This study performed a systematic review and meta-analysis to evaluate the health effects of Baduanjin exercise on adults aged 65 years and older. Chinese and English databases were electronically searched using search terms related to the PICO model from inception through June 2021. The study quality assessment and meta-analysis were conducted using the PEDro scale and RevMan 5.4 software. Eleven included Chinese studies, published between 2015 and 2021, recruited participants from the mainland of China. The aggregated results showed significant benefits of Baduanjin on physical function, walking ability, balance, and anxiety. A long-term Baduanjin intervention could also improve quality of life and reduce falls and pain. Baduanjin appears to have the potential to improve the health of older adults, but conclusions are limited due to the lack of rigorous and robust studies within and outside of mainland China. Larger, well-designed RCTs are needed to confirm these findings.
BellJ. S.HilmerS. N.ThomasD.KoponenM. P. H.JokanovicN.TanE. C. K. (2015). Prevalence of analgesic use and pain in people with and without dementia or cognitive impairment in aged care facilities: A systematic review and meta-analysis. Current Clinical Pharmacology, 10(3), 194–203. http://doi.org/10.2174/157488471003150820144958
2.
ChenYu, W.HungH.TsaiJ.WuH.ChiouA. (2018). The effects of Baduanjin exercise on fatigue and quality of life in patients with heart failure: a randomized controlled trial. European Journal of Cardiovascular Nursing, 17(5), 456–466. http://doi.org/10.1177/1474515117744770
3.
ChenX. H.GuQ.WuJ. (2016). Study on the effect of group Baduanjin exercises on fall risk and quality of life of elderly patients. Chinese Community Doctors, 32(28), 170–172. http://doi.org/10.3969/j.issn.1007-614x.2016.28.106
4.
CheungD. S. T.DengW.TsaoS. W.HoR. T. H.ChanC. L. W.FongD. Y. T.TiwariA. F. Y. (2019). Effect of a Qigong intervention on telomerase activity and mental health in Chinese women survivors of intimate partner violence: A randomized clinical trial. JAMA Network Open, 2(1), e186967. http://doi.org/10.1001/jamanetworkopen.2018.6967
5.
ChewningB.HallisyK.MahoneyJ.WilsonD. (2019). Disseminating Tai Chi in the community: Promoting home practice and improving balance. Gerontologist, 60(4), 765–775. http://doi.org/10.1093/geront/gnz006
6.
Chi-ChunK.Chiao-ChenW.Wei-LunC.Tzu-ChingL.Pei-EnC.Tao-HsinT.Xue-QiangW. (2021). Clinical effects of Baduanjin Qigong exercise on cancer patients: A systematic review and meta-analysis on randomized controlled trials. Evidence-Based Complementary and Alternative Medicine(9), 1–10. http://doi.org/10.1155/2021/6651238
7.
FanB.SongW.ZhangJ.ErY.XieB.ZhangH.LeeY. (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 Breath, 24(6), 695–701. http://doi.org/10.1007/s11325-019-01999-w
8.
FanW.ZhengL.ChenF.ZouL.YaoY.FangX. (2021). Effects of Baduanjin on anxity and depression of 38 older adults with essential hypertension. Fujian Journal of TCM, 52(2), 11-13. http://doi.org/10.13260/j.cnki.jfjtcm.012171.
9.
HuangT. (2011). The Effects of 8-week intensive Tai Chi training on lower extremity isokinetic strength and balance performance of the female older adults. [Doctoral dissertation]. https://core.ac.uk/display/13404921
10.
JiangY.ZouJ. (2013). Analysis of the TCM theory of traditional Chinese health exercise. Journal of Sport and Health Science, 2(4), 204–208. http://doi.org/10.1016/j.jshs.2013.03.008
11.
JingL.JinY.ZhangX.WangF.SongY.XingF. (2018). The effect of Baduanjin qigong combined with CBT on physical fitness and psychological health of elderly housebound. Medicine, 97(51), e13654. http://doi.org/10.1097/MD.0000000000013654
12.
JonesC.ChenK. M.WeeksB.QiM.MoyleW. (2020). Healthy Beat Acupunch Eeercise program: Validation and feasibility study for older adults with reduced physical capacity or probable sarcopenia. EXPLORE: The Journal of Science Healing, 17(6), 498-504. http://doi.org/10.1016/j.explore.2020.05.010.
