Meta-Analysis

.2019 Oct;27(10):3701-3716.

doi: 10.1007/s00520-019-04911-0. Epub 2019 Jun 24.

The effects of Tai Chi on quality of life of cancer survivors: a systematic review and meta-analysis

Xiaosha Ni¹, Raymond Javan Chan^{2 3}, Patsy Yates^{2 4}, Wenyi Hu¹, Xianhong Huang¹, Yan Lou⁵

Affiliations

¹ Hangzhou Normal University, No. 2318,Yuhangtang Rd, Cangqian, Yuhang District, 311121, Hangzhou, Zhejiang Province, People's Republic of China.
² Queensland University of Technology, Kelvin Grove, Brisbane, QLD, 4059, Australia.
³ Princess Alexandra Hospital, Woolloongabba, QLD, 4102, Australia.
⁴ Royal Brisbane and Women's Hospital, Butterfield St, Herston, QLD, 4029, Australia.
⁵ Hangzhou Normal University, No. 2318,Yuhangtang Rd, Cangqian, Yuhang District, 311121, Hangzhou, Zhejiang Province, People's Republic of China. lygreen0924@hotmail.com.

PMID:31236699
DOI: 10.1007/s00520-019-04911-0

Meta-Analysis

The effects of Tai Chi on quality of life of cancer survivors: a systematic review and meta-analysis

Xiaosha Ni et al. Support Care Cancer.2019 Oct.

.2019 Oct;27(10):3701-3716.

doi: 10.1007/s00520-019-04911-0. Epub 2019 Jun 24.

Authors

Xiaosha Ni¹, Raymond Javan Chan^{2 3}, Patsy Yates^{2 4}, Wenyi Hu¹, Xianhong Huang¹, Yan Lou⁵

Affiliations

¹ Hangzhou Normal University, No. 2318,Yuhangtang Rd, Cangqian, Yuhang District, 311121, Hangzhou, Zhejiang Province, People's Republic of China.
² Queensland University of Technology, Kelvin Grove, Brisbane, QLD, 4059, Australia.
³ Princess Alexandra Hospital, Woolloongabba, QLD, 4102, Australia.
⁴ Royal Brisbane and Women's Hospital, Butterfield St, Herston, QLD, 4029, Australia.
⁵ Hangzhou Normal University, No. 2318,Yuhangtang Rd, Cangqian, Yuhang District, 311121, Hangzhou, Zhejiang Province, People's Republic of China. lygreen0924@hotmail.com.

PMID:31236699
DOI: 10.1007/s00520-019-04911-0

Abstract

Purposes: To assess the effects of Tai Chi on quality of life (QOL) of cancer survivors.

Methods: The following databases were searched: PubMed, Cochrane CENTRAL, EBSCO (including MEDLINE, CINAHL, and other databases), ScienceDirect, CNKI, Wangfang Data, and CQVIP until April 25, 2018. Randomized controlled trials (RCTs) published in English or Chinese examining the effects of Tai Chi intervention for cancer survivors were included. The primary outcome was QOL; the secondary outcomes were limb function/muscular strength, immune function indicators, cancer-related fatigue (CRF), and sleep disturbance. Methodological quality was assessed using the Cochrane Risk of Bias tool. Results of RCTs were pooled with mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CI). Quality of evidence for each outcome was assessed with the GRADE system.

Results: Twenty-two RCTs were included in this review. Tai Chi improved the physical (SMD 0.34, 95%CI 0.09, 0.59) and mental health (SMD 0.60, 95%CI 0.12, 1.08) domains of quality of life. The intervention improved the limb/muscular function of breast cancer survivors (SMD 1.19, 95%CI 0.63, 1.75) and in mixed samples of cancer survivors reduced the levels of cortisol (MD - 0.09, 95%CI - 0.16, - 0.02), alleviated CRF (SMD - 0.37, 95%CI - 0.70, - 0.04), and promoted sleep (SMD - 0.37, 95%CI - 0.72, - 0.02).

Conclusion: There is low-level evidence suggesting that Tai Chi improves physical and mental dimensions of QOL and sleep. There is moderate-level evidence suggesting Tai Chi reduces levels of cortisol and CRF and improves limb function. Additional studies with larger sample sizes and with higher-quality RCT designs comparing different regimens of Tai Chi are warranted.

