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The impact of traditional mind-body exercises on pulmonary function, exercise capacity, and quality of life in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials.

作者信息

Sujie Mao, Kaiwen Xiao, Hong Xu, Xiujin Guo

机构信息

Graduate Department, Harbin Sport University, Harbin, Heilongjiang, China.

School of Sports Industry and Leisure, Nanjing Sport Institute, Nanjing, Jiangsu, China.

出版信息

Front Med (Lausanne). 2024 Jun 19;11:1359347. doi: 10.3389/fmed.2024.1359347. eCollection 2024.


DOI:10.3389/fmed.2024.1359347
PMID:38966524
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11223526/
Abstract

BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a chronic condition characterized primarily by airflow obstruction, significantly impacting patients' quality of life. Traditional mind-body exercises, as a non-pharmacological intervention for COPD, have become a new research focus. OBJECTIVE: To assess the impact of traditional mind-body exercises (Tai Chi, Qigong, Yoga) on pulmonary function, exercise capacity, and quality of life in COPD patients. Additionally, to identify the most suitable form of traditional mind-body exercise for different indicators. METHODS: Searches were conducted in databases such as Web of Science, PubMed, EBSCOhost, CNKI, etc., to collect randomized controlled trials (RCTs) evaluating the intervention of traditional mind-body exercises (Tai Chi, Yoga, Qigong) in COPD. The Cochrane evaluation tool was applied for methodological quality assessment of the included literature. Statistical analysis and sensitivity analysis were performed using Revman 5.4 software, while publication bias was assessed using R software. RESULTS: This study included 23 studies with a total of 1862 participants. Traditional mind-body exercises improved patients' FEV1% index (WMD = 4.61, 95%CI [2.99, 6.23]), 6-min walk distance (SMD = 0.83, 95%CI [0.55, 1.11]), and reduced patients' SGRQ score (SMD = -0.79, 95%CI [-1.20, -0.38]) and CAT score (SMD = -0.79, 95%CI [-1.20, -0.38]). Qigong showed the most significant improvement in FEV1% and 6MWT, while Tai Chi primarily improved 6MWT, and the effect of Yoga was not significant. Sensitivity analysis indicated stable and reliable research conclusions. CONCLUSION: Traditional mind-body exercises are effective rehabilitation methods for COPD patients, significantly improving pulmonary function, exercise capacity, and quality of life. They are suitable as complementary interventions for standard COPD treatment. SYSTEMATIC REVIEW REGISTRATION: [https://www.crd.york.ac.uk/prospero/display-record.php?ID=CRD42023495104], identifier [CRD42023495104].

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/ff9a4234cbee/fmed-11-1359347-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/7610000649d4/fmed-11-1359347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/8e28b84f0212/fmed-11-1359347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/7ec2f88029a5/fmed-11-1359347-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/72ed72293965/fmed-11-1359347-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/a77599d21715/fmed-11-1359347-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/740eecad6c04/fmed-11-1359347-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/a4e189e57493/fmed-11-1359347-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/ff9a4234cbee/fmed-11-1359347-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/7610000649d4/fmed-11-1359347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/8e28b84f0212/fmed-11-1359347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/7ec2f88029a5/fmed-11-1359347-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/72ed72293965/fmed-11-1359347-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/a77599d21715/fmed-11-1359347-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/740eecad6c04/fmed-11-1359347-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/a4e189e57493/fmed-11-1359347-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb9/11223526/ff9a4234cbee/fmed-11-1359347-g008.jpg

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引用本文的文献

[1]
Effects of mind-body exercise in chronic cardiopulmonary dyspnoea patients-a network meta-analysis of randomized controlled trials.

Front Cardiovasc Med. 2025-6-4

本文引用的文献

[1]
Effectiveness of mind-body exercises in chronic respiratory diseases: an overview of systematic reviews with meta-analyses.

Disabil Rehabil. 2024-6

[2]
The neurobiological effects of mind-body exercise: a systematic review and meta-analysis of neuroimaging studies.

Sci Rep. 2023-7-6

[3]
[Physiotherapy and sports therapeutic interventions for treatment of carpal tunnel syndrome : A systematic review].

Schmerz. 2022-8

[4]
Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map.

Front Public Health. 2021

[5]
Potential for integrating yoga within pulmonary rehabilitation and recommendations of reporting framework.

BMJ Open Respir Res. 2021-11

[6]
Effect of liuzijue qigong on patients with stable chronic obstructive pulmonary disease: A systematic review and meta-analysis.

Medicine (Baltimore). 2021-10-15

[7]
Lifestyle-related education and counseling resource utilization and cardiovascular biomarkers in midlife women with low physical activity.

Prev Med Rep. 2021-5-17

[8]
Global Initiative for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. The 2020 GOLD Science Committee Report on COVID-19 and Chronic Obstructive Pulmonary Disease.

Am J Respir Crit Care Med. 2021-1-1

[9]
Qigong for the Prevention, Treatment, and Rehabilitation of COVID-19 Infection in Older Adults.

Am J Geriatr Psychiatry. 2020-5-15

[10]
Blockade of thymic stromal lymphopoietin and CRTH2 attenuates airway inflammation in a murine model of allergic asthma.

Korean J Intern Med. 2020-5

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