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Meta-Analysis
. 2024 Nov 22;19(1):785.
doi: 10.1186/s13018-024-05288-5.

Efficacy of traditional Chinese exercise on postmenopausal osteoporosis: a systematic review and meta-analysis

Liang Li  1 , Yutong Wang  1 , Tonggang Fan  1 , Tonggang Fan  2
Affiliations
Meta-Analysis

Efficacy of traditional Chinese exercise on postmenopausal osteoporosis: a systematic review and meta-analysis

Liang Li et al. J Orthop Surg Res. .

Abstract

Background: Traditional Chinese exercise (TCE) is used as a therapeutic method in patients with postmenopausal osteoporosis. A meta-analysis was performed to evaluate the efficacy of TCE and provide reliable clinical evidence.

Methods: Eight databases, including the Cochrane Library, PubMed, Embase, Web of Science, Chinese Science Citation Database, Wanfang, China National Knowledge Infrastructure, and Chinese Medical Journal full-text databases, were searched for randomized controlled trials. Meta-analysis was performed using the RevMan (version 5.4) software.

Results: Sixteen studies involving 1,288 patients were included. Compared with conventional treatment alone, TCE improved patients' bone mineral density, decreased pain, improved balance, improved quality of life, and decreased deoxypyridinoline levels. However, the intervention effects on the biochemical indexes of bone metabolism, including blood calcium, blood phosphorus, osteocalcin, and alkaline phosphatase levels, were not statistically significant.

Conclusion: TCE has a significant effect on postmenopausal patients with osteoporosis and can be used as a non-pharmacological treatment. The results of this study should be interpreted with caution because of the large heterogeneity for some indicators.

Keywords: Bone mineral density; Older women; Osteoporosis; Rehabilitation; Traditional Chinese exercise.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flow chart of literature screening
Fig. 2
Fig. 2
Risk of bias evaluation of the included literature
Fig. 3
Fig. 3
Forest plot of meta-analysis of total efficiency
Fig. 4
Fig. 4
Forest plot of meta-analysis of bone mineral density after treatment
Fig. 5
Fig. 5
Forest plot of meta-analysis of pain after treatment
Fig. 6
Fig. 6
Forest plot of meta-analysis of post-treatment balance
Fig. 7
Fig. 7
Forest plot of meta-analysis of quality of life after treatment
Fig. 8
Fig. 8
(a) Forest plot of blood calcium levels; Fig. 8 (b) Forest plot of blood phosphorus levels; Fig. 8 (c) Forest plot of osteocalcin levels; Fig. 8 (d) Forest plot of deoxypyridinoline levels; Fig. 8 (e) Forest plot of alkaline phosphatase levels
See this image and copyright information in PMC

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