{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:07:56Z","timestamp":1792685276779,"version":"4.5.0"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the optimal choice of traditional Chinese exercise (TCE) for improving bone mineral density in postmenopausal women through a network meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Chinese and English databases were searched, including China National Knowledge Infrastructure, Chongqing VIP, PubMed, Web of Science and Cochrane Library. The outcomes included BMD of lumbar L2-L4, femoral neck, ward triangle, and greater trochanter. Standardized mean differences (SMD) and 95% confidence intervals (CI) were used to assess the correlation between each group of interventions, and surface under the cumulative ranking (SUCRA) was used to rank the best interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 20 randomized controlled trials (RCTs) including 1933 subjects and six interventions: [Tai Chi (TC), Baduanjin (BDJ), Wuqinxi (WQX), Yijinjing (YJJ), TA (Tai chi plus calcium supplementation), BA (Baduanjin plus calcium supplementation)] and three control measures: [Calcium supplementation (CA), Aerobic exercise (AE), Not exercise intervention (NEI)] were analyzed. Regarding BMD of lumbar L2-L4: TC [SMD\u2009=\u20090.99 (0.62, 1.37)], BDJ [SMD\u2009=\u20092.12 (1.39, 2.85)], TA [SMD\u2009=\u20091.12(0.17, 2.07)], BA [SMD\u2009=\u20092.24 (1.16, 3.31)] were superior in increasing BMD of lumbar L2-L4 relative to NEI. Regarding BMD of femoral neck: TC [SMD\u2009=\u20091.24 (0.70, 1.78)], BA [SMD\u2009=\u20093.77 (1.98, 5.56)] were superior in increasing BMD of femoral neck relative to NEI. Regarding BMD of ward\u2019s triangle: TC [SMD\u2009=\u20091.63 (1.09, 2.17)] was superior in increasing BMD of ward\u2019s triangle relative to NEI. Regarding BMD of greater trochanter: TC [SMD\u2009=\u20090.98 (0.28, 1.68)] were superior in increasing BMD of greater trochanter relative to NEI. TC topped the SUCRA with BMD of lumbar L2-L4: 53.8, femoral neck: 74.9, ward\u2019s triangle: 86.9 and greater trochanter: 77.7.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Four TCE (TC, BDJ, TA and BA) are all effective in partially improving BMD indicators in postmenopausal women, while TC was effective on all four BMD indicators, which seems to be recommended as the most suitable exercise modality for postmenopausal women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>This research follows the PRISMA Network statement. The protocol for this study has been registered in the International Prospective Registry of Systematic Reviews (PROSPERO). CRD42023414944.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2024.1430608","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T09:34:22Z","timestamp":1726133662000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["The effect of different traditional Chinese exercises on bone mineral density in menopausal women: a systematic review and network 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women","volume":"99","author":"Cauley","year":"2015","journal-title":"Steroids"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"E561","DOI":"10.1210\/clinem\/dgab690","article-title":"Associations of age at menopause with postmenopausal bone mineral density and fracture risk in women","volume":"107","author":"Shieh","year":"2022","journal-title":"J Clin Endocrinol Metab"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"2103","DOI":"10.1007\/s00198-020-05294-3","article-title":"Determinants of imminent fracture risk in postmenopausal women with osteoporosis","volume":"31","author":"Barron","year":"2020","journal-title":"Osteoporos Int"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1007\/s00774-015-0724-9","article-title":"Expected lifetime numbers, risks, and burden of osteoporotic fractures for 50-year old Chinese women: a discrete event simulation incorporating FRAX","volume":"34","author":"Jiang","year":"2016","journal-title":"J Bone Miner Metab"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1131","DOI":"10.1007\/s00198-008-0779-8","article-title":"Remaining lifetime and absolute 10-year probabilities of osteoporotic fracture in Swiss men and women","volume":"20","author":"Lippuner","year":"2009","journal-title":"Osteoporos Int"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.1185\/03007995.2015.1037729","article-title":"Residual lifetime and 10 year absolute risks of osteoporotic fractures in Chinese men and women","volume":"31","author":"Si","year":"2015","journal-title":"Curr Med Res Opin"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"108","DOI":"10.4103\/0976-7800.191013","article-title":"Preventable risk factors for osteoporosis in postmenopausal women: systematic review and meta-analysis","volume":"7","author":"Thulkar","year":"2016","journal-title":"J mid-life health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2520","DOI":"10.1002\/jbmr.2269","article-title":"The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine","volume":"29","author":"Wright","year":"2014","journal-title":"J