The Effects of Tai Chi on Healthy Aging and Quality of Life in Seniors
DOI:
https://doi.org/10.12775/QS.2024.23.55129Keywords
Tai Chi, elderly, postural balance, rehabilitation, cognitionAbstract
Introduction and Purpose: As the global population ages, ensuring a good quality of life for older adults becomes increasingly crucial. Tai Chi is a mind-body practice originating from ancient China that combines elements of martial arts, meditation, and focused visualization. In recent years, it has gained increasing popularity in the West, particularly due to its numerous health benefits. The purpose of this article is to review the health benefits of Tai Chi for the elderly population.
Materials and Methods: A literature search was conducted using the medical databases PubMed and Google Scholar. Articles were retrieved in English, employing the keywords: „Tai Chi”, „elderly”, „ postural balance”, „ rehabilitation”, „cognition”.
State of Knowledge: Tai Chi is a safe form of exercise for older adults. This practice involves slow, harmonious body movements synchronized with deep breathing and concentration. A growing body of research supports the benefits of Tai Chi as an integrative strategy in the treatment and rehabilitation of various age-related conditions. The therapeutic effects of Tai Chi for the health of seniors include improvements in balance, bone health, sleep quality, immunity, cognitive function, metabolic indicators, and cardiorespiratory fitness, as well as the alleviation of pain, symptoms of depression, stress, and anxiety.
Summary: Tai Chi may support healthy aging by improving balance, fitness, and quality of life in older adults, but additional research is needed to fully understand its impact on health.
References
Irwin K, Sexton C, Daniel T, et al. Healthy Aging and Dementia: Two Roads Diverging in Midlife? Front Aging Neurosci. 2018;10:275. https://doi.org/10.3389/fnagi.2018.00275
Pereira-Payo D, Denche-Zamorano Á, Mendoza-Muñoz M, et al. Trends in Multicomponent Training Research in the Aged Population: A Bibliometric Analysis. Healthcare (Basel). 2024;12(15):1493. https://doi.org/10.3390/healthcare12151493
Cabo CA, Hernández-Beltrán V, Gamonales JM, et al. Evolution of documents related to the influence of physical activity and functional capacity throughout the aging process: a bibliometric review. Front Physiol. 2024; 15:1427038. https://doi.org/10.3389/fphys.2024.1427038
Meredith SJ, Cox NJ, Ibrahim K, et al. Factors that influence older adults’ participation in physical activity: a systematic review of qualitative studies. Age Ageing. 2023; 2(8):afad145. https://doi.org/10.1093/ageing/afad145
Li H, Chen J, Xu G, et al. The Effect of Tai Chi for Improving Sleep Quality: A Systematic Review and Meta-analysis. J Affect Disord. 2020;274:1102–1112. https://doi.org/10.1016/j.jad.2020.05.076
Campo RA, O’Connor K, Light KC, et al. Feasibility and Acceptability of a Tai Chi Chih Randomized Controlled Trial in Senior Female Cancer Survivors. Integr Cancer Ther. 2013;12(6):464-474. https://doi.org/10.1177/1534735413485418
Liu J, Xie H, Liu M, et al. The Effects of Tai Chi on Heart Rate Variability in Older Chinese Individuals with Depression. Int J Environ Res Public Health. 2018;15(12):2771. https://doi.org/10.3390/ijerph15122771
Lan C, Chen SY, Lai JS, et al. Tai Chi Chuan in Medicine and Health Promotion. Evid Based Complement Alternat Med. 2013;2013: 502131. https://doi.org/10.1155/2013/502131
