Tai Chi and Cognitive Enhancement in Older Adults With Type 2 Diabetes Mellitus: Evidence From Randomized Controlled Trials Using Wearable Technology in mHealth Models
Randomized controlled trials demonstrate that Tai Chi significantly improves global cognitive function in older adults with type 2 diabetes mellitus (T2DM) over fitness walking and usual care.
Wearable device integration within a mobile health (mHealth) framework enables objective monitoring of physical activity, sleep quality, and glucose levels, elucidating mechanisms underlying cognitive improvements.
Tai Chi also enhances specific cognitive subdomains such as executive function and visuospatial abilities, as assessed by Montreal Cognitive Assessment (MoCA) subtests and Trail Making Test Part B (TMT-B).
Longer-term trials suggest Tai Chi improves balance and reduces fall risk, contributing to overall health benefits in this population with mild cognitive impairment (MCI).