Bone Miner Res"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1007\/s11914-017-0352-5","article-title":"Fracture burden: what two and a half decades of Dubbo osteoporosis epidemiology study data reveal about clinical outcomes of osteoporosis","volume":"15","author":"Center","year":"2017","journal-title":"Curr Osteoporos Rep"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1001\/jama.2009.50","article-title":"Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women","volume":"301","author":"Bliuc","year":"2009","journal-title":"Jama J American Medical Association"},{"key":"ref11","first-page":"121","article-title":"Disorders of bone remodeling","volume-title":"Annu Rev Pathol","author":"Feng","year":"2011"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-019-14146-6","article-title":"Mechanical sensing protein PIEZO1 regulates bone homeostasis via osteoblast-osteoclast crosstalk","volume":"11","author":"Wang","year":"2020","journal-title":"Nat Commun"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1097\/gme.0000000000001831","article-title":"Management of osteoporosis in postmenopausal women: the 2021 position statement of the North American Menopause Society","volume":"28","author":"Blake","year":"2021","journal-title":"Menopause J North American Menopause Society"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s00198-018-4704-5","article-title":"European guidance for the diagnosis and management of osteoporosis in postmenopausal women","volume":"30","author":"Kanis","year":"2019","journal-title":"Osteoporos Int"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1007\/s00774-021-01218-1","article-title":"Impact of high-load resistance training on bone mineral density in osteoporosis and osteopenia: a meta-analysis","volume":"39","author":"Kitsuda","year":"2021","journal-title":"J Bone Miner Metab"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1225","DOI":"10.1007\/s00198-006-0083-4","article-title":"High-intensity resistance training and postmenopausal bone loss: a meta-analysis","volume":"17","author":"Martyn-St James","year":"2006","journal-title":"Osteoporos Int"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1605","DOI":"10.1007\/s00198-015-3034-0","article-title":"The effects of differing resistance training modes on the preservation of bone mineral density in postmenopausal women: a 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Clin Nurs"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1016\/j.jcma.2016.06.010","article-title":"Effect of tai chi on bone mineral density in postmenopausal women: a systematic review and meta-analysis of randomized control trials","volume":"80","author":"Liu","year":"2017","journal-title":"J Chin Med Assoc"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"2901","DOI":"10.1007\/s00198-016-3626-3","article-title":"Effects of tai chi exercise on bone health in perimenopausal and postmenopausal women: a systematic review and meta-analysis","volume":"27","author":"Sun","year":"2016","journal-title":"Osteoporos Int"},{"key":"ref23","first-page":"569","article-title":"Including variants on randomized trials","author":"Julian","year":"2022","journal-title":"Cochrane Handb Syst Rev Interv"},{"key":"ref24","first-page":"130","article-title":"Clinical observation of 30 cases of postmenopausal osteoporosis prevention with Baduanjin combined with caltrate D","volume":"27","author":"Cai","year":"2018","journal-title":"Chinese J Ethnomedicine and Ethnopharmacy"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1016\/j.apmr.2003.08.091","article-title":"A randomized, prospective study of the effects of tai chi Chun exercise on bone mineral density in postmenopausal women","volume":"85","author":"Chan","year":"2004","journal-title":"Arch Phys Med Rehabil"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.23736\/s0022-4707.20.10940-x","article-title":"Effect of tai chi exercise with the same frequency and different exercise duration on the bone mineral density of older women","volume":"60","author":"Cheng","year":"2020","journal-title":"J Sports Med Phys Fitness"},{"key":"ref27","article-title":"Effect of three fitness qigong exercises on bone mineral density in elderly women","volume":"25","author":"Li","year":"2019","journal-title":"Chin J Osteoporos"},{"key":"ref28","first-page":"1309","article-title":"Effect of different frequency of Taichi e xercise on bone mineral density of older women","volume":"23","author":"Li","year":"2017","journal-title":"Chin J Osteoporos"},{"key":"ref29","first-page":"14","article-title":"Effects of targeted exercise of health qigong Baduanjin on bone mineral density and balance ability in the elderly","volume":"6","author":"Li","year":"2021","journal-title":"Health Manag Forum"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e991","DOI":"10.1097\/MD.0000000000000991","article-title":"The effect of the modified eighth section of eight-section brocade on osteoporosis in postmenopausal women: a prospective randomized