Sharma M, Haider T. Tai Chi as an Alternative and Complimentary Therapy for Anxiety. J Evid Based Complementary Altern Med. 2015; 20(2):143–153. https://doi.org/10.1177/2156587214561327
Wang CC, Li K, Choudhury A, et al. Trends in Yoga, Tai Chi, and Qigong Use Among US Adults, 2002–2017. Am J Public Health. 2019;109(5):755–761. https://doi.org/10.2105/AJPH.2019.304998
Kakara R, Bergen G, Burns E, et al. Nonfatal and Fatal Falls Among Adults Aged ≥65 Years - United States, 2020–2021. MMWR Morb Mortal Wkly Rep. 2023;72(35):938–943. https://doi.org/10.15585/mmwr.mm7235a1
Yang F, Liu W. Biomechanical mechanism of Tai-Chi gait for preventing falls: A pilot study. J Biomech. 2020;105:109769. https://doi.org/10.1016/j.jbiomech.2020.109769
Robinovitch SN, Feldman F, Yang Y, et al. Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. Lancet. 2013;381 (9860):47–54. https://doi.org/10.1016/S0140-6736(12)61263-X
Chen Y, Jin C, Tang H, et al. Effects of sedentary behaviour and long-term regular Tai Chi exercise on dynamic stability control during gait initiation in older women. Front Bioeng Biotechnol. 2024;12:1353270. https://doi.org/10.3389/fbioe.2024.1353270
Lee J. The association between physical activity and risk of falling in older adults: A systematic review and meta-analysis of prospective cohort studies. Geriatr Nurs. 2020;41(6):747–753. https://doi.org/10.1016/j.gerinurse.2020.05.005
Bai X, Xiao W, Soh KG, et al. A 12-week Taijiquan practice improves balance control and functional fitness in fall-prone postmenopausal women. Front Public Health. 2024; 12:1415477. https://doi.org/10.3389/fpubh.2024.1415477
Bubela D, Sacharko L, Chan J, et al. Balance and Functional Outcomes for Older Community-Dwelling Adults Who Practice Tai Chi and Those Who Do Not: A Comparative Study. J Geriatr Phys Ther. 2019;42(4):209–215. https://doi.org/10.1519/JPT.0000000000000153
Chen W, Li M, Li H, et al. Tai Chi for fall prevention and balance improvement in older adults: a systematic review and meta-analysis of randomized controlled trials. Front Public Health. 2023;11:1236050. https://doi.org/10.3389/fpubh.2023.1236050
Ge Y, Liu H, Wu Q, et al. Effects of a short eight Tai Chi-forms for the pre-frail elderly people in senior living communities. Physiother Theory Pract. 2022;38(12):1928–1936. https://doi.org/10.1080/09593985.2021.1926023
Huang C-Y, Mayer PK, Wu M-Y, et al. The effect of Tai Chi in elderly individuals with sarcopenia and frailty: A systematic review and meta-analysis of randomized controlled trials. Ageing Res Rev. 2022;82:101747. https://doi.org/10.1016/j.arr.2022.101747
Chang CL, Pan CY, Wang TC, et al. Distinct effects of long-term Tai Chi Chuan and aerobic exercise interventions on motor and neurocognitive performance in early-stage Parkinson’s disease: a randomized controlled trial. Eur J Phys Rehabil Med. 2024. https://doi.org/10.23736/S1973-9087.24.08166-8
Huang S, Yu X, Lu Y, et al. Body weight support-Tai Chi footwork for balance of stroke survivors with fear of falling: A pilot randomized controlled trial. Complement Ther Clin Pract. 2019;37:140–147. https://doi.org/10.1016/j.ctcp.2019.101061
Gao Q, Leung A, Yang Y, et al. Effects of Tai Chi on balance and fall prevention in Parkinson’s disease: a randomized controlled trial. Clin Rehabil. 2014;28(8):748–753. https://doi.org/10.1177/0269215514521044
Kim HD, Jae HD, Jeong JH. Tai Chi Exercise can Improve the Obstacle Negotiating Ability of People with Parkinson’s Disease: A Preliminary Study. J Phys Ther Sci. 2014;26(7):1025–1030. https://doi.org/10.1589/jpts.26.1025
