Can Tai Chi Improve Sleep as Effectively as Insomnia Therapy?
As we age, getting a good night’s rest can become increasingly challenging. Chronic insomnia is a prevalent sleep disorder among middle-aged and older adults, leading to years of sleepless nights for many individuals.
A recent study suggests that a gentle exercise like tai chi may be just as effective as cognitive behavioral therapy for insomnia (CBT-I), the primary treatment for this sleep disorder.
Tai chi, a popular low-impact martial art known as ‘meditation in motion’, was compared to CBT-I by Hong Kong University exercise physiologist Parco M. Siu and his team.
The study involved 200 ethnic-Chinese adults over the age of 50 living in Hong Kong, all diagnosed with chronic insomnia. Participants were divided into two groups, with one group undergoing CBT-I and the other practicing the 24-form Yang style of tai chi for 24 one-hour sessions over three months.
Initially, the CBT-I group showed greater improvements in insomnia symptoms based on the Insomnia Severity Index. However, when reassessed 15 months later, the tai chi group had caught up, experiencing similar enhancements in sleep quality, duration, mental health, and physical activity level.
Interestingly, more tai chi participants continued their practice post-intervention compared to CBT-I participants who applied the skills learned during therapy.
Chronic insomnia can have serious health consequences, including cardiovascular issues, mental disorders, and cognitive decline. While CBT-I is an effective treatment, barriers like limited access to trained therapists and high costs can hinder its availability.
Thus, incorporating tai chi into one’s routine could offer long-term benefits for managing chronic insomnia. This gentle exercise not only improves sleep but also provides additional health advantages.
The study concludes that tai chi can be a viable alternative for middle-aged and older adults seeking to address chronic insomnia in the long term.
This research was published in the BMJ.

