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More Benefits of Tai Chi Than Aerobic Exercise in Patients With Advanced Lung Cancer—Reply | Oncology | JAMA Oncology | ÌÇÐÄvlog

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Comment & Response
July 3, 2024

More Benefits of Tai Chi Than Aerobic Exercise in Patients With Advanced Lung Cancer—Reply

Author Affiliations
  • 1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong
JAMA Oncol. 2024;10(9):1291-1292. doi:10.1001/jamaoncol.2024.2456

In Reply We sincerely appreciate Tsai and Chiang for their interest and comments regarding our recent study.1 First and foremost, it is crucial to clarify that tai chi is not a dance movement, but rather a low-intensity mind-body exercise characterized by slow and gentle movements, regulated breathing, and mindfulness meditation. In our article, we explicitly stated that participants engaged in the 16-form Yang style of tai chi, with their performance assessed by a tai chi master based on (1) accuracy of movements, (2) physical exertion and coordination, and (3) mind-body integration and rhythm. This assessment served as a measure of intervention fidelity. In both our pilot study2 and the present large-scale trial,1 participants successfully learned, remembered, and executed the complete 16-form Yang style of tai chi within 2 months, leaving an additional 2 months for practice and consolidation during supervised sessions. The divergent conclusions drawn from a previous trial comparing tai chi and aerobic exercise in patients with insomnia3 and our study may be attributed to a variety of factors, including differences in target populations, eligibility criteria, intervention content, and duration. As such, a direct comparison between the 2 trials may not be feasible.

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