13.
LiR. (2017). Effect of Baduanjin on cardiac function and quality of life in elderly patients with chronic heart failure. China Manipulation and Rehabilitation Medicine, 8(24), 23–25. http://doi.org/10.3969/j.issn.1008-1879.2017.24.009
14.
LiC.ZhengD.LuoJ. (2021). Effects of traditional Chinese exercise on patients with cognitive impairment: A systematic review and Bayesian network meta-analysis. Nursing Open, 8(5), 2208-2220. http://doi.org/10.1002/nop2.799.
LiuB. X.ChenS. P.LiY. D.WangJ.ZhangB.LinY.ZhengF. (2015). The effect of the modified eighth section of eight-section brocade on osteoporosis in postmenopausal women: A prospective randomized trial. Medicine, 94(25), e991. http://doi.org/10.1097/MD.0000000000000991
17.
LiuJ.ChenL.TuY.ChenX.HuK.TuY.KongJ. (2019). Different exercise modalities relieve pain syndrome in patients with knee osteoarthritis and modulate the dorsolateral prefrontal cortex: A multiple mode mri study. Brain, Behavior, and Immunity, 82, 253–263. http://doi.org/10.1016/j.bbi.2019.08.193
18.
LiuX. Y.GaoJ.YinB. X.YangX. Y.BaiD. X. (2016). Efficacy of Ba Duan Jin in improving balance: A study in Chinese community-dwelling older adults. Journal of Gerontological Nursing, 42(5), 38–48. http://doi.org/10.3928/00989134-20160201-03
19.
LiuX.SeahJ. W. T.PangB. W. J.TsaoM. A.GuF.NgW. C.WeeS. L. (2020). A single-arm feasibility study of community-delivered Baduanjin (Qigong practice of the eight Brocades) training for frail older adults. Pilot Feasibility Study, 6, 105. http://doi.org/10.1186/s40814-020-00649-3
20.
LiC.ZhengD.LuoJ. (2021). Effects of traditional Chinese exercise on patients with cognitive impairment: A systematic review and Bayesian network meta-analysis. Nursing Open, ■, 1–13. http://doi.org/10.1002/nop2.799
21.
MaherC. G.CatherineS.HerbertR. D.MoseleyA. M.MarkE. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical Therapy(8), 8. http://doi.org/10.1093/ptj/83.8.713
22.
MaherC. G.MoseleyA. M.CathieS.ElkinsM. R.HerbertR. D. (2008). A description of the trials, reviews, and practice guidelines indexed in the PEDro database. Physical Therapy(9), 1068–1077. http://doi.org/10.2522/ptj.20080002
23.
MaY.HuangY.XiaJ.HanY.ZhangB.LiangY.LiW. (2018). Effects of eight-sectioned exercise training on balance and mobility in elderly adults. Journal of Changchun University of Tradition Chinese Medicine, 34(2), 315–318. http://doi.org/10.13463/j.cnki.cczyy.2018.02.036
24.
PengX.LiQ.LiX. (2015). The efficacy of sitting Baduanjin exercise on lumbago and back pain of elderly patients with osteoporosis. Journal of Nursing Science, 30(21), 4–6. http://doi.org/10.3870/j.issn.1001-4152.2015.21.004
25.
QiM.MoyleW.JonesC.WeeksB. (2019). Effects of Tai Chi combined with theraband training on physical fitness, psychological well-being, and pain in older sedentary office workers. Topics in Geriatric Rehabilitation, 35(4), 255–265. http://doi.org/10.1097/TGR.0000000000000244
26.
QiM.MoyleW.JonesC.WeeksB. (2020). Tai Chi combined with resistance training for adults aged 50 years and older: A systematic review. Journal of Geriatric Physical Therapy, 43(1), 32–41. http://doi.org/10.1519/JPT.0000000000000218
27.
RanL.LiJ.PingH.Zi-HongH.Chuan-YeH.Jie-XiuZ.YeT. (2014). The effect of Baduanjin on promoting the physical fitness and health of adults. Evidence-Based Complementary and Alternative Medicine, 2014, 1-8. http://doi.org/10.1155/2014/784059.
