Mitigating effects and mechanisms of Tai Chi on mild cognitive impairment in the elderly

This review explores the effects of Tai Chi on mild cognitive impairment (MCI) in older adults. Evidence indicates that Tai Chi improves memory, executive function, and global cognition. Mechanistically, it enhances brain connectivity, increases hippocampal volume, and modulates inflammation and neurotrophic factors like brain-derived neurotrophic factor (BDNF). Tai Chi also aids physical balance, reduces falls, and may delay dementia progression. However, variations in study designs and limited long-term data mean results should be interpreted cautiously. Tai Chi offers a safe, low-intensity option to support brain health and mitigate MCI-related declines.

Older adults with mild cognitive impairment are encouraged to practice Tai Chi three times weekly for 12–40 weeks, focusing on forms such as Yang or 24-form Tai Chi. Benefits include improved memory, executive function, and balance. While supported by scientific findings, more consistent, large-scale studies are needed to confirm long-term effectiveness. Tai Chi’s accessibility makes it a practical, non-pharmacological option for cognitive and physical health.