School of Physical Education, Wuhan University of Technology, Wuhan 430070, PR China.
School of Wushu, Wuhan Sports University, Wuhan 430079, PR China.
Curr Probl Cardiol. 2024 Dec;49(12):102881. doi: 10.1016/j.cpcardiol.2024.102881. Epub 2024 Oct 10.
This study aims to compare the relative effects of different mind-body exercises on cardiorespiratory function and quality of life in Heart failure (HF) patients, providing valuable insights for their rehabilitation.
We conducted a search across seven Chinese and English databases, including China National Knowledge Infrastructure (CNKI) and Web of Science. A network meta-analysis was performed using STATA 14.0 within a frequentist framework.
A total of 38 studies were included, encompassing eight types of mind-body exercises. Ten studies reported peak VO, indicating that dancing outperformed Tai Chi (MD:3.52, 95 % CI:6.74, -0.30) and Baduanjin (MD:2.34, 95 % CI:4.32, -0.36). Additionally, Pilates demonstrated greater effectiveness than Yijinjing, aside from Tai Chi (MD:5.10, 95 % CI:8.71, -1.49) and Baduanjin (MD:3.92, 95 % CI:6.50, -1.34). Twenty-one studies reported the six-minute walk test (6MTW), with only Tai Chi significantly improving 6MTW scores compared to the control group (MD: 50.77, 95 % CI: 8.12, 93.42). Twenty-three studies assessed left ventricular ejection fraction (LVEF), finding that Tai Chi (MD: 3.83, 95 % CI: 2.07, 5.59), Baduanjin (MD: 2.90, 95 % CI: 1.04, 4.76), and yoga (MD: 3.32, 95 % CI: 0.37, 6.27) significantly increased LVEF in HF patients. Nineteen studies evaluated quality of life, with the Liuzijue possibly being the most effective intervention (SUCRA: 98.9).
Different mind-body exercises have their own advantages in improving the heart function and quality of life of HF patients. In the future, higher-quality studies with larger samples are needed to further verify the validity of the results.
本研究旨在比较不同身心锻炼方法对心力衰竭（HF）患者心肺功能和生活质量的相对影响，为其康复提供有价值的见解。
我们在中国和英文七个数据库（包括中国知识基础设施（CNKI）和 Web of Science）进行了检索。使用 STATA 14.0 在频率主义框架内进行网络荟萃分析。
共纳入 38 项研究，涵盖 8 种身心锻炼方法。10 项研究报告了峰值 VO，表明舞蹈优于太极拳（MD：3.52，95%CI：6.74，-0.30）和八段锦（MD：2.34，95%CI：4.32，-0.36）。此外，普拉提除了太极拳（MD：5.10，95%CI：8.71，-1.49）和八段锦（MD：3.92，95%CI：6.50，-1.34）之外，比易筋经更有效。21 项研究报告了 6 分钟步行试验（6MTW），只有太极拳与对照组相比显著提高了 6MTW 评分（MD：50.77，95%CI：8.12，93.42）。23 项研究评估了左心室射血分数（LVEF），发现太极拳（MD：3.83，95%CI：2.07，5.59）、八段锦（MD：2.90，95%CI：1.04，4.76）和瑜伽（MD：3.32，95%CI：0.37，6.27）显著提高了 HF 患者的 LVEF。19 项研究评估了生活质量，六字诀可能是最有效的干预措施（SUCRA：98.9）。
不同的身心锻炼方法在改善 HF 患者心功能和生活质量方面各有优势。未来需要更多高质量、大样本的研究来进一步验证结果的有效性。
