中国传统运动对老年人睡眠障碍的比较疗效：一项系统综述和贝叶斯网络meta分析

IF 1.7 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2025-08-10 DOI:10.1016/j.eujim.2025.102540

Zhengyang Mei , Chenyi Cai , Chifong Lam , Tingfeng Wang , Shi Luo

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引用次数: 0

摘要

睡眠障碍越来越普遍，由于与年龄有关的变化以及社会心理和健康相关压力因素的累积影响，老年人特别容易受到影响。本系统综述和贝叶斯网络荟萃分析的目的是评估中国传统运动（TCEs）改善老年人睡眠障碍的比较功效，并确定哪种干预措施最有效。方法检索PubMed、Embase、EBSCOhost、Scopus、Web of Science、APA PsycINFO、中国知网（CNKI）、万方、中国科学期刊数据库（VIP）和谷歌Scholar，检索年龄≥60岁受试者的TCEs随机对照试验（RCTs）。我们使用Stata 18.0版本进行了配对和网络荟萃分析。结果纳入17项随机对照试验，共1730名受试者。两两荟萃分析显示，与对照组相比，tce有效改善了老年人的睡眠障碍(SMD = -0.48, 95% CI [-0.69, -0.27], p <；0.01)。网络荟萃分析显示，气功-八段锦对老年人睡眠障碍的影响最大（supra: 90.9%），其次是太极拳（supra: 71.8%）和气功-六子觉（supra: 46.1%）。结论stce能有效改善老年人睡眠障碍，其中气功八段锦效果最强，太极拳、气功六子觉效果次之。然而，本综述的发现需要在特定的临床和患者背景下进行解释和应用。在将结果应用于临床实践时，必须仔细考虑患者的具体情况和临床需求。

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Comparative efficacy of traditional Chinese exercises for sleep disturbances in older people: A systematic review and Bayesian network meta‐analysis

Introduction

Sleep disturbances are increasingly prevalent, with older people particularly vulnerable due to age-related changes and the cumulative impact of psychosocial and health-related stressors. The objective of this systematic review and Bayesian network meta-analysis was to evaluate the comparative efficacy of traditional Chinese exercises (TCEs) for improving sleep disturbances in older people and to identify which intervention is the most effective.

Methods

We searched PubMed, Embase, EBSCOhost, Scopus, Web of Science, APA PsycINFO, the China National Knowledge Infrastructure (CNKI), Wanfang, the Chinese Scientific Journal Database (VIP), and Google Scholar for randomized controlled trials (RCTs) of TCEs in participants aged ≥60 years. We conducted pairwise and network meta-analyses using Stata version 18.0.

Results

The analysis included 17 RCTs involving a total of 1,730 participants. Pairwise meta-analyses indicated that TCEs effectively improved sleep disturbances in older people compared to the control groups (SMD = -0.48, 95 % CI [-0.69, -0.27], p < 0.01). Network meta-analyses indicated that Qigong-Baduanjin exerted the strongest effect on older people’ sleep disturbances (SUCRA: 90.9 %), followed by Tai Chi (SUCRA: 71.8 %) and Qigong-Liuzijue (SUCRA: 46.1 %).

Conclusions

TCEs effectively improved sleep disturbances in older people, and Qigong-Baduanjin exerted the strongest effect, followed by Tai Chi and Qigong-Liuzijue. However, the findings of this review need to be interpreted and applied within specific clinical and patient contexts. When applying the results to clinical practice, careful consideration must be given to the specific circumstances and clinical needs of the patients.

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来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.