Type 2 & other diabetes

Effects of Tai Chi Chuan on Cognitive Function in Adults 60 Years or Older With Type 2 Diabetes and Mild Cognitive Impairment in China: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Primary result · MoCA scoreResult — go to the resultBetween-group mean difference 0.84 95% CI 0.02–1.66

Authors' conclusion

In this randomized clinical trial including older adults with T2D and MCI, tai chi chuan was more effective than fitness walking in improving global cognitive function. The findings support a long-term benefit, suggesting the potential clinical use of tai chi chuan as an exercise intervention to improve cognitive function for older adults with T2D and MCI.

Study context

Population
Adults aged ≥60 years with T2D and mild cognitive impairment (MCI), 4 sites in China; all groups received diabetes self-management educationITT analysis
Participants
328 adults
Comparison
Tai chi chuan vs fitness walking vs control
  • Tai chi chuann = 107
  • Fitness walkingn = 110
  • Controln = 111reference
Primary endpoint
Global cognitive function by Montreal Cognitive Assessment (MoCA)
Follow-up
36 weeks
Methodological detailsmulticentre (4 sites), 3-arm, randomized 1:1:1, Conducted June 1, 2020 – February 28, 2022; follow-up 36 weeks
  • Multicentre (4 sites)
  • 3-arm
  • Randomized 1:1:1
  • Conducted June 1, 2020 – February 28, 2022; follow-up 36 weeks

Primary result

MoCA score

Between-group mean difference

0.84

95% CI 0.02–1.66

P = 0.046

By group

Tai chi chuan

24.67

mean · SD 2.72

Fitness walking

23.84

mean · SD 3.17

Tai chi chuanvs Fitness walking
between-group mean difference 0.84 (95% CI 0.02–1.66); P = 0.046

As reported in the abstract

Secondary outcomes

Montreal Cognitive Assessment (MoCA), per-protocol and subgroup analyses · 36 weeks

Per-protocol and subgroup analyses showed similar results

Safety

Events

OutcomeTai chi chuanFitness walkingControlP value
Nonserious adverse events, unrelated to studyBetween Tai chi chuan and Fitness walking81316P = 0.26
Nonserious adverse events, unrelated to study — Total nonserious AEs
37
  • Nonserious adverse events, unrelated to study: among the 3 groups (incl. control); no significant difference

Original publication

Effects of Tai Chi Chuan on Cognitive Function in Adults 60 Years or Older With Type 2 Diabetes and Mild Cognitive Impairment in China: A Randomized Clinical Trial. JAMA Netw Open. Published 3 April 2023. doi:10.1001/jamanetworkopen.2023.7004

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