{"id":29760,"date":"2026-02-11T04:45:00","date_gmt":"2026-02-10T20:45:00","guid":{"rendered":"https:\/\/csccm.org.cn\/?p=29760"},"modified":"2026-02-11T05:50:53","modified_gmt":"2026-02-10T21:50:53","slug":"bmj%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e9%92%88%e5%af%b9%e4%b8%ad%e5%b9%b4%e4%ba%ba%e5%8f%8a%e8%80%81%e5%b9%b4%e4%ba%ba%e5%a4%b1%e7%9c%a0%e7%9a%84%e5%a4%aa%e6%9e%81%e6%8b%b3%e6%88%96","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=29760","title":{"rendered":"[BMJ\u53d1\u8868\u8bba\u6587]\uff1a\u9488\u5bf9\u4e2d\u5e74\u4eba\u53ca\u8001\u5e74\u4eba\u5931\u7720\u7684\u592a\u6781\u62f3\u6216\u8ba4\u77e5\u884c\u4e3a\u6cbb\u7597"},"content":{"rendered":"\n

Research<\/strong><\/p>\n\n\n\n

Tai chi or cognitive behavioural therapy for treating insomnia in middle aged and older adults: randomised non-inferiority trial<\/h1>\n\n\n\n

Parco M Siu<\/a>, Danny J Yu, Angus P Yu,\u00a0et al<\/h3>\n\n\n\n

BMJ<\/em>\u00a02025;\u00a0391\u00a0doi:\u00a0https:\/\/doi.org\/10.1136\/bmj-2025-084320<\/a>\u00a0(Published 26 November 2025)Cite this as:\u00a0BMJ<\/em>\u00a02025;391:e084320<\/h3>\n\n\n\n

Abstract<\/h2>\n\n\n\n

Objective<\/strong> To assess whether tai chi is non-inferior to cognitive behavioural therapy for insomnia (CBT-I), the first line treatment, for managing chronic insomnia in middle aged and older adults.<\/p>\n\n\n\n

Design<\/strong> Randomised, assessor masked, non-inferiority trial.<\/p>\n\n\n\n

Setting<\/strong> A single research site in Hong Kong with participants recruited from the local community between 18 May 2020 and 14 July 2022.<\/p>\n\n\n\n

Participants<\/strong> Chinese participants aged \u226550 years with chronic insomnia diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders<\/em>, fifth edition.<\/p>\n\n\n\n

Interventions<\/strong> Tai chi and CBT-I interventions were delivered in group format over three months, consisting of one hour sessions twice a week for a total of 24 sessions.<\/p>\n\n\n\n

Main outcome measures<\/strong> The primary outcome was the change in perceived insomnia severity measured by the Insomnia Severity Index after the intervention (month 3) and at 12 month follow-up (month 15). To assess whether tai chi is non-inferior to CBT-I, a threshold of four points was used as the margin of non-inferiority.<\/p>\n\n\n\n

Results<\/strong>\u00a0200 participants were randomised (1:1) to receive tai chi (n=100) or CBT-I (n=100). The per protocol principle was adopted. At month 3, the tai chi group showed a reduction of 6.67 (95% confidence interval 5.61 to 7.73) in Insomnia Severity Index scores, while the CBT-I group had a reduction of 11.19 (10.06 to 12.32), resulting in a between group difference of 4.52 (\u2212\u221e to 5.81). Tai chi was deemed inferior to CBT-I at month 3 because the upper confidence limit exceeded the non-inferiority margin. At month 15, the reductions for tai chi and CBT-I were 9.51 (8.47 to 10.54) and 10.18 (8.97 to 11.40), respectively, with a between group difference of 0.68 (\u2212\u221e to 2.00). At this point, tai chi was considered non-inferior to CBT-I because the upper confidence limit fell within the non-inferiority margin. Results from the intention-to-treat analysis were consistent with the per protocol findings. No adverse events occurred during the intervention period.<\/p>\n\n\n\n

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Conclusion<\/strong> Tai chi was inferior to CBT-I at month 3 but non-inferior at month 15. This finding supports the use of tai chi as an alternative approach for the long term management of chronic insomnia in middle aged and older adults.<\/p>\n\n\n\n

Trial registration<\/strong> ClinicalTrials.gov NCT04384822<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

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