Zheng X, Wu X, Liu Z, et al. The Influences of Tai Chi on Balance Function and Exercise Capacity among Stroke Patients: A Meta-Analysis. Evidence-Based Complementary and Alternative Medicine 2021;2021:6636847. https://doi.org/10.1155/2021/6636847
Menkyova I, Stastna D, Novotna K, et al. Effect of Tai-chi on balance, mood, cognition, and quality of life in women with multiple sclerosis: A one-year prospective study. EXPLORE (NY). 2024; 20(2):188-195. https://doi.org/10.1016/j.explore.2023.07.011
Azimzadeh E, Hosseini MA, Nourozi K, et al. Effect of Tai Chi Chuan on balance in women with multiple sclerosis. Complement Ther Clin Pract. 2015;21(1):57–60. https://doi.org/10.1016/j.ctcp.2014.09.002
Pouresmaeili F, Kamali Dehghan B, Kamarehei M, et al. A comprehensive overview on osteoporosis and its risk factors. Ther Clin Risk Manag. 2018;14:2029-2049. https://doi.org/10.2147/TCRM.S138000
Zhang Y, Chai Y, Pan X, et al. Tai chi for treating osteopenia and primary osteoporosis: a meta-analysis and trial sequential analysis. Clin Interv Aging. 2019;14:91–104. https://doi.org/10.2147/CIA.S187588
Yuan Y, Chen X, Zhang L, et al. The roles of exercise in bone remodeling and in prevention and treatment of osteoporosis. Prog Biophys Mol Biol. 2016;122(2):122–130. https://doi.org/10.1016/j.pbiomolbio.2015.11.005
Shen CL, Chyu MC, Yeh JK, et al. Effect of green tea and Tai Chi on bone health in postmenopausal osteopenic women: a 6-month randomized placebo-controlled trial. Osteoporos Int. 2012;23(5):1541–1552. https://doi.org/10.1007/s00198-011-1731-x
Cheng L, Ba H. Effect of Tai Chi exercise with the same frequency and different exercise duration on the bone mineral density of older women. J Sports Med Phys Fitness. 2020; 60(10):1396-1400. https://doi.org/10.23736/S0022-4707.20.10940-X
Zhang Y, Chen H. Effect of Tai Chi exercise on bone health and fall prevention in postmenopausal women: a meta-analysis. J Orthop Surg Res. 2024;19(1):471. https://doi.org/10.1186/s13018-024-04962-y
Li J, Guo J, Wang X, et al. Efficacy and safety of tai chi exercise on bone health: An umbrella review. Osteoporos Int. 2023;34(11):1853–1866. https://doi.org/10.1007/s00198-023-06830-7
Hiligsmann M, Bruyère O. The role and impact of health economics in the optimization of patient care in osteoarthritis: insights from a practical example. Glob Reg Health Technol Assess. 2024;11:75–81. https://doi.org/10.33393/grhta.2024.2682
Yang F, Gelfond J, McGeary D, et al. Optimal Tai Chi forms in knee osteoarthritis: An exploration from biomechanical rationale to pain reduction. Osteoarthr Cartil Open. 2024;6(3):100480. https://doi.org/10.1016/j.ocarto.2024.100480
Yang F, Liu W. Knee joint biomechanics of simplified 24 Tai Chi forms and association with pain in individuals with knee osteoarthritis: A pilot study. Osteoarthr Cartil Open. 2021;3(2):100149. https://doi.org/10.1016/j.ocarto.2021.100149
Lee AC, Harvey WF, Price LL, et al. Dose‐Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis. 2018;10(7):712–723. https://doi.org/10.1016/j.pmrj.2018.01.003
Hu X, Lai Z, Wang L. Effects of Taichi exercise on knee and ankle proprioception among individuals with knee osteoarthritis. Res Sports Med. 2020;28(2):268–278. https://doi.org/10.1080/15438627.2019.1663520
Shen CL, Newman JW, Elmassry MM, et al. Tai Chi exercise reduces circulating levels of inflammatory oxylipins in postmenopausal women with knee osteoarthritis: results from a pilot study. Front Med (Lausanne). 2023;10:1210170. https://doi.org/10.3389/fmed.2023.1210170
