Ma Zhen, Lei Honghui, Tian Kexin, Liu ZhiZe, Chen Ying, Yang Haoqi, Zhu Xiangyu
Department of Rehabilitation, School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.
Department of Encephalopathy, Beijing Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Front Cardiovasc Med. 2022 Aug 15;9:936018. doi: 10.3389/fcvm.2022.936018. eCollection 2022.
As a therapy to prevent and treat hypertension, exercise is widely used in clinical practice. But due to the lack of documentary evidence, Baduanjin as a relaxed and convenient mode of exercise is not currently recommended by professional health organizations to treat hypertension. The purpose of this article is to examine the efficacy of Baduanjin as an antihypertensive exercise therapy.
Our systematic retrieved of the entire relevant literatures in 12 databases. Finally, 28 eligible trials involving Baduanjin intervention in hypertension were included. After the quality assessment and bias risk assessment of the included trials, we analyzed the blood pressure values before and after the intervention, and performed meta-analysis on the random effect results. In order to explore the factors influencing the decrease of blood pressure, we also performed a subgroup analysis of the results.
Participants ( = 2121) were adults (61.74 ± 5.85years of age, mean ± SD), with baseline blood pressure (systolic blood pressure (SBP) = 150.7 ± 9.2 mmHg, diastolic blood pressure (DBP) = 93.2 ± 8.8 mmHg). Baduanjin was practiced 7.5 ± 3.8 sessions / week for 28.2 ± 12.8 min /session for 16.7 ± 9.2 weeks. Overall, Baduanjin resulted in SBP (-9.3 mmHg, d = -1.49, 95%CI: -1.73 to -1.13) and DBP (-6.3 mmHg, d = -1.20, 95%CI: -1.51 to -0.88) vs. the control group ( < 0.001). After a subgroup analysis of age, we found that SBP heterogeneity was significantly reduced in the elderly group.
Our results indicate that Baduanjin can effectively reduce blood pressure (i.e., 9.3 mmHg and 6.3 mmHg of SBP and DBP reductions, respectively), and reduce the incidence rate of cardiovascular disease in hypertensive patients. In addition, we will be more likely to recommend that the elderly exercise Baduanjin.
作为预防和治疗高血压的一种疗法，运动在临床实践中被广泛应用。但由于缺乏文献证据，八段锦作为一种轻松便捷的运动方式，目前尚未得到专业健康组织推荐用于治疗高血压。本文旨在探讨八段锦作为一种降压运动疗法的疗效。
我们系统检索了12个数据库中的所有相关文献。最终，纳入了28项涉及八段锦干预高血压的合格试验。在对纳入试验进行质量评估和偏倚风险评估后，我们分析了干预前后的血压值，并对随机效应结果进行荟萃分析。为了探究影响血压下降的因素，我们还对结果进行了亚组分析。
参与者（n = 2121）为成年人（年龄61.74 ± 5.85岁，均值 ± 标准差），基线血压（收缩压（SBP）= 150.7 ± 9.2 mmHg，舒张压（DBP）= 93.2 ± 8.8 mmHg）。八段锦每周练习7.5 ± 3.8次，每次28.2 ± 12.8分钟，共练习16.7 ± 9.2周。总体而言，与对照组相比，八段锦使收缩压降低了9.3 mmHg（d = -1.49，95%CI：-1.73至-1.13），舒张压降低了6.3 mmHg（d = -1.20，95%CI：-1.51至-0.88）（P < 0.001）。在按年龄进行亚组分析后，我们发现老年组收缩压的异质性显著降低。
我们的结果表明，八段锦可有效降低血压（即收缩压和舒张压分别降低9.3 mmHg和6.3 mmHg），并降低高血压患者心血管疾病的发病率。此外，我们更有可能推荐老年人练习八段锦。
