Table 1_Effects of digitalized traditional Chinese exercises on the physical and mental health and quality of life of older adults: a systematic review and meta-analysis of randomized controlled trials.docx

ObjectiveThis study aims to systematically evaluate the effects of digitalized traditional Chinese exercises (TCEs) on physical function, cognitive function, mental health, and quality of life in older adults.
MethodsSearches were conducted in the PubMed, Embase, Cochrane Library, Web of Science, CNKI, VIP, and Wan Fang databases from their inception until 28 September 2025 to identify relevant randomized controlled trials. Outcome measures included physical function, cognition, depression, and quality of life. The Cochrane Risk of Bias Assessment Tool and GRADE criteria were used to assess the quality of the studies. Statistical analyses were performed using RevMan 5.3 and Stata 17.0.
ResultsSixteen trials involving 1,604 participants were included in this study. Low to moderate-certainty evidence showed that digitalized TCEs significantly improved functional mobility (WMD = −0.81; 95% CI, −1.28 to −0.33; p = 0.0009; I2 = 76%), balance function (SMD = 0.88; 95% CI, 0.68 to 1.08; p < 0.00001; I2 = 0%), and global cognition (WMD = 1.98; 95% CI, 1.44 to 2.52; p < 0.00001; I2 = 84%). In addition, moderate-certainty evidence indicated small but statistically significant improvements in quality of life (SMD = 0.17; 95% CI, 0.03 to 0.30; p = 0.01; I2 = 3%). However, digitalized TCEs did not significantly improve grip strength (WMD = −0.26; 95% CI, −1.15 to 0.62; p = 0.56; I2 = 0%; low certainty evidence) or depression (SMD = −0.71; 95% CI, −1.48 to 0.05; p = 0.07; I2 = 95%; very low certainty evidence).
ConclusionThis study demonstrates that digitalized TCEs can significantly improve multiple health indicators in older adults, aligning with the WHO’s concept of healthy aging and offering a promising intervention to promote it. It is important to note that long-term participation is crucial for sustaining these health benefits; therefore, enhancing exercise adherence among older adults is essential.
Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD420251053317, identifier CRD420251053317.

研究目的
本研究旨在系统评估数字化传统中式运动（digitalized traditional Chinese exercises, TCEs）对老年人躯体功能、认知功能、心理健康与生活质量的影响。

研究方法
本研究检索了PubMed、Embase、Cochrane Library、Web of Science、中国知网（China National Knowledge Infrastructure, CNKI）、维普（VIP）及万方数据（Wan Fang）数据库自建库至2025年9月28日的相关随机对照试验（randomized controlled trial, RCT）。结局指标包括躯体功能、认知功能、抑郁状态及生活质量。采用Cochrane偏倚风险评估工具（Cochrane Risk of Bias Assessment Tool）与GRADE标准（GRADE criteria）对纳入研究的质量进行评价。统计学分析采用RevMan 5.3与Stata 17.0软件完成。

研究结果
本研究共纳入16项随机对照试验，涉及1604名受试者。低至中等确定性证据显示，数字化传统中式运动可显著改善受试者的功能活动能力（加权均数差weighted mean difference, WMD = −0.81；95%置信区间confidence interval, CI：−1.28~−0.33；p = 0.0009；I² = 76%）、平衡功能（标准化均数差standardized mean difference, SMD = 0.88；95%CI：0.68~1.08；p < 0.00001；I² = 0%）与整体认知功能（WMD = 1.98；95%CI：1.44~2.52；p < 0.00001；I² = 84%）。此外，中等确定性证据表明，数字化传统中式运动可小幅但具有统计学意义地提升受试者的生活质量（SMD = 0.17；95%CI：0.03~0.30；p = 0.01；I² = 3%）。然而，数字化传统中式运动未能显著改善受试者的握力（WMD = −0.26；95%CI：−1.15~0.62；p = 0.56；I² = 0%；低确定性证据）或抑郁状态（SMD = −0.71；95%CI：−1.48~0.05；p = 0.07；I² = 95%；极低确定性证据）。

研究结论
本研究表明，数字化传统中式运动可显著改善老年人的多项健康指标，契合世界卫生组织（World Health Organization, WHO）的健康老龄化理念，可为促进健康老龄化提供一项颇具前景的干预手段。需注意的是，长期坚持参与运动对维持上述健康获益至关重要，因此提升老年人的运动依从性实属必要。

系统评价注册信息：https://www.crd.york.ac.uk/PROSPERO/view/CRD420251053317，注册标识符为CRD420251053317。