28.
RebeccaA. C.KathleenO. C.KathleenC. L.YoshioN. (2013). Feasibility and acceptability of a Tai Chi randomized controlled trial in senior female cancer survivors. Integrative Cancer Therapies, 12(6), 464–474. http://doi.org/10.1177/1534735413485418
29.
StrandL. I.GundrosenK.LeinR.LaekemanM.HuseboB. (2018). Body movements as pain indicators in older people with cognitive impairment: A systematic review. European Journal of Pain, 23(4), 669–685. http://doi.org/10.1002/ejp.1344
30.
SunZ.GuX.OuY.XiY.ZhangN.ChenX.PanL. (2020). Effects of baduanjin based on virtual reality on fall risk and quality of life of elderly osteoporosis patients in nursing institution for the aged. China Medical Herald, 17(01), 96-99. http://doi.org/CNKI:SUN:YYCY.0.2020-01-023.
31.
SunZ.MaJ.GuX.OuY.ZhangN.ChenX.WangT. (2021). Baduanjin training based on virtual reality can relieve mild cognitive impairment in the elderlyChinese Journal of Physical Medicine and Rehabilitation, 43(4), 322–326. http://doi.org/10.3760/cma.j.issn.0254-1424.2021.04.007
32.
SunD.WangR.SunD.ChenJ. (2021). Clinical study on Baduanjin exercise in sitting for low back pain induced by osteoporosis in senile male patients. Journal of New Chinese Medicine, 53(4), 210–213. http://doi.org/10.13457/j.cnki.jncm.2021.04.053
33.
TaoJ.ChenX.LiuJ.NataliaE.XueX.LiuW.HuK. (2017). Tai Chi Chuan and Baduanjin Mind-Body training changes resting-state low-frequency fluctuations in the frontal lobe of older adults: A resting-state fMRI study. Frontiers in Human Neuroscience, 11, 514. http://doi.org/10.3389/fnhum.2017.00514
34.
WangX.WuJ.YeM.WangL.ZhengG. (2021). Effect of Baduanjin exercise on the cognitive function of middle-Aged and older adults: A systematic review and meta-analysis. Complementary Therapies in Medicine, 59(8), 102727. http://doi.org/10.1016/j.ctim.2021.102727
35.
WuH.SongX.LinJ.ChengB.TanM.LiB.WangD. (2019). Effects of Baduanjin on the action ability of the elderly in community. Healthful Friends, (8), 190-191. https://doi.org/10.CNKI:SUN:XDJZ.0.2019-01-044.
36.
WuX.XueG.FangJ.WangJ.FanX.MaH.DuanJ. (2017). Baduanjin on the risk of falls in 60 community elderly people. Chinese Medicine Modern Distance Education (China), 15(3), 106–109. http://doi.org/10.3969/j.issn.1672-2779.2017.03.047
37.
YuL.LiuF.NieP.ShenC.ChenJ.YaoL. (2020). Systematic review and meta-analysis of randomized controlled trials assessing the impact of Baduanjin exercise on cognition and memory in patients with mild cognitive impairment. Clinical Rehabilitation, 35(4), 492-505. http://doi.org/10.1177/0269215520969661.
38.
ZengZ.-P.LiuY.-B.FangJ.LiuY.LuoJ.YangM. (2020). Effects of Baduanjin exercise for knee osteoarthritis: A systematic review and meta-analysis. Complementary Therapies in Medicine, 48, 10229. http://doi.org/10.1016/j.ctim.2019.102279.
39.
ZouL.EidiS. J.WangH.XiaoZ.FangQ.ZhangM. (2017). A systematic review and meta-analysis Baduanjin Qigong for health benefits: randomized controlled trials. Evidence-Based Complementary and Alternative Medicine, 2017, 1–17. http://doi.org/10.1155/2017/4548706
40.
ZouL. Y.YeungA.QuanX.Hui StanleyS.-C.HuX.ChanJ. S. M.WangH. (2018). Mindfulness-based Baduanjin exercise for depression and anxiety in people with physical or mental illnesses: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 15(2), 321. http://doi.org/10.3390/ijerph15020321
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