trial","volume":"94","author":"Liu","year":"2015","journal-title":"Medicine"},{"key":"ref31","first-page":"814","article-title":"Effects of taijiquan exercises combined with orally calcium supplement on postmenopausal women\u2032s bone mineral density","volume":"24","author":"Mao","year":"2009","journal-title":"Chinese J Rehab Med"},{"key":"ref32","first-page":"804","article-title":"Effect of Huatuo five-animal exercises on bone mineral density of lumbar spines in postmenopausal women","volume":"22","author":"Shen","year":"2013","journal-title":"Modern J Integrated Trad Chinese Western Med"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"105","DOI":"10.14104\/j.cnki.1006-2076.2018.06.018","article-title":"Effects of 48-week Taichi, brisk walking and square dance on bone mineral density in elderly women","volume":"34","author":"Song","year":"2018","journal-title":"J Shandong Sport University"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1089\/acm.2009.0165","article-title":"A randomized study of the effects of t'ai chi on muscle strength, bone mineral density, and fear of falling in women with osteoarthritis","volume":"16","author":"Song","year":"2010","journal-title":"J Altern Complement Med"},{"key":"ref35","first-page":"1577","article-title":"Effects of new-style five-animal e xercise s on the balance ability and BMD of elderly woman","volume":"24","author":"Wang","year":"2018","journal-title":"Chin J Osteoporos"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2015\/379451","article-title":"Simplified tai chi resistance training versus traditional tai chi in slowing bone loss in postmenopausal women","volume":"2015","author":"Wang","year":"2015","journal-title":"Evid Based Complement Alternat Med"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/1472-6882-12-7","article-title":"Impact of tai chi exercise on multiple fracture-related risk factors in post-menopausal osteopenic women: a pilot pragmatic, randomized trial","volume":"12","author":"Wayne","year":"2012","journal-title":"BMC Complement Altern Med"},{"key":"ref38","first-page":"1428","article-title":"Effect of 24-style simplified tai chi on bone mineral density in postmenopausal women","volume":"33","author":"Xu","year":"2017","journal-title":"J Prac Trad Chinese Med"},{"key":"ref39","first-page":"494","article-title":"Effects of tai chi on health status of middle-aged and elderly women","volume":"18","author":"Ye","year":"2016","journal-title":"Chin J Health Care Med"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"100","DOI":"10.16099\/j.cnki.jsus.2014.06.019","article-title":"Tai chi bone-building exercise\u2019 effect on bone mineral density of postmenopausal women","volume":"38","author":"Yu","year":"2014","journal-title":"J Shanghai University of Sport"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"72","DOI":"10.16038\/j.1000-6710.2003.01.015","article-title":"Effect of exercise on prevention and treatment of lumbar L2-L4 osteoporosis in postmenopausal women","volume":"1","author":"Zhou","year":"2003","journal-title":"Chin J Sports Med"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"354","DOI":"10.19582\/j.cnki.11-3785\/g8.2004.03.024","article-title":"The effect of traditional sports on bone density of menopause women","volume":"3","author":"Zhou","year":"2004","journal-title":"J Beijing Sport University"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"106","DOI":"10.16038\/j.1000-6710.2005.01.026","article-title":"Effects of tai chi and Tuishou exercise and calcium supplementation on bone mineral density in postmenopausal women","volume":"1","author":"Zhou","year":"2005","journal-title":"Chin J Sports Med"},{"key":"ref44","first-page":"82","article-title":"Regulating effect of traditional exercise regimen of traditional Chinese medicine on body","volume":"12","author":"Fu","year":"2021","journal-title":"Heilongjiang Sci"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"37","DOI":"10.16470\/j.csst.2020115","article-title":"Network Meta-analysis of four kinds of traditional Chinese fitness exercises in the treatment of osteoporosis in the elderly","volume":"56","author":"Yu","year":"2020","journal-title":"China Sport Sci Technol"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"176","DOI":"10.3969\/j.issn.2095-4344.1908","article-title":"Effects of tai chi Chuan on the changes of bone mineral density of perimenopausal women Chin","volume":"24","author":"Zhao","year":"2020","journal-title":"J Tissue Eng Res"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"10817","DOI":"10.1039\/d0fo00787k","article-title":"Effects of combined calcium and vitamin D supplementation on osteoporosis in postmenopausal women: a systematic review and meta-analysis of randomized controlled trials","volume":"11","author":"Liu","year":"2020","journal-title":"Food Funct"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1301","DOI":"10.1001\/jamainternmed.2018.3915","article-title":"Effectiveness of a therapeutic tai Ji Quan intervention vs a 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