Keywords: Cancer survivors; Cancer-related fatigue; Limb function; Quality of life; Sleep; Tai Chi.

PubMed Disclaimer

Cited by

Effects of Center-Based Delivery of Tai Chi and Qi Gong Group Classes on Self-Reported Symptoms in Cancer Patients and Caregivers.
Lopez G, Narayanan S, Christie A, Powers-James C, Liu W, Garcia MK, Gomez T, Wu J, Chunduru A, Williams JL, Li Y, Bruera E, Cohen L.Lopez G, et al.Integr Cancer Ther. 2020 Jan-Dec;19:1534735420941605. doi: 10.1177/1534735420941605.Integr Cancer Ther. 2020.PMID:32686504Free PMC article.
Chronic physical conditions, physical multimorbidity, and quality of life among adults aged ≥ 50 years from six low- and middle-income countries.
Olanrewaju O, Trott M, Smith L, López Sánchez GF, Carmichael C, Oh H, Schuch F, Jacob L, Veronese N, Soysal P, Shin JI, Butler L, Barnett Y, Koyanagi A.Olanrewaju O, et al.Qual Life Res. 2023 Apr;32(4):1031-1041. doi: 10.1007/s11136-022-03317-6. Epub 2022 Dec 26.Qual Life Res. 2023.PMID:36571639Free PMC article.
Acceptability and Feasibility of a Tai Chi/Qigong Intervention for Older People Living With HIV.
Ibañez GE, Ahmed S, Hu N, Larkey L, Fennie KP, Lembo M, Huertas L.Ibañez GE, et al.AIDS Behav. 2024 Apr;28(4):1291-1300. doi: 10.1007/s10461-023-04158-1. Epub 2023 Aug 19.AIDS Behav. 2024.PMID:37597056Clinical Trial.
Tai Chi for cancer survivors: A systematic review toward consensus-based guidelines.
Yang L, Winters-Stone K, Rana B, Cao C, Carlson LE, Courneya KS, Friedenreich CM, Schmitz KH.Yang L, et al.Cancer Med. 2021 Nov;10(21):7447-7456. doi: 10.1002/cam4.4273. Epub 2021 Sep 17.Cancer Med. 2021.PMID:34533284Free PMC article.
The Effects of Complementary Therapies on Patient-Reported Outcomes: An Overview of Recent Systematic Reviews in Oncology.
Mentink M, Verbeek D, Noordman J, Timmer-Bonte A, von Rosenstiel I, van Dulmen S.Mentink M, et al.Cancers (Basel). 2023 Sep 11;15(18):4513. doi: 10.3390/cancers15184513.Cancers (Basel). 2023.PMID:37760483Free PMC article.Review.

See all "Cited by" articles

References

1. Siegel RL, Miller KD, Jemal A (2018) Cancer statistics, 2018. CA Cancer J Clin 68(1):7–30 - DOI - PubMed - PMC
1. Arndt V, Koch-Gallenkamp L, Jansen L, Bertram H, Eberle A, Holleczek B, Schmid-Höpfner S, Waldmann A, Zeissig SR, Brenner H (2017) Quality of life in long-term and very long-term cancer survivors versus population controls in Germany. Acta Oncol 56(2):190–197 - DOI - PubMed
1. Horneber M, Bueschel G, Dennert G, Less D, Ritter E, Zwahlen M (2011) How many cancer patients use complementary and alternative medicine: a systematic review and metaanalysis. Integr Cancer Ther 11(3):187–203 - DOI - PubMed
1. Chow TH, Lee BY, Ang ABF, Cheung VYK, Ho MMC, Takemura S (2018) The effect of Chinese martial arts Tai Chi Chuan on prevention of osteoporosis: a systematic review. J Orthop Transl 12:74–84
1. Lomas-Vega R, Obrero-Gaitan E, Molina-Ortega FJ, Del-Pino-Casado R (2017) Tai Chi for risk of falls. A meta-analysis. J Am Geriatr Soc 65(9):2037–2043 - DOI - PubMed

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Movatterモバイル変換

Account

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Full text links

Actions

Share

The effects of Tai Chi on quality of life of cancer survivors: a systematic review and meta-analysis

Affiliations

The effects of Tai Chi on quality of life of cancer survivors: a systematic review and meta-analysis

Authors

Affiliations

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

Substances

Related information

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Miscellaneous