The Effect of Tai Chi for Improving Sleep Quality: A Systematic Review and Meta-analysis

Huanjie Li; Juexuan Chen; Guangzhen Xu; Yuting Duan; Danxuan Huang; Chunzhi Tang; Jihong Liu

doi:10.1016/j.jad.2020.05.076

The Effect of Tai Chi for Improving Sleep Quality: A Systematic Review and Meta-analysis

Huanjie Li, Juexuan Chen, Guangzhen Xu, Yuting Duan, Danxuan Huang, Chunzhi Tang^*, Jihong Liu^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

37 Citations (Scopus)

Abstract

Background: Sleep quality is a major concern around the world, yet currently there are no recognized non-pharmacological treatments. A systematic review and meta-analysis investigated Tai Chi's effect on patients with sleep complaints, both those with insomnia and those with other conditions.

Methods: 4 English language databases (MEDLINE, EMBASE, PsycINFO, and CENTRAL) and 4 Chinese databases (CNKI, CBM, VIP, and Wanfang Data) were searched from database inception through June 23, 2019. Searches were conducted in both English and Chinese language. Meta-analysis by mean difference (MD) and 95% confidence interval (CI) was performed with RevMan 5.3. Risk of bias for each study was accounted for according to the Cochrane Handbook.

Results: Twenty randomized controlled studies from five countries covering 1,703 patients were included and divided into two control groups. Tai Chi had a significant effect on the Pittsburgh Sleep Quality Index (PSQI) compared with non-treatment and active treatment groups. Moreover, the articles were divided into groups according to Tai Chi styles. Both 24-form Yang-style Tai Chi and 8-form Yang-style Tai Chi had significant effects on PSQI.

Limitations: One limitation of our work was that there were some forms of insomnia for which conclusions could not be drawn. Also, no relationship between efficacy and any of the factors could be elucidated.

Conclusions: Compared with non-therapeutic and other active treatments, Tai Chi has a positive effect on improving sleep quality. In-depth analysis showed that 24-form and 8-form Yang style Tai Chi have significant positive effects on sleep quality, as assessed by PSQI.

Original language	English
Pages (from-to)	1102-1112
Number of pages	11
Journal	Journal of Affective Disorders
Volume	274
DOIs	https://doi.org/10.1016/j.jad.2020.05.076
Publication status	Published - 1 Sept 2020

Scopus Subject Areas

Clinical Psychology
Psychiatry and Mental health

User-Defined Keywords

Insomnia
Meta-analysis
Review
Sleep quality
Tai Chi

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jad.2020.05.076

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@article{fb769eb4c3414f44a5eeaae4128b89f5,

title = "The Effect of Tai Chi for Improving Sleep Quality: A Systematic Review and Meta-analysis",

abstract = "Background: Sleep quality is a major concern around the world, yet currently there are no recognized non-pharmacological treatments. A systematic review and meta-analysis investigated Tai Chi's effect on patients with sleep complaints, both those with insomnia and those with other conditions.Methods: 4 English language databases (MEDLINE, EMBASE, PsycINFO, and CENTRAL) and 4 Chinese databases (CNKI, CBM, VIP, and Wanfang Data) were searched from database inception through June 23, 2019. Searches were conducted in both English and Chinese language. Meta-analysis by mean difference (MD) and 95% confidence interval (CI) was performed with RevMan 5.3. Risk of bias for each study was accounted for according to the Cochrane Handbook.Results: Twenty randomized controlled studies from five countries covering 1,703 patients were included and divided into two control groups. Tai Chi had a significant effect on the Pittsburgh Sleep Quality Index (PSQI) compared with non-treatment and active treatment groups. Moreover, the articles were divided into groups according to Tai Chi styles. Both 24-form Yang-style Tai Chi and 8-form Yang-style Tai Chi had significant effects on PSQI.Limitations: One limitation of our work was that there were some forms of insomnia for which conclusions could not be drawn. Also, no relationship between efficacy and any of the factors could be elucidated.Conclusions: Compared with non-therapeutic and other active treatments, Tai Chi has a positive effect on improving sleep quality. In-depth analysis showed that 24-form and 8-form Yang style Tai Chi have significant positive effects on sleep quality, as assessed by PSQI.",

keywords = "Insomnia, Meta-analysis, Review, Sleep quality, Tai Chi",

author = "Huanjie Li and Juexuan Chen and Guangzhen Xu and Yuting Duan and Danxuan Huang and Chunzhi Tang and Jihong Liu",

note = "Funding Information (Section snippets): This work was supported by the Science and Technology Innovation Project of Foshan, China (NO.2017AG100201). Publisher Copyright: {\textcopyright} 2020 Published by Elsevier B.V.",

year = "2020",

month = sep,

day = "1",

doi = "10.1016/j.jad.2020.05.076",

language = "English",

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T1 - The Effect of Tai Chi for Improving Sleep Quality

