{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T04:59:05Z","timestamp":1780981145450,"version":"3.54.1"},"reference-count":66,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This review aims to synthesize the current evidence on the potential effects of Traditional Chinese Exercise (TCE) on cognition, sleep quality, and quality of life (QoL) in Parkinson\u2019s disease (PD) patients, and to explore intervention characteristics that may be associated with beneficial outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched five major databases (PubMed, Web of Science, EBSCO, Cochrane, and Scopus) for randomized controlled trials up to March 2025. Studies assessing TCE in patients with PD were included. Data were pooled using the standardized mean difference (SMD) and 95% confidence interval (CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen trials met the inclusion criteria. TCE demonstrated significant overall improvements in cognition (SMD\u202f=\u202f0.87, 95% CI [0.56, 1.19]), sleep quality (SMD, \u22120.88, 95% CI [\u22121.41, \u22120.34]), and QoL (SMD, \u22120.48, 95% CI [\u22120.66, \u22120.29]). Subgroup analyses revealed that interventions lasting \u226512\u202fweeks and totaling \u2265180\u202fmin per week may be associated with more favorable outcomes, although these findings should be interpreted cautiously. For exercise type, Tai Chi was particularly effective for cognition (SMD, 0.91,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.0001) and QoL (SMD, \u22120.70,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.00001), while Health Qigong was highly effective for sleep quality (SMD, \u22120.92,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.01). Benefits were also more pronounced in patients with a disease duration of 5\u202fyears or more.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TCE may be beneficial for improving cognition, sleep quality, and QoL in patients with PD. Subgroup findings further suggest that intervention type, duration, and weekly exercise volume may be associated with differential outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1824910","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T04:28:12Z","timestamp":1780979292000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Traditional Chinese exercise for quality of life, cognition, sleep in Parkinson\u2019s disease: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Qing","family":"Yan","sequence":"first","affiliation":[{"name":"Institute of Artificial Intelligence in Sports, Capital University of Physical Education and Sports","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Bai","sequence":"additional","affiliation":[{"name":"Institute of Artificial Intelligence in Sports, Capital University of Physical Education and Sports","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zejing","family":"Sha","sequence":"additional","affiliation":[{"name":"Institute of Artificial Intelligence in Sports, Capital University of Physical Education and Sports","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Southeast University","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongxue","family":"Liang","sequence":"additional","affiliation":[{"name":"Institute of Artificial Intelligence in Sports, Capital University of Physical Education and Sports","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanjun","family":"Li","sequence":"additional","affiliation":[{"name":"Institute of Artificial Intelligence in Sports, Capital University of Physical Education and Sports","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Institute of Artificial Intelligence in Sports, Capital University of Physical Education and Sports","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"456","DOI":"10.3390\/life15030456","article-title":"Effect of eccentric training with different durations, intensities, and contraction velocities on upper limb muscle strength: a meta-analysis","volume":"15","author":"Bai","year":"2025","journal-title":"Life"},{"key":"ref2","volume-title":"ACSM'S Exercise Testing and Prescription","author":"Bayles","year":"2023"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/S0140-6736(23)01419-8","article-title":"The epidemiology of Parkinson's disease","volume":"403","author":"Ben-Shlomo","year":"2024","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br. 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