Lauche R, Langhorst J, Dobos G, et al. A systematic review and meta-analysis of Tai Chi for osteoarthritis of the knee. Complement Ther Med. 2013;21(4):396–406. https://doi.org/10.1016/j.ctim.2013.06.001
Li Y, Yan L, Hou L, et al. Exercise intervention for patients with chronic low back pain: a systematic review and network meta-analysis. Front Public Health. 2023;11:1155225. https://doi.org/10.3389/fpubh.2023.1155225
Liu J, Yeung A, Xiao T, et al. Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial. Int J Environ Res Public Health. 2019;16(3):517. https://doi.org/10.3390/ijerph16030517
You T, Leveille SG, Yeh GY, et al. Is Tai Chi beneficial for multisite pain syndrome in older adults? Aging Clin Exp Res. 2023;35(7):1443–1448. https://doi.org/10.1007/s40520-023-02439-2
Zou L, Zhang Y, Yang L, et al. Are Mindful Exercises Safe and Beneficial for Treating Chronic Lower Back Pain? A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Clin Med. 2019;8(5):628. https://doi.org/10.3390/jcm8050628
You T, Ogawa EF, Thapa S, et al. Effects of Tai Chi on beta endorphin and inflammatory markers in older adults with chronic pain: an exploratory study. Aging Clin Exp Res. 2020;32(7):1389–1392. https://doi.org/10.1007/s40520-019-01316-1
Lauche R, Stumpe C, Fehr J, et al. The Effects of Tai Chi and Neck Exercises in the Treatment of Chronic Nonspecific Neck Pain: A Randomized Controlled Trial. J Pain. 2016;17(9):1013–1027. https://doi.org/10.1016/j.jpain.2016.06.004
Abbott RB, Hui KK, Hays RD, et al. A Randomized Controlled Trial of Tai Chi for Tension Headaches. Evid Based Complement Alternat Med. 2007;4(1):107–113. https://doi.org/10.1093/ecam/nel050
Xie YJ, Tian L, Hui SS-C, et al. Efficacy and feasibility of a 12-week Tai Chi training for the prophylaxis of episodic migraine in Hong Kong Chinese women: A randomized controlled trial. Front Public Health. 2022; 10:1000594. https://doi.org/10.3389/fpubh.2022.1000594
Agarwal A, Emary PC, Gallo L, et al. Physicians’ knowledge, attitudes, and practices regarding fibromyalgia: A systematic review and meta-analysis of cross-sectional studies. Medicine (Baltimore). 2024;103:e39109. https://doi.org/10.1097/MD.0000000000039109
Wang C, Schmid CH, Fielding RA, et al. Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. BMJ. 2018;360:k851. https://doi.org/10.1136/bmj.k851
Wang M, Greenberg M, Forkert ND, et al. Dementia risk prediction in individuals with mild cognitive impairment: a comparison of Cox regression and machine learning models. BMC Med Res Methodol. 2022;22(1):284. https://doi.org/10.1186/s12874-022-01754-y
Sungkarat S, Boripuntakul S, Kumfu S, et al. Tai Chi Improves Cognition and Plasma BDNF in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial. Neurorehabil Neural Repair. 2018;32(2):142–149. https://doi.org/10.1177/1545968317753682
Lin M, Liu W, Ma C, et al. Tai Chi-Induced Exosomal LRP1 is Associated With Memory Function and Hippocampus Plasticity in aMCI Patients. Am J Geriatr Psychiatry. 2024; 26:S1064-7481(24)00321-X. https://doi.org/10.1016/j.jagp.2024.04.012
Chen Y, Qin J, Tao L, et al. Effects of Tai Chi Chuan on Cognitive Function in Adults 60 Years or Older With Type 2 Diabetes and Mild Cognitive Impairment in China. JAMA Netw Open. 2023;6(4):e237004. https://doi.org/10.1001/jamanetworkopen.2023.7004