T2 - A Systematic Review and Meta-analysis

AU - Li, Huanjie

AU - Chen, Juexuan

AU - Xu, Guangzhen

AU - Duan, Yuting

AU - Huang, Danxuan

AU - Tang, Chunzhi

AU - Liu, Jihong

N1 - Funding Information (Section snippets): This work was supported by the Science and Technology Innovation Project of Foshan, China (NO.2017AG100201). Publisher Copyright: © 2020 Published by Elsevier B.V.

PY - 2020/9/1

Y1 - 2020/9/1

N2 - Background: Sleep quality is a major concern around the world, yet currently there are no recognized non-pharmacological treatments. A systematic review and meta-analysis investigated Tai Chi's effect on patients with sleep complaints, both those with insomnia and those with other conditions.Methods: 4 English language databases (MEDLINE, EMBASE, PsycINFO, and CENTRAL) and 4 Chinese databases (CNKI, CBM, VIP, and Wanfang Data) were searched from database inception through June 23, 2019. Searches were conducted in both English and Chinese language. Meta-analysis by mean difference (MD) and 95% confidence interval (CI) was performed with RevMan 5.3. Risk of bias for each study was accounted for according to the Cochrane Handbook.Results: Twenty randomized controlled studies from five countries covering 1,703 patients were included and divided into two control groups. Tai Chi had a significant effect on the Pittsburgh Sleep Quality Index (PSQI) compared with non-treatment and active treatment groups. Moreover, the articles were divided into groups according to Tai Chi styles. Both 24-form Yang-style Tai Chi and 8-form Yang-style Tai Chi had significant effects on PSQI.Limitations: One limitation of our work was that there were some forms of insomnia for which conclusions could not be drawn. Also, no relationship between efficacy and any of the factors could be elucidated.Conclusions: Compared with non-therapeutic and other active treatments, Tai Chi has a positive effect on improving sleep quality. In-depth analysis showed that 24-form and 8-form Yang style Tai Chi have significant positive effects on sleep quality, as assessed by PSQI.

AB - Background: Sleep quality is a major concern around the world, yet currently there are no recognized non-pharmacological treatments. A systematic review and meta-analysis investigated Tai Chi's effect on patients with sleep complaints, both those with insomnia and those with other conditions.Methods: 4 English language databases (MEDLINE, EMBASE, PsycINFO, and CENTRAL) and 4 Chinese databases (CNKI, CBM, VIP, and Wanfang Data) were searched from database inception through June 23, 2019. Searches were conducted in both English and Chinese language. Meta-analysis by mean difference (MD) and 95% confidence interval (CI) was performed with RevMan 5.3. Risk of bias for each study was accounted for according to the Cochrane Handbook.Results: Twenty randomized controlled studies from five countries covering 1,703 patients were included and divided into two control groups. Tai Chi had a significant effect on the Pittsburgh Sleep Quality Index (PSQI) compared with non-treatment and active treatment groups. Moreover, the articles were divided into groups according to Tai Chi styles. Both 24-form Yang-style Tai Chi and 8-form Yang-style Tai Chi had significant effects on PSQI.Limitations: One limitation of our work was that there were some forms of insomnia for which conclusions could not be drawn. Also, no relationship between efficacy and any of the factors could be elucidated.Conclusions: Compared with non-therapeutic and other active treatments, Tai Chi has a positive effect on improving sleep quality. In-depth analysis showed that 24-form and 8-form Yang style Tai Chi have significant positive effects on sleep quality, as assessed by PSQI.

KW - Insomnia

KW - Meta-analysis

KW - Review

KW - Sleep quality

KW - Tai Chi

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DO - 10.1016/j.jad.2020.05.076

M3 - Review article

C2 - 32663938

AN - SCOPUS:85086467508

SN - 0165-0327

VL - 274

SP - 1102

EP - 1112

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

ER -

The Effect of Tai Chi for Improving Sleep Quality: A Systematic Review and Meta-analysis

Abstract

Scopus Subject Areas

User-Defined Keywords

UN SDGs

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