Table_5_Evidence map of traditional Chinese exercises.XLSX

ObjectiveThis study aimed to assess and visually depict the clinical evidence landscape of traditional Chinese exercises and identify any research gaps and future research needs.
MethodsWe comprehensively searched seven Chinese and English databases to identify randomized controlled trials (RCTs) and systematic reviews (SRs) evaluating the effects of traditional Chinese exercises from their inception until May 2023. The quality of evidence was assessed via the GRADE approach, and the research topics, intervention effects, and strength of evidence were graphically displayed.
ResultsThis evidence map includes 2,017 studies, comprising 1,822 RCTs and 195 SRs. These studies were conducted globally in various countries. Among the traditional Chinese exercises, Tai Chi and Baduanjin have received the most research attention, with a growing number of publications. When traditional Chinese exercises were compared with the control groups, 88.2% of the included SRs reported significantly positive effects, 4.1% reported unclear effects, and 7.7% reported no significant differences. The findings suggested that traditional Chinese exercises could benefit patients with osteoarthritis, osteoporosis, hypertension, coronary heart disease, diabetes, chronic obstructive pulmonary disease, stroke, Parkinson’s disease, anxiety, and depression. However, the overall quality of the evidence was suboptimal, with 11.3% rated as moderate, 45.6% as low, and 43.1% as critically low.
ConclusionThis evidence map visually represents valuable information on traditional Chinese exercises. While most studies have reported significant benefits, the overall quality of evidence is low.

研究目的
本研究旨在评估并可视化呈现中国传统运动疗法（traditional Chinese exercises）的临床证据图谱，明确现有研究缺口与未来研究需求。
研究方法
本研究全面检索了7家中英文学术数据库，筛选自建库起至2023年5月期间，评估中国传统运动疗法疗效的随机对照试验（randomized controlled trials, RCTs）与系统评价（systematic reviews, SRs）。采用GRADE方法对证据质量进行评价，并以图形化方式展示研究主题、干预效果与证据强度。
研究结果
本证据图谱共纳入2017项研究，其中包含1822项随机对照试验与195项系统评价，研究覆盖全球多个国家。在各类中国传统运动疗法中，太极拳与八段锦受到的研究关注最多，相关发表文献数量亦呈增长趋势。将中国传统运动疗法与对照组进行对比后，纳入的系统评价中有88.2%报告了显著正向疗效，4.1%报告疗效尚不明确，7.7%未观察到显著差异。研究结果表明，中国传统运动疗法可使骨关节炎、骨质疏松症、高血压、冠心病、糖尿病、慢性阻塞性肺疾病、脑卒中、帕金森病、焦虑症与抑郁症患者获益。但整体证据质量不甚理想，其中11.3%被评为中等质量，45.6%为低质量，43.1%为极低质量。
研究结论
本证据图谱可视化呈现了中国传统运动疗法相关的宝贵研究信息。尽管多数研究报告了显著获益，但整体证据质量仍有待提升。