Osteoporosis, bone & mineral

The impact of Tai Chi on osteoporosis and osteopenia in middle-aged and elderly adults: a systematic review and meta-analysis of randomized controlled trial

Osteoporos IntPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Long-term Tai Chi exercise significantly improves BMD in individuals with osteoporosis and osteopenia.

Study context

Population
Middle-aged and elderly individuals with osteoporosis or osteopenia; 7 databases searched up to February 16, 202519 randomized controlled trials (RCTs)
Comparison
Tai Chi vs control
Outcome
Bone mineral density (BMD)
Methodological detailssubgroup analysis
  • Subgroup analysis

Pooled result

As reported in the abstract

BMD, Tai Chi vs control
Tai Chi
WMD, lumbar spine (L2-L4) 0.05 g/cm² (95% CI 0.02–0.08); P = 0.0003
Tai Chi
WMD, femoral neck 0.05 g/cm² (95% CI 0.02–0.08); P = 0.001
Tai Chi
WMD, greater trochanter 0.05 g/cm² (95% CI 0.02–0.08); P = 0.002
Tai Chi
WMD, Ward's triangle 0.04 (95% CI 0.02–0.06); P < 0.0001

Further pooled results

OutcomeEstimateP value
BMD, Tai Chi >24 weeks (subgroup)Tai Chi vs ControlWMD, lumbar spine (L2-L4) 0.05 (95% CI 0.02–0.07)P < 0.0001
BMD, Tai Chi >24 weeks (subgroup)Tai Chi vs ControlWMD, femoral neck 0.03 (95% CI 0.02–0.04)P < 0.0001
BMD, Tai Chi >24 weeks (subgroup)Tai Chi vs ControlWMD, Ward's triangle 0.04 (95% CI 0.02–0.07)P < 0.0001
BMD, Tai Chi <200 min per week (subgroup)Tai Chi vs ControlWMD, lumbar spine (L2-L4) 0.04 (95% CI 0.01–0.07)P = 0.006
BMD, Tai Chi <200 min per week (subgroup)Tai Chi vs ControlWMD, femoral neck 0.03 (95% CI 0.01–0.05)P = 0.007
BMD, Tai Chi <200 min per week (subgroup)Tai Chi vs ControlWMD, greater trochanter 0.06 (95% CI 0.03–0.09)P < 0.0001
BMD, Tai Chi <200 min per week (subgroup)Tai Chi vs ControlWMD, Ward's triangle 0.05 (95% CI 0.02–0.07)P < 0.0001

Original publication

The impact of Tai Chi on osteoporosis and osteopenia in middle-aged and elderly adults: a systematic review and meta-analysis of randomized controlled trial. Osteoporos Int. Published 24 February 2026. doi:10.1007/s00198-026-07910-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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