Objective:To investigate the therapeutic effect of Baduanjin combined with resistance exercise and Baduanjin alone on elderly patients with type 2 diabetes mellitus(T2DM).Methods:The databases of CNKI,Wanfang,VIP,PubMed,and Web of Science were searched for randomized controlled trials(RCTs)on the effects of Baduanjin alone or combined with resistance exercise in elderly patients with T2DM.The search date was from the establishment of the database to Sep 21,2023.Review Manager 5.4 and Stata 16.0 softwares were used to conduct meta-analysis.Results were expressed as Random effect model standardized mean difference(SMD)and 95%confidence interval(CI).Results:A total of 14 RCTs involving 1 224 elderly patients with T2DM were included.The results of meta-analysis showed that Baduanjin alone or combined with resistance exercise in the treatment of elderly T2DM patients were better than the conventional treatment group in FPG,HbAlc,TC,TG,2hPG,HDL and LDL,and Baduanjin combined with resistance exercise were better than the Baduanjin alone group in FPG,HbAlc,TC,TG and LDL.Conclusion:Baduanjin alone or combined with resistance exercise has a significant therapeutic effect on elderly patients with T2DM,and the therapeutic effect of Baduanjin combined with resistance exercise is better.