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
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
| Outcome | Estimate | P value |
|---|---|---|
| BMD, Tai Chi >24 weeks (subgroup)Tai Chi vs Control | WMD, lumbar spine (L2-L4) 0.05 (95% CI 0.02–0.07) | P < 0.0001 |
| BMD, Tai Chi >24 weeks (subgroup)Tai Chi vs Control | WMD, femoral neck 0.03 (95% CI 0.02–0.04) | P < 0.0001 |
| BMD, Tai Chi >24 weeks (subgroup)Tai Chi vs Control | WMD, 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 Control | WMD, 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 Control | WMD, femoral neck 0.03 (95% CI 0.01–0.05) | P = 0.007 |
| BMD, Tai Chi <200 min per week (subgroup)Tai Chi vs Control | WMD, greater trochanter 0.06 (95% CI 0.03–0.09) | P < 0.0001 |
| BMD, Tai Chi <200 min per week (subgroup)Tai Chi vs Control | WMD, 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
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