Chen H, Wang Y, Zhang M, et al. Effectiveness of Tai Chi on cognitive function among older adults with mild cognitive impairment: a systematic review and meta-analysis of randomized controlled trials. Aging Ment Health. 2024;28(2):285-293. https://doi.org/10.1080/13607863.2023.2253183
Rampengan DD, Gunawan FA, Rampengan JA, et al. Effectiveness of Tai Chi as a non-invasive intervention for mild cognitive impairment in the elderly: A comprehensive review and meta-analysis. Narra J. 2024;4(1):e724. https://doi.org/10.52225/narra.v4i1.724
Fan C, Yan H, Lei K, et al. Effect of Tai Chi-Based Psychosomatic Rehabilitation Exercise on Physiological Function and Mental Health of Patients with Coronary Heart Disease: A Meta-Analysis. Rev Cardiovasc Med. 2024;25(6):227. https://doi.org/10.31083/j.rcm2506227
Babaei Bonab S, Parvaneh M. The effect of twelve weeks of tai chi exercises on sleep quality, pain perception, and death anxiety in elderly women. Annales Médico-psychologiques revue psychiatrique. 2022;180(3):905–911. https://doi.org/10.1016/j.amp.2022.01.019
Xu H, Liu J, Li P, et al. Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause. 2024;31(5):457–467. https://doi.org/10.1097/GME.0000000000002336
Black DS, Irwin MR, Olmstead R, et al. Tai Chi Meditation Effects on Nuclear Factor- κB Signaling in Lonely Older Adults: A Randomized Controlled Trial. Psychother Psychosom. 2014;83(5):315–317. https://doi.org/10.1159/000359956
Gowin K, Muminovic M, Zick SM, et al. Integrative Therapies in Cancer Care: An Update on the Guidelines. Am Soc Clin Oncol Educ Book. 2024; 44(3):e431554. https://doi.org/10.1200/EDBK_431554
Takemura N, Cheung DST, Fong DYT, et al. Comparative effect of Tai Chi and aerobic exercise on cognitive function in advanced lung cancer survivors with perceived cognitive impairment: a three-arm randomized controlled trial with mediation analysis. J Cancer Surviv. 2024. https://doi.org/10.1007/s11764-024-01607-1
Taylor-Piliae RE, Finley BA. Tai Chi exercise for psychological well-being among adults with cardiovascular disease: A systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2020;19(7):580–591. https://doi.org/10.1177/1474515120926068
Zheng S, Kim C, Lal S, et al. The Effects of Twelve Weeks of Tai Chi Practice on Anxiety in Stressed But Healthy People Compared to Exercise and Wait‐List Groups–A Randomized Controlled Trial. J Clin Psychol. 2018;74(1):83–92. https://doi.org/10.1002/jclp.22482
Siu PM, Yu AP, Tam BT, et al. Effects of Tai Chi or Exercise on Sleep in Older Adults With Insomnia. JAMA Netw Open. 2021;4(2):e2037199. https://doi.org/10.1001/jamanetworkopen.2020.37199
Irwin MR, Olmstead R, Carrillo C, et al. Tai Chi Chih Compared With Cognitive Behavioral Therapy for the Treatment of Insomnia in Survivors of Breast Cancer: A Randomized, Partially Blinded, Noninferiority Trial. J Clin Oncol. 2017;35(23):2656–2665. https://doi.org/10.1200/JCO.2016.71.0285
Chang S, Cheng L, Liu H. Effects of three-duration Tai-Chi exercises on depression and sleep quality in older women. Eur Geriatr Med. 2024. https://doi.org/10.1007/s41999-024-00981-4
Liu J, Si J, Zhao W. Investigation of the Effect of Tai Chi Training on Depressive Symptoms in Perimenopausal Women on the Basis of Serum Kynurenine Metabolites. Exp Aging Res. 2024;18:1–19. https://doi.org/10.1080/0361073X.2024.2377427
Takemura N, Cheung DST, Fong DYT, et al. Effectiveness of Aerobic Exercise and Tai Chi Interventions on Sleep Quality in Patients With Advanced Lung Cancer. JAMA Oncol. 2024;10(2):176-184. https://doi.org/10.1001/jamaoncol.2023.5248
