传统中医身心锻炼-八段锦对 2 型糖尿病患者心理健康的影响：系统评价和荟萃分析。
Effects of traditional Chinese mind-body exercise-Baduanjin for type 2 diabetes on psychological well-being: A systematic review and meta-analysis.
机构信息
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Institute of Tuina, Shanghai Institute of Traditional Chinese Medicine, Shanghai, China.
出版信息
Front Public Health. 2022 Jul 28;10:923411. doi: 10.3389/fpubh.2022.923411. eCollection 2022.
BACKGROUND
Type 2 diabetes is considered one of the most psychologically demanding chronic conditions. Patients suffering from this disease often have poor psychological well-being due to emotional stress. Baduanjin exercises, a traditional Chinese mind-body exercise, are used in the management of type 2 diabetes, especially for mental health. However, the effect of Baduanjin exercises on psychological well-being of patients with type 2 diabetes maintains controversial. Therefore, this systematic review was conducted to evaluate the effects on psychological well-being of Baduanjin exercises for type 2 diabetes.
METHODS
Six electronic databases were searched from their inception to March 2022 for randomized controlled trials of Baduanjin exercises for type 2 diabetes. Two reviewers independently extracted data and assessed methodological quality based on PEDro scale. The subgroup analysis was conducted based on different control interventions. The Cochran Q statistic and were applied to assess the heterogeneity.
RESULTS
Twenty-seven studies between 2005 and 2019 were included in our review. Most of them exceeded the cutoff score 6 based on the PEDro scale. In psychological well-being, the aggregated results indicated that Baduanjin exercises showed positive effects in psychological well-being (, 0.96; 95% , 0.57 to 1.36; < 0.00001), depression (, 1.03; 95% , 0.08 to 1.97; = 0.03), anxiety (, 0.88; 95% , 0.30 to 1.46; = 0.003), and mental health (, 0.72; 95% , 0.42 to 1.02; < 0.00001). In glycemic control, Baduanjin exercises showed better improvements in FBG (, 0.53; 95% , 0.34 to 0.72; < 0.00001), HbA1c (SMD, 0.58; 95% , 0.41 to 0.75; < 0.00001), and 2-hPBG (, 0.56; 95% , 0.08 to 1.03; = 0.02) compared with usual care/education. However, Baduanjin exercises only showed better improvements in HbA1c when compared with other exercises.
CONCLUSIONS
The traditional Chinese mind-body exercise-Baduanjin is a beneficial comprehensive therapy for type 2 diabetes, especially in promoting psychological well-being.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=110034.
背景
2 型糖尿病被认为是最具心理挑战性的慢性疾病之一。患有这种疾病的患者由于情绪压力常常心理健康状况不佳。八段锦是一种传统的身心锻炼方法，常用于 2 型糖尿病的管理，特别是心理健康。然而，八段锦对 2 型糖尿病患者心理健康的影响仍存在争议。因此，进行了这项系统评价，以评估八段锦对 2 型糖尿病患者心理健康的影响。
方法
从数据库建立到 2022 年 3 月，检索了六个电子数据库，以寻找针对 2 型糖尿病的八段锦锻炼的随机对照试验。两名评审员根据 PEDro 量表独立提取数据并评估方法学质量。根据不同的对照干预措施进行了亚组分析。使用 Cochran Q 统计量和 来评估异质性。
结果
纳入了 2005 年至 2019 年的 27 项研究。其中大多数研究根据 PEDro 量表得分超过 6 分。在心理健康方面，综合结果表明，八段锦锻炼对心理健康（SMD，0.96；95%CI，0.57 至 1.36；<0.00001）、抑郁（SMD，1.03；95%CI，0.08 至 1.97；=0.03）、焦虑（SMD，0.88；95%CI，0.30 至 1.46；=0.003）和心理健康（SMD，0.72；95%CI，0.42 至 1.02；<0.00001）有积极影响。在血糖控制方面，与常规护理/教育相比，八段锦锻炼在 FBG（SMD，0.53；95%CI，0.34 至 0.72；<0.00001）、HbA1c（SMD，0.58；95%CI，0.41 至 0.75；<0.00001）和 2-hPBG（SMD，0.56；95%CI，0.08 至 1.03；=0.02）方面有更好的改善。然而，与其他运动相比，八段锦锻炼仅在 HbA1c 方面表现出更好的改善。
结论
传统的身心锻炼——八段锦是 2 型糖尿病的一种有益的综合治疗方法，尤其是在促进心理健康方面。
系统评价注册
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=110034。
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