery. Aesthet Surg J. 2008;28:195–9.CrossRefPubMed
18.
Olson KL, Emery CF. Mindfulness and weight loss: a systematic review. Psychosom Med. 2014;77:59–67.CrossRef
19.
Jeter PE, Slutsky J, Singh N, Khalsa SBS. Yoga as a therapeutic intervention: a bibliometric analysis of published research studies from 1967 to 2013. J Altern Complement Med 2015. 2015;21:586–92.CrossRefPubMedPubMedCentral
20.
Lauche R, Langhorst J, Lee MS, Dobos G, Cramer H. A systematic review and meta-analysis on the effects of yoga on weight-related outcomes. Prev Med. 2016;87:213–32.CrossRefPubMed
21.
Moher D, Liberati A, Tetzlaff J, Atlman D. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(264Y9)CrossRefPubMed
22.
Chen SC, Ueng KC, Lee SH, Sun KT, Lee MC. Effect of t’ai chi exercise on biochemical profiles and oxidative stress indicators in obese patients with type 2 diabetes. J Altern Complement Med. 2010;16:1153–9.CrossRefPubMed
23.
Cheung BM, Lo JL, Fong DY, Chan MY, Wong SH, Wong VC, et al. Randomized controlled trial of qigong in the treatment of mild essential hypertension. J Hum Hypertens. 2005;19:697–704.CrossRefPubMed
24.
Dechamps A, Gatta B, Bourdel-Marchasson I, Tabarin A, Roger P. Pilot study of a 10-week multidisciplinary tai chi intervention in sedentary obese women. Clin J Sport Med. 2009;19:49–53.CrossRefPubMed
25.
Galantino ML, Capito L, Kane RJ, Ottey N, Switzer S, Packel L. The effects of tai chi and walking on fatigue and body mass index in women living with breast cancer: a pilot study. Rehabil Oncol. 2003;21:17–22.CrossRef
26.
Hui SS, Xie YJ, Woo J, Kwok TC. Practicing tai chi had lower energy metabolism than walking but similar health benefits in terms of aerobic fitness, resting energy expenditure, body composition and self-perceived physical health. Complement Ther Med. 2016;27:43–50.CrossRefPubMed
27.
Hung HM, Yeh SH, Chen CH. Effects of qigong exercise on biomarkers and mental and physical health in adults with at least one risk factor for coronary artery disease. Biol Res Nurs. 2016;18:264–73.CrossRefPubMed
28.
Janelsins MC, Davis PG, Wideman L, Katula JA, Sprod LK, Peppone LJ, et al. Effects of tai chi Chuan on insulin and cytokine levels in a randomized controlled pilot study on breast cancer survivors. Clin Breast Cancer. 2011;11:161–70.CrossRefPubMedPubMedCentral
29.
Larkey LK, Roe DJ, Smith L, Millstine D. Exploratory outcome assessment of qigong/tai chi easy on breast cancer survivors. Complement Ther Med. 2016;29:196–203.CrossRefPubMedPubMedCentral
30.
Li R, Jin L, Hong P, He ZH, Huang CY, Zhao JX, et al. The effect of baduanjin on promoting the physical fitness and health of adults. Evid Based Complement Alternat Med. 2014;2014:784059.PubMedPubMedCentral
31.
Liu X, Vitetta L, Kostner K, Crompton D, Williams G, Brown WJ, et al. The effects of tai chi in centrally obese adults with depression symptoms. Evid Based Complement Alternat Med. 2015;2015:879712.PubMedPubMedCentral
32.
Liu X, Miller YD, Burton NW, Change JH, Brown WJ. Qi-gong mind–body therapy and diabetes control. a randomized controlled trial. Am J Prev Med. 2011;41:152–8.CrossRefPubMed
33.
Mustian KM, Katula JA, Zhao H. A pilot study to assess the influence of tai chi Chuan on functional capacity among breast cancer survivors. J Support Oncol. 2006;4:139–45.PubMed
34.
Pippa L, Manzoli L, Corti I, Congedo G, Romanazzi L, Parruti G. Functional capacity after traditional Chinese medicine (qi gong) training in patients with chronic atrial fibrillation: a randomized controlled trial. Prev Cardiol. 2007;10:22–5.CrossRefPubMed
35.
Song R, Lee EO, Lam P, Bae SC. Effects of tai chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis: a randomized clinical trial. J Rheumatol. 2003;30:2039–44.PubMed
36.
Song R, Lee EO, Lam P, Bae SC. Effects of a sun-style tai chi exercise on arthritic symptoms, motivation and the performance of health behaviors in women with osteoarthritis. Taehan Kanho Hakhoe Chi. 2007;37:249–56.PubMed
37.
Sun J, Buys N. Community-based mind–body meditative tai chi program and its effects on improvement of blood pressure, weight, renal function, serum lipoprotein, and quality of life in Chinese adults with hypertension. Am J Cardiol. 2015;116:1076–81.CrossRefPubMed
38.
Sun GC, Ding X, Zhou XH, Putiri A, Bradley R. Effects of Yi Ren medical qigong on body weight in people with type 2 diabetes mellitus: a secondary analysis of a randomized controlled pilot study. J Integr Med Ther. 2014;1:1–5.
39.
Thomas GN, Hong AW, Tomlinson B, Lau E, Lam CW, Sanderson JE, et al. Effects of tai chi and resistance training on cardiovascular risk factors in elderly Chinese subjects: a 12-month longitudinal, randomized, controlled intervention study. Clin Endocrinol. 2005;63:663–9.CrossRef
40.
Thongthawee B, Sangwatanaroj S, Sanguanrungsirikul S. Effects of guang-im-ju-jai-gong qigong on endothelial function, cardio-ankle vascular index (CAVI), ankle brachial index (ABI) in female adults with metabolic syndrome. J Exerc Physiol Online. 2016;19
41.
Tsai JC, Wang WH, Chan P, Lin LJ, Wang CH, Tomlinson B, et al. The beneficial effects of tai chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. J Altern Complement Med. 2003;9:747–54.CrossRefPubMed
42.
Tsang T, Orr R, Lam P, Comino EJ, Singh MF. Health benefits of tai chi for older patients with type 2 diabetes: the “move for diabetes study”—a randomized controlled trial. Clin Interv Aging. 2007;2:429–39.PubMedPubMedCentral
43.
Wang C, Schmid CH, Hibberd PL, Kalish R, Roubenoff R, Rones R, et al. Tai chi is effective in treating knee osteoarthritis: a randomized controlled trial. Arthritis Rheum. 2009;15:1545–53.CrossRef
44.
Wolf SL, O’Grady M, Easley KA, Guo Y, Kressig RW, Kutner M. The influence of intense tai chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. J Gerontol A Biol Sci Med Sci. 2006;61:184–9.CrossRefPubMed
45.
Young DR, Appel LJ, Jee S, Miller ER III. The effects of aerobic exercise and T’ai chi on blood pressure in older people: results of a randomized trial. J Am Geriatr Soc. 1999;47:277–84.CrossRefPubMed
46.
Youngwanichsetha S, Phumdoung S, Ingkathawornwong T. The effects of mindfulness eating and yoga exercise on blood sugar levels of pregnant women with gestational diabetes mellitus. Appl Nurs Res. 2014;27:227–30.CrossRefPubMed
47.
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17:1–12.CrossRef
48.
Manzaneque JM, Vera FM, Maldonado EF, Carranque G, Cubero VM. Assessment of immunological parameters following a qigong training program. Med Sci Monit. 2004;10:CR264–70.PubMed
49.
Larkey LK, Vega-López S, Keller C, McClain D, Ainsworth B, Ohri-Vachaspati P, et al. A biobehavioral model of weight loss associated with meditative movement practice among breast cancer survivors. Health Psychol Open. 2014;1:2055102914565495.CrossRefPubMedPubMedCentral
50.
Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale: Erlbaum; 1988.
51.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. Br Med J. 2003;327:557–60.CrossRef
52.
Yang Y, Grubisich SA. Taijiquan: the art of nurturing, the science of power. Champaign: Zhen Wu; 2005.
53.
Jahnke R, Larkey LK, Rogers CE. Dissemination and benefits of an accessible tai-chi-qigong (TCQG) program for older adults. Geriatr Nurs. 2010;31:272–80.CrossRefPubMed
Metadata
Title
Body Composition Outcomes of Tai Chi and Qigong Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Authors
Linda K. Larkey
Dara James
Michael Belyea
Mihyun Jeong
Lisa L. Smith
Publication date
01-10-2018
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 5/2018
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-018-9725-0

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