Tan T, Meng Y, Lyu JL, et al. A Systematic Review and Meta-Analysis of Tai Chi Training in Cardiorespiratory Fitness of Elderly People. Evid Based Complement Alternat Med. 2022;2022:4041612. https://doi.org/10.1155/2022/4041612
Sun L, Zhuang LP, Li XZ, et al. Tai Chi can prevent cardiovascular disease and improve cardiopulmonary function of adults with obesity aged 50 years and older. Medicine (Baltimore). 2019;98(42):e17509. https://doi.org/10.1097/MD.0000000000017509
Motivala SJ, Sollers J, Thayer J, et al. Tai Chi Chih Acutely Decreases Sympathetic Nervous System Activity in Older Adults. J Gerontol A Biol Sci Med Sci. 2006;61(11):1177–1180. https://doi.org/10.1093/gerona/61.11.1177
Wu W, Liu X, Wang L, et al. Effects of Tai Chi on exercise capacity and health-related quality of life in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2014;9:1253-63. https://doi.org/10.2147/COPD.S70862
Xinzheng W, Fanyuan J, Xiaodong W. The effects of Tai Chi on glucose and lipid metabolism in patients with diabetes mellitus: A meta-analysis. Complement Ther Med. 2022;71:102871. https://doi.org/10.1016/j.ctim.2022.102871
Tylutka A, Walas Ł, Zembron-Lacny A. Level of IL-6, TNF, and IL-1β and age-related diseases: a systematic review and meta-analysis. Front Immunol. 2024;15:1330386 https://doi.org/10.3389/fimmu.2024.1330386.
Irwin MR, Olmstead R. Mitigating Cellular Inflammation in Older Adults: A Randomized Controlled Trial of Tai Chi Chih. Am J Geriatr Psychiatry. 2012;20(9):764–772. https://doi.org/10.1097/JGP.0b013e3182330fd3
Irwin MR, Hoang D, Olmstead R, et al. Tai Chi compared with cognitive behavioral therapy and the reversal of systemic, cellular and genomic markers of inflammation in breast cancer survivors with insomnia: A randomized clinical trial. Brain Behav Immun. 2024;120:159-166. https://doi.org/10.1016/j.bbi.2024.05.022
Wang R, Liu J, Chen P, et al. Regular Tai Chi Exercise Decreases the Percentage of Type 2 Cytokine–Producing Cells in Postsurgical Non–Small Cell Lung Cancer Survivors. Cancer Nurs. 2013;36(4):E27-34. https://doi.org/10.1097/NCC.0b013e318268f7d5
Irwin MR, Olmstead R, Oxman MN. Augmenting Immune Responses to Varicella Zoster Virus in Older Adults: A Randomized, Controlled Trial of Tai Chi. J Am Geriatr Soc 2007;55(4):511-7. https://doi.org/10.1111/j.1532-5415.2007.01109.x
Bower JE, Lacchetti C, Alici Y, et al. Management of Fatigue in Adult Survivors of Cancer: ASCO-Society for Integrative Oncology Guideline Update. J Clin Oncol. 2024;42(20):2456-2487. https://doi.org/10.1200/JCO.24.00541
Zhang LL, Wang SZ, Chen HL, Yuan AZ. Tai Chi Exercise for Cancer-Related Fatigue in Patients With Lung Cancer Undergoing Chemotherapy: A Randomized Controlled Trial. J Pain Symptom Manage. 2016 Mar;51(3):504-11. https://doi.org/10.1016/j.jpainsymman.2015.11.020
Larkey LK, Roe DJ, Weihs KL, et al. Randomized controlled trial of Qigong/Tai Chi Easy on cancer-related fatigue in breast cancer survivors. Ann Behav Med. 2015;49(2):165-76. https://doi.org/10.1007/s12160-014-9645-4
Mustian KM, Palesh OG, Flecksteiner SA. Tai Chi Chuan for breast cancer survivors. Med Sport Sci. 2008;52:209-217. https://doi.org/10.1159/000134301
Takemura N, Cheung DST, Fong DYT, et al. Tai Chi and Aerobic Exercise on Cancer-Related Dyspnea in Advanced Lung Cancer Patients: A Randomized Clinical Trial. J Pain Symptom Manage. 2024;68(2):171-179. https://doi.org/10.1016/j.jpainsymman.2024.04.025
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