Review Effects of traditional Chinese exercise on sleep quality: A systematic review and meta-analysis of randomized controlled trials 2023 Liu et al

Sly Saint

Senior Member (Voting Rights)
Abstract and Figures
Background: The efficacy of traditional Chinese exercise (TCE)-based interventions in the improvement of sleep quality is controversial. In this systematic review, we aimed to summarize randomized controlled trials (RCTs) that outline the effects of TCE on sleep quality. Methods: Five databases (Web of Science, Embase, PubMed, Medline, and China National Knowledge Infrastructure) were searched for literature published before July 2022. RCTs examining TCE interventions were included.

The treatment effects were estimated using a random-effect meta-analysis model with mean differences (MDs). There were 2 outcome scales for sleep quality; however, because they were extremely contrastive to be analyzed by standard MD, the scales were analyzed separately to ensure the accuracy of the results. This review was registered in the International Prospective Register of Systematic Reviews (identifier CRD42023421314). Results: Twenty studies were included for analysis at last. The outcome was calculated using the Verran and Snyder-Halpern Sleep Scale (MD: 344.17, 95% confidence interval: 316.95 to 371.39, P < .00001) and Pittsburgh Sleep Quality Index to measure sleep quality (MD: -2.24, 95% confidence interval: -3.05 to -1.43, P < .00001), both showed improvement effect.

In subgroup analysis, for patients with fibromyalgia, normal older adults, and non-Hodgkin lymphoma, chronic fatigue syndrome-like illness, knee osteoarthritis, nasopharyngeal carcinoma, pausimenia, insomnia, TCE could improve sleep quality.

However, there was no significant improvement in stroke patients, breast cancer patients, normal college students, and episodic migraine patients. Tai Chi had greater effects in improving sleep quality than Qigong. In addition, the participants practice site, duration, and age did not influence the effects of TCE.

Conclusion:

TCE can improve sleep quality in specific populations in specific populations clinical applications. Tai chi should be considered first to improve sleep quality. However, further extensive trials and rigorous study designs should be conducted to strengthen the findings of this study. In addition, considering the large heterogeneity, the findings of our study should be interpreted cautiously.

https://www.researchgate.net/public...meta-analysis_of_randomized_controlled_trials

(the doi doesn't seem to exist?)
 
However, further extensive trials and rigorous study designs should be conducted to strengthen the findings of this study
Extensive studies of this type of treatment almost always weaken the findings, so they will not be conducted. Only more weak, biased and unreliable small studies, which are then pooled and tortured with mathemagics to extract some BS positive "finding". This entire paradigm is flawed, it produces unreliable results that somehow cannot be challenged. It rests entirely on exploiting "lies, damned lies and statistics", whereas it's actually a warning to never do any of this.

But it just keeps on going because too many people like either winning every single hand they deal, or getting their money back if they don't, allowing them to deal again. Somehow almost no one finds anything wrong with that. What an absolutely weird thing happening alongside real science. Sometimes in the same textbooks, no less. It's as if chemistry still had a very strong alchemy thing going on. It's totally baffling.
 
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