Fricke-Comellas Hermann, Heredia-Rizo Alberto Marcos, Casuso-Holgado María Jesús, Salas-González Jesús, Fernández-Seguín Lourdes María
Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, 41009 Sevilla, Spain.
CTS 1110: Understanding Movement and Self in Health from Science (UMSS) Research Group, 41009 Andalusia, Spain.
Healthcare (Basel). 2024 Oct 11;12(20):2020. doi: 10.3390/healthcare12202020.
: Chronic fatigue syndrome (CFS) and post-COVID syndrome (PCS) pose a substantial socioeconomic burden. The aim of this systematic review was to assess current evidence regarding the effect of the most popular forms of movement-based mindful exercises, i.e., qigong, tai chi, and yoga, on fatigue and associated symptoms in CFS and PCS. : CINAHL, Embase, PsycINFO, PubMed, Scopus, and the Cochrane Library were searched from inception to October 2023. Randomized controlled trials (RCTs) where qigong, tai chi, or yoga were compared with waitlist, no intervention, or active controls were included. Independent reviewers participated in data extraction, and evaluated risk of bias, spin of information, completeness of intervention description, and certainty of the evidence (GRADE). Meta-analyses were conducted. The primary outcome was the level of fatigue. Secondary measures were the severity of anxiety and depressive symptoms and sleep quality. Results were expressed as mean difference (MD) or standardized mean difference (SMD) with a 95% confidence interval (CI). : Thirteen RCTs with 661 participants were included, with most studies presenting a moderate or high risk of bias. Mindful exercises were more effective than control interventions to alleviate fatigue: SMD (95%CI) = -0.44 (-0.63 to -0.25), I = 48%, < 0.0001. Positive effects were also observed for secondary outcomes. The certainty of the evidence was low or very low. : Qigong, tai chi, and yoga may be effective to reduce fatigue and improve anxiety, depression, and sleep quality in adults with CFS or PCS. However, serious methodological concerns limit the clinical applicability of these findings.
慢性疲劳综合征（CFS）和新冠后综合征（PCS）带来了巨大的社会经济负担。本系统评价的目的是评估当前关于最流行的基于运动的正念练习形式，即气功、太极拳和瑜伽，对CFS和PCS患者疲劳及相关症状影响的证据。从创刊至2023年10月检索了CINAHL、Embase、PsycINFO、PubMed、Scopus和Cochrane图书馆。纳入了将气功、太极拳或瑜伽与等待名单、无干预或积极对照进行比较的随机对照试验（RCT）。独立评审员参与数据提取，并评估偏倚风险、信息倾向性、干预描述的完整性以及证据的确定性（GRADE）。进行了荟萃分析。主要结局是疲劳水平。次要指标是焦虑和抑郁症状的严重程度以及睡眠质量。结果以平均差（MD）或标准化平均差（SMD）及95%置信区间（CI）表示。纳入了13项RCT，共661名参与者，大多数研究存在中度或高度偏倚风险。正念练习在减轻疲劳方面比对照干预更有效：SMD（95%CI）=-0.44（-0.63至-0.25），I² = 48%，P < 0.0001。次要结局也观察到了积极效果。证据的确定性为低或极低。气功、太极拳和瑜伽可能对减轻CFS或PCS成人患者的疲劳以及改善焦虑、抑郁和睡眠质量有效。然而，严重的方法学问题限制了这些研究结果的临床适用性。
