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身心锻炼对慢性心肺疾病呼吸困难患者的影响——随机对照试验的网状Meta分析

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

作者信息

Li Yilin, Wu Jing, Lei Rong

机构信息

Department of Geriatrics, The Third People's Hospital of Chengdu, Chengdu, China.

Health Management Center, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.

出版信息

Front Cardiovasc Med. 2025 Jun 4;12:1546996. doi: 10.3389/fcvm.2025.1546996. eCollection 2025.

DOI:10.3389/fcvm.2025.1546996
PMID:40535150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12174109/
Abstract

BACKGROUND: The objective of this meta-analysis is to evaluate and compare the effectiveness of various mind-body exercises in the rehabilitation of individuals with chronic cardiopulmonary dyspnoea. DESIGN: A systematic review and network meta-analysis was conducted on articles from PubMed, EMBASE, Cochrane Library, Web of Science, and China National Knowledge infrastructure which were searched up to November 21, 2024. The methodological quality of the included trials was evaluated using the Cochrane Risk of Bias tool. A network meta-analysis was performed to compare the effects of various mind-body therapies, including Liuzijue, Baduanjin, Yoga, Tai Chi, Wuqinxi, Qigong, Yijinjing, and Buddhist walking meditation. RESULTS: The analysis included 44 randomized controlled trials involving a total of 2,957 subjects. The network meta-analysis indicated that Yoga might be the most effective exercise intervention for reducing the MLHFQ score (SUCRA: 71.8%). Yoga training demonstrated superior results in increasing the 6-minute walk distance (6MWD) (SUCRA: 99.7%). Qigong was also identified as the most effective exercise intervention for decreasing St. George's Respiratory Questionnaire (SGRQ) (SUCRA: 97.1%). When compared with other treatments, Baduanjin is likely the most appropriate intervention for decreasing COPD Assessment Test (CAT) (SUCRA: 87.1%). Regarding N-terminal pro-B-type natriuretic peptide (NT-proBNP), Yoga might be more advantageous for decreasing the NT-proBNP (SUCRA: 83.4%). CONCLUSION: The findings of this study suggest that mind-body exercise may represent a promising intervention for the management of chronic cardiopulmonary dyspnoea. Our findings indicate that Yoga might be the most effective exercise intervention for improving the MLHFQ scores, 6MWD, and NT-proBNP. Qigong is identified as the most effective exercise intervention for decreasing SGRQ. Compared to other treatment methods, Baduanjin may be the most suitable intervention for lowering CAT. This study recommends that patients with chronic cardiopulmonary dyspnoea select appropriate mind-body exercises to achieve effective management of chronic cardiopulmonary dyspnoea. SYSTEMATIC REVIEW REGISTRATION: https://inplasy.com/inplasy-2024-11-0092/, INPLASY INPLASY2020100052.

摘要

背景：本荟萃分析的目的是评估和比较各种身心锻炼方法对慢性心肺呼吸困难患者康复的有效性。 设计：对截至2024年11月21日在PubMed、EMBASE、Cochrane图书馆、科学网和中国知网检索到的文章进行系统综述和网状荟萃分析。使用Cochrane偏倚风险工具评估纳入试验的方法学质量。进行网状荟萃分析以比较各种身心疗法的效果，包括六字诀、八段锦、瑜伽、太极拳、五禽戏、气功、易筋经和佛行禅。 结果：该分析纳入了44项随机对照试验，共涉及2957名受试者。网状荟萃分析表明，瑜伽可能是降低MLHFQ评分最有效的运动干预措施（累积排序曲线下面积：71.8%）。瑜伽训练在增加6分钟步行距离（6MWD）方面显示出更好的效果（累积排序曲线下面积：99.7%）。气功也被确定为降低圣乔治呼吸问卷（SGRQ）最有效的运动干预措施（累积排序曲线下面积：97.1%）。与其他治疗方法相比，八段锦可能是降低慢性阻塞性肺疾病评估测试（CAT）最适宜的干预措施（累积排序曲线下面积：87.1%）。关于N末端B型利钠肽原（NT-proBNP），瑜伽在降低NT-proBNP方面可能更具优势（累积排序曲线下面积：83.4%）。 结论：本研究结果表明，身心锻炼可能是管理慢性心肺呼吸困难的一种有前景的干预措施。我们的研究结果表明，瑜伽可能是改善MLHFQ评分、6MWD和NT-proBNP最有效的运动干预措施。气功被确定为降低SGRQ最有效的运动干预措施。与其他治疗方法相比，八段锦可能是降低CAT最合适的干预措施。本研究建议慢性心肺呼吸困难患者选择合适的身心锻炼方法以有效管理慢性心肺呼吸困难。 系统综述注册：https://inplasy.com/inplasy-2024-11-0092/，INPLASY INPLASY2020100052。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc8a/12174109/10a8afb8af1f/fcvm-12-1546996-g007.jpg
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本文引用的文献

[1]
Effect of Baduanjin exercise on health and functional status in patients with chronic obstructive pulmonary disease: a community-based, cluster-randomized controlled trial.

NPJ Prim Care Respir Med. 2024-12-19

[2]
The Impact of Bhramari Pranayama and Om Chanting on Post-operative Wound Healing: A Focus on the Nitric Oxide Pathway.

Cureus. 2024-11-12

[3]
Responsiveness and minimal clinically important difference of the COPD Assessment Test in fibrotic interstitial lung disease.

Respir Investig. 2024-11

[4]
Effectiveness and cost-effectiveness of offering a chair-based yoga programme in addition to usual care in older adults with multiple long-term conditions: a pragmatic, parallel group, open label, randomised controlled trial.

NIHR Open Res. 2024-8-12

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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.

Front Med (Lausanne). 2024-6-19

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Effect of Yoga Therapy on Insomnia Severity and Systolic Blood Pressure in Aged Women: A 12-Week Intervention Study Conducted in Kerala.

Cureus. 2024-3-29

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J Am Heart Assoc. 2024-5-7

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Heart failure with preserved ejection fraction: everything the clinician needs to know.

Lancet. 2024-3-16

[9]
The Effect of Weight Loss Through Lifestyle Interventions in Patients With Heart Failure With Preserved Ejection Fraction-A Systematic Review and Meta-Analysis of Randomised Controlled Trials.

Heart Lung Circ. 2024-2

[10]
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Pflugers Arch. 2024-5

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