Tai Chi versus conventional exercise for improving cognitive function in older adults: a pilot randomized controlled trial

This pilot randomized controlled trial compared Tai Chi (TC), conventional exercise (EX), and no intervention (control) in 37 older adults with mild cognitive impairment (MCI) over 24 weeks. Both TC and EX improved global cognitive function and memory compared to controls. TC specifically enhanced cognitive flexibility and executive function, measured by the Trail Making Test, more effectively than EX. Improvements in physical performance, mood, and quality of life were also noted in both exercise groups. TC’s meditative and motor complexity may explain its superior cognitive benefits. This study highlights Tai Chi’s potential as a practical, non-invasive strategy to slow cognitive decline in MCI.

Older adults with mild cognitive impairment should consider practicing Tai Chi three times a week for 60 minutes over at least six months. Tai Chi improves memory, attention, and cognitive flexibility while supporting physical health and emotional well-being. This study’s small sample size limits generalizability, so larger trials are needed. Tai Chi’s accessibility and safety make it an excellent non-pharmacological option for cognitive health.