Capital University of Physical Education and Sports, Haidian, Beijing, China.
School of Sport and Art, Shenzhen Technology University, Shenzhen, Guangdong province, China.
Medicine (Baltimore). 2023 Aug 11;102(32):e34707. doi: 10.1097/MD.0000000000034707.
Numerous studies have suggested that Baduanjin, a traditional Chinese exercise, can alleviate fatigue symptoms in patients with various illnesses. The aim of this review was to evaluate the efficacy of Baduanjin in reducing fatigue symptoms.
A comprehensive literature search was conducted using several databases, including PubMed, Web of Science, Embase, Medline, China Biology Medicine disc, China National Knowledge Infrastructure, and Wanfang, from inception to June 2023. Relevant studies reporting on the effects of Baduanjin on fatigue symptoms were included. A random-effects meta-analysis model with standardized mean differences was used to estimate the treatment effects. Moderator analyses were conducted using continuous variables and meta-regression. This review was registered in the International Prospective Register of Systematic Reviews (identifier CRD42023411532). Grading of recommendations, assessment, development and evaluations framework was used to assess the certainty of evidence.
Ten randomized controlled trials with patients diagnosed with 9 different diseases were included in the meta-analysis. The Baduanjin intervention groups showed significant improvements in total fatigue intensity (standard mean difference = -0.49, 95% confidence interval = -0.69 to -0.30, P = .000; I2 = 56%, P = .009). The statistically significant differences in the subgroup analyses, including intervention durations, age of participants, fatigue types, and practice location, remained unchanged. Meta-regression showed that practice place might have significant effect on the results. The certainty of the evidence was moderate for participants 55-year younger or in hospital training. However, fatigue, different groups, participants 55-year or older, training at home, and different fatigue types had lower evidence certainty.
Baduanjin can effectively alleviate fatigue symptoms with relatively flexible requirements. However, studies investigating the same disease types and including non-Chinese populations are scarce. Therefore, further studies with long-term interventions, larger sample sizes, and well-designed methodologies are warranted.
许多研究表明，八段锦作为一种传统的中国锻炼方法，可以缓解各种疾病患者的疲劳症状。本综述的目的是评估八段锦在减轻疲劳症状方面的疗效。
系统检索了 PubMed、Web of Science、Embase、Medline、中国生物医学文献数据库、中国知网和万方数据库，检索时间从建库至 2023 年 6 月，纳入报告八段锦对疲劳症状影响的相关研究。采用标准化均数差的随机效应模型来估计治疗效果。使用连续变量和 meta 回归进行了调节分析。本综述已在国际前瞻性系统评价登记库（注册编号：CRD42023411532）进行了注册。使用推荐评估、制定与评价分级框架评估证据的确定性。
纳入了 10 项随机对照试验，涉及 9 种不同疾病的患者。八段锦干预组在总疲劳强度方面有显著改善（标准均数差=-0.49，95%置信区间=-0.69 至-0.30，P=.000；I2=56%，P=.009）。在亚组分析中，包括干预持续时间、参与者年龄、疲劳类型和练习地点等方面，差异仍具有统计学意义。meta 回归表明，练习地点可能对结果有显著影响。对于 55 岁以下或在医院接受训练的参与者，证据确定性为中度；然而，对于 55 岁及以上的参与者、在家训练、不同的疲劳类型以及不同的分组，证据确定性较低。
八段锦可以有效缓解疲劳症状，且要求相对灵活。然而，针对相同疾病类型且纳入非中国人群的研究较少。因此，需要进一步开展具有长期干预、更大样本量和良好设计方法的研究。
