Evidence map›Paper›PMID 23026349›Full record

ArticleContemporary clinical trials2013

A systems biology approach to studying Tai Chi, physiological complexity and healthy aging: design and rationale of a pragmatic randomized controlled trial.

Peter M Wayne, Brad Manor, Vera Novak, Madelena D Costa, Jeffrey M Hausdorff, Ary L Goldberger, Andrew C Ahn, Gloria Y Yeh, C-K Peng, Matthew Lough and 3 more

2 registry-linked trialsAbstract readComparative Study
In one paragraph

Article in Contemporary clinical trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04019301 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Caring for Caregivers With Mind-body Exercise

TypeinterventionalSponsorUniversity of HoustonRan2019 to 2022Enrolled47ConditionsCaregiver Distress, Physical Function, Quality of LifeArmsBaduanjin Qigong, Community-based, Baduanjin Qigong, Internet-based
NCT06229834 narecruitingnot on this mapstarted 2025, after this paper: background citation

Chiropractic Care for Episodic Migraine

TypeinterventionalSponsorBrigham and Women's HospitalRan2025 to 2027Enrolled60ConditionsEpisodic MigraineArmsChiropractic Care, Headache Health Education
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
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  10. Multicomponent exercise training in cardiovascular complexity in prefrail older adults: a randomized blinded clinical pilot study.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Article
  17. The Science of Tai Chi andJournal of integrative and complementary medicine · 2025
    Review
  18. Article
  19. 'Hidden' anger as a risk factor for operational health: An exploratory approach among French military personnel.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Peter M WayneOsher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02215, USA. pwayne@partners.org
Brad Manor
Vera Novak
Madelena D Costa
Jeffrey M Hausdorff
Ary L Goldberger
Andrew C Ahn
Gloria Y Yeh
C-K Peng
Matthew Lough
Roger B Davis
Mary T Quilty
Lewis A Lipsitz

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
Research Resource for Complex Physiologic SignalsR01GM104987 · NIGMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GOLDBERGER, ARY LOUIS, MARK, ROGER GREENWOOD · 2012 to 2019
$5.8M
Harvard Clinical and Translational Science Center (KL2)KL2RR025757 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$4.1M
Nonlinear Dynamics of Frailty in AgingR37AG025037 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2006 to 2013
$1.6M
Complexity Loss, Aging and the Dynamics of FrailtyR00AG030677 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI COSTA, MADALENA D · 2011 to 2013
$733k
Tai chi, physiologic complexity, and healthy agingR21AT005501 · NCCIH · HARVARD MEDICAL SCHOOL · PI WAYNE, PETER MICHAEL · 2010 to 2012
$733k
NCCIH NIH HHS R21 AT005501NCCIH NIH HHS R21AT005501-01A1NCRR NIH HHS KL2 RR025757NCRR NIH HHS UL1 RR025758NIA NIH HHS R00 AG030677NIA NIH HHS R37 AG025037NIA NIH HHS T32 AG023480NIGMS NIH HHS R01 GM104987
6 · The paper itself

Abstract

introductionAging is typically associated with progressive multi-system impairment that leads to decreased physical and cognitive function and reduced adaptability to stress. Due to its capacity to characterize complex dynamics within and between physiological systems, the emerging field of complex systems biology and its array of quantitative tools show great promise for improving our understanding of aging, monitoring senescence, and providing biomarkers for evaluating novel interventions, including promising mind-body exercises, that treat age-related disease and promote healthy aging. MATERIAL AND

methodsAn ongoing, two-arm randomized clinical trial is evaluating the potential of Tai Chi mind-body exercise to attenuate age-related loss of complexity. A total of 60 Tai Chi-naïve healthy older adults (aged 50-79) are being randomized to either six months of Tai Chi training (n=30), or to a waitlist control receiving unaltered usual medical care (n=30). Our primary outcomes are complexity-based measures of heart rate, standing postural sway and gait stride interval dynamics assessed at 3 and 6months. Multiscale entropy and detrended fluctuation analysis are used as entropy- and fractal-based measures of complexity, respectively. Secondary outcomes include measures of physical and psychological function and tests of physiological adaptability also assessed at 3 and 6months. DISCUSSION: Results of this study may lead to novel biomarkers that help us monitor and understand the physiological processes of aging and explore the potential benefits of Tai Chi and related mind-body exercises for healthy aging.

Indexed as

Adaptation, PhysiologicalAgingQuality of LifeAgedFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicSomatosensory DisordersTai Ji

Identifiers

PMID23026349
PMCPMC3638751

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.