Effectiveness of Traditional Chinese Exercise for Obesity and Overweight: A Systematic Review and Network Meta-Analysis

Author: Ting Yu1, Jiaqi Lin2, Hainan Gao1, Jiayi Lin3, Lijie Pan1, Xinxin Shao1, Xiangyu Zhu1, Zili Tan1, Kaiqi Fan1, Tianlin Zhao1, Qin Yao1
Affiliation:
1 School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.
2 Zhongnan Hospital of Wuhan University, Wuhan University, Hubei, China.
3 School of Education, Hunan Agricultural University, Hunan, China.
Conference/Journal: Public Health Nurs
Date published: 2025 Mar 25
Other: Special Notes: doi: 10.1111/phn.13559. , Word Count: 220


Background:
Traditional Chinese exercises can improve obesity and overweight, but there are few reports on the differences in the effects of multiple them in improving obesity and overweight. We compared the effects of multiple them on individuals with obesity and overweight to find the optimal intervention.

Methods:
The following databases were searched: PubMed, EMBASE, The Cochrane Library, CNKI, and so on. Randomized controlled trials (RCTs) of multiple traditional Chinese exercise interventions were included. Network meta-analysis (NMA) was performed using Stata 15.0 based on the frequency frame.

Results:
In the NMA, the results of body mass index were as follows: Baduanjin > Yijinjing > Wuqinxi > Tai Chi > control. The results of waist circumference (WC) were as follows: Baduanjin > Wuqinxi> Tai Chi > control. The results of waist-to-hip ratio (WHR) were as follows: Tai Chi > Baduanjin> Control. The results of body fat percentage were as follows: Baduanjin > Tai Chi > Yijinjing > Control.

Conclusion:
Among the four treatments, Baduanjin has better fat loss effects and represents a better treatment for weight loss in individuals with obesity and overweight. Tai Chi was more effective in improving WHR and may be the best method to lose fat while increasing muscle.

Trial registration:
CRD42023472216.

Keywords: Baduanjin; Tai Chi; network meta‐analysis; obesity; overweight; traditional Chinese exercise.

PMID: 40129415 DOI: 10.1111/phn.13559

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