The Effect of Tai Chi on Cardiometabolic Risk Factors: Systematic Review and Meta-Analysis

作者：Mingming Wang, Dong Wang, Yongchao Liao, Ruipeng Li, Yufei Zhong, Jiayuan Zhang · 发表于：Journal of Integrative and Complementary Medicine · 年份：2025 · DOI：10.1089/jicm.2024.0759 · 被引用次数：1 · 研究领域：Cardiovascular and exercise physiology、Balance, Gait, and Falls Prevention、Physical Activity and Health

Background and Aim:Cardiovascular diseases (CVDs), the leading cause of sudden death, are primarily driven by metabolic dysfunction, a core mechanism underlying their onset and progression. Emerging research suggests that Tai Chi, an ancient martial art, positively impacts metabolic health. Accordingly, we sought to conduct a systematic review to examine clinical evidence regarding the effectiveness and safety of Tai Chi in managing cardiometabolic risk factors (CRFs). Methods and Results:A comprehensive literature search of eight electronic databases identified randomized controlled trials (RCTs) that met predefined inclusion criteria, focusing on adults with CRFs such as obesity, hyperlipidemia, hypertension, and glycemic dysregulation. Interventions involving Tai Chi were compared with nonexercise controls or other exercise modalities. Outcomes included lipid profiles, blood pressure, blood glucose, body composition, and adverse events. Results:Thirteen RCTs involving 1746 participants were included. Tai Chi significantly reduced triglycerides (TG) (mean difference [MD] = −0.20, p < 0.0001), fasting blood glucose (MD = −0.36, p = 0.025), DBP (MD = −4.49, p = 0.010), and waist circumference (MD = −3.34, p = 0.0001), while increasing high-density lipoprotein cholesterol (MD = 0.09, p < 0.0001) compared with nonexercise interventions. Compared with other exercises, Tai Chi reduced total cholesterol (MD = −0.33, p = 0.007) and TG (MD = −0.14, p = 0.0056). The Grading of Recomm...