Evidence map›Paper›PMID 36454926›Full record

ArticlePloS one2022

Tai Chi increases functional connectivity and decreases chronic fatigue syndrome: A pilot intervention study with machine learning and fMRI analysis.

Kang Wu, Yuanyuan Li, Yihuai Zou, Yi Ren, Yahui Wang, Xiaojie Hu, Yue Wang, Chen Chen, Mengxin Lu, Lingling Xu and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
3.4field-weighted citation impact, top 6% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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  3. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
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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

12 authors at 2 institutions in 1 country.

Kang WuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-3684-1552
Yuanyuan LiDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yihuai ZouDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yi RenDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yahui WangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiaojie HuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Yue WangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Chen ChenDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Mengxin LuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Lingling XuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Linlu WuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Kuangshi LiDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0001-7998-269X
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine · CNXinHua Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe latest guidance on chronic fatigue syndrome (CFS) recommends exercise therapy. Tai Chi, an exercise method in traditional Chinese medicine, is reportedly helpful for CFS. However, the mechanism remains unclear. The present longitudinal study aimed to detect the influence of Tai Chi on functional brain connectivity in CFS.

methodsThe study recruited 20 CFS patients and 20 healthy controls to receive eight sessions of Tai Chi exercise over a period of one month. Before the Tai Chi exercise, an abnormal functional brain connectivity for recognizing CFS was generated by a linear support vector model. The prediction ability of the structure was validated with a random forest classification under a permutation test. Then, the functional connections (FCs) of the structure were analyzed in the large-scale brain network after Tai Chi exercise while taking the changes in the Fatigue Scale-14, Pittsburgh Sleep Quality Index (PSQI), and the 36-item short-form health survey (SF-36) as clinical effectiveness evaluation. The registration number is ChiCTR2000032577 in the Chinese Clinical Trial Registry.

results1) The score of the Fatigue Scale-14 decreased significantly in the CFS patients, and the scores of the PSQI and SF-36 changed significantly both in CFS patients and healthy controls. 2) Sixty FCs were considered significant to discriminate CFS (P = 0.000, best accuracy 90%), with 80.5% ± 9% average accuracy. 3) The FCs that were majorly related to the left frontoparietal network (FPN) and default mode network (DMN) significantly increased (P = 0.0032 and P = 0.001) in CFS patients after Tai Chi exercise. 4) The change of FCs in the left FPN and DMN were positively correlated (r = 0.40, P = 0.012).

conclusionThese results demonstrated that the 60 FCs we found using machine learning could be neural biomarkers to discriminate between CFS patients and healthy controls. Tai Chi exercise may improve CFS patients' fatigue syndrome, sleep quality, and body health statement by strengthening the functional connectivity of the left FPN and DMN under these FCs. The findings promote our understanding of Tai Chi exercise's value in treating CFS.

Indexed as

Fatigue Syndrome, ChronicTai JiHumansLongitudinal StudiesMachine LearningMagnetic Resonance ImagingPilot Projects

Identifiers

PMID36454926
PMCPMC9714925
OpenAlexW4310500654

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.