Lin W.T.Lee B.O.Wirojratana V.Taplo Y.M.Tonapa S.I.Mahidol University2026-02-062026-02-062026-01-01Journal of Transcultural Nursing (2026)10436596https://repository.li.mahidol.ac.th/handle/123456789/114637Introduction: Although community-based traditional Chinese exercises (CTCEs) are increasingly recognized for their benefits on sleep, their effectiveness among community-dwelling older adults across diverse settings remains unclear. This study aimed to synthesize the effects of CTCEs on sleep disturbance in this population. Methods: Seven databases were searched for relevant articles published up to August 2025. Studies were appraised using the Cochrane risk-of-bias tool. A pairwise meta-analysis, subgroup analysis, and meta-regression were conducted using Comprehensive Meta-Analysis software. Results: Thirteen studies met criteria. CTCEs are effective in reducing sleep disturbance among older adults. Both Qigong and tai chi improved sleep; Qigong showed a slightly larger effect size than tai chi, but the difference between modality was not significant. Meta-regression detected no significant moderators. Conclusion: As a nonpharmacological strategy, CTCEs appear to reduce sleep disturbance in community-dwelling older adults. These findings support their integration into community-based health initiatives for aging populations.NursingArticleSCOPUS10.1177/104365962514126422-s2.0-10502781068015527832