Mind-body exercise for patients with stable COPD on lung function and exercise capacity: a systematic review and meta-analysis of RCTs.
Chronic obstructive pulmonary disease
Exercise capacity
Lung function
Meta-analysis
Mind–body exercises
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
07 Aug 2024
07 Aug 2024
Historique:
received:
05
06
2024
accepted:
05
08
2024
medline:
8
8
2024
pubmed:
8
8
2024
entrez:
7
8
2024
Statut:
epublish
Résumé
Chronic Obstructive Pulmonary Disease (COPD) is a global health concern. Mind-body exercises like Tai Chi and Yoga are suggested as non-pharmacological interventions for COPD management. This meta-analysis evaluates mind-body exercises' impact on lung function and exercise capacity in stable COPD patients, aiming to assess their effectiveness in rehabilitation. A systematic search across various databases identified relevant randomized controlled trials until April 2024. Primary outcomes included lung function tests (FEV1, FVC, FEV1/FVC, FEV1%) and Six-Minute Walk Test (6MWT) results. The Standardized Mean Difference (SMD) measured intervention effects. Fifteen studies with 1047 participants were analyzed. Mind-body exercises significantly improved FEV1 (SMD = 0.87), FEV1/FVC (SMD = 0.19), FEV1% (SMD = 0.43), and 6MWT (SMD = 1.21) compared to standard care. Sensitivity and subgroup analyses confirmed result stability despite some heterogeneity.In conclusion, Mind-body exercises enhance lung function and exercise capacity in stable COPD patients. Integrating them into comprehensive rehabilitation programs is advisable. Further research should explore the specific impacts of different exercise types and intensities.
Identifiants
pubmed: 39112599
doi: 10.1038/s41598-024-69394-4
pii: 10.1038/s41598-024-69394-4
doi:
Types de publication
Journal Article
Systematic Review
Meta-Analysis
Langues
eng
Sous-ensembles de citation
IM
Pagination
18300Informations de copyright
© 2024. The Author(s).
Références
Butcher, S. J. & Jones, R. L. The impact of exercise training intensity on change in physiological function in patients with chronic obstructive pulmonary disease. Sports Med. 36, 307–325 (2006).
doi: 10.2165/00007256-200636040-00003
pubmed: 16573357
Nici, L. et al. American thoracic society/European respiratory society statement on pulmonary rehabilitation. Am. J. Resp. Crit. Care Med. 173, 1390–1413 (2006).
doi: 10.1164/rccm.200508-1211ST
pubmed: 16760357
Complementary, N. C. f. & Health, I. Complementary, alternative, or integrative health: What’s in a name? Maryland (2018).
Zou, L., Loprinzi, P. D., Yeung, A. S., Zeng, N. & Huang, T. The beneficial effects of mind-body exercises for people with mild cognitive impairment: A systematic review with meta-analysis. Arch. Phys. Med. Rehabil. 100, 1556–1573 (2019).
doi: 10.1016/j.apmr.2019.03.009
pubmed: 30986409
Wang, J., Meng, J. & Guo, Z. Z. Systematic review on the impact of mind-body exercises on sleep quality. Chin. J. Rehabil. Theory Pract. 29, 205–213 (2023).
Li, Z., Liu, S., Wang, L. & Smith, L. Mind–body exercise for anxiety and depression in copd patients: A systematic review and meta-analysis. Int. J. Environ. Res. Public Health 17, 22 (2020).
doi: 10.3390/ijerph17010022
Li, H. et al. A RCT reticulated meta-analysis of six MBE therapies affecting college students' negative psychology. Iscience (2023).
Wang, K., Liu, S., Kong, Z., Zhang, Y. & Liu, J. Mind-body exercise (Wuqinxi) for patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis of randomized controlled trials. Int. J. Environ. Res. Public Health 16, 72 (2019).
doi: 10.3390/ijerph16010072
Norweg, A. M. et al. Mind-body intervention for dysfunctional breathing in chronic obstructive pulmonary disease: Feasibility study and lessons learned. J. Integr. Comp. Med. 29, 156–168 (2023).
Papp, M. E., Henriques, M., Biguet, G., Wändell, P. E. & Nygren-Bonnier, M. Experiences of hatha yogic exercises among patients with obstructive pulmonary diseases: A qualitative study. J. Bodywork Movem. Ther. 22, 896–903 (2018).
doi: 10.1016/j.jbmt.2017.11.001
Yeh, G. Y. et al. Tai chi mind-body exercise in patients with COPD: Study protocol for a randomized controlled trial. Trials 15, 1–13 (2014).
doi: 10.1186/1745-6215-15-337
Malik, S. et al. Exercise capacity in patients with chronic obstructive pulmonary disease treated with tele-yoga versus tele-pulmonary rehabilitation: A pilot validation study. Cureus 14 (2022).
Liberati, A. et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Ann. Internal Med. 151, W65–W94 (2009).
doi: 10.7326/0003-4819-151-4-200908180-00136
Liu, M., Wu, H. & Wei, M. Systematic Review, Meta-Analysis Design and Implementation Methods. (2011).
Du, S. T. et al. The impact of Tai Chi exercise on the BODE index and SGRQ scores in patients with chronic obstructive pulmonary disease. Chin. J. Sports Med. 32, 403–407. https://doi.org/10.1603/j.1000-6710.2013.05.007 (2013).
doi: 10.1603/j.1000-6710.2013.05.007
Zhu, S. et al. A modified 6-form Tai Chi for patients with COPD. Comp. Ther. Med. 39, 36–42. https://doi.org/10.1016/j.ctim.2018.05.007 (2018).
doi: 10.1016/j.ctim.2018.05.007
Pan, Y. et al. Evaluation of the therapeutic effect of 24-form simplified Tai Chi in the pulmonary rehabilitation of patients with stable chronic obstructive pulmonary disease. Chin. J. Rehabil. Med. 33, 681–686 (2018).
Jiang, L. et al. Effects of pulmonary-based Qigong exercise in stable patients with chronic obstructive pulmonary disease: A randomized controlled trial. BMC Comp. Med. Ther. 23, 418. https://doi.org/10.1186/s12906-023-04238-8 (2023).
doi: 10.1186/s12906-023-04238-8
Liu, X. et al. Effects of water-based Liuzijue exercise on peak exercise capacity, functional exercise capacity, and quality of life in people with COPD. Clin. Resp. J. 15, 956–966. https://doi.org/10.1111/crj.13399 (2021).
doi: 10.1111/crj.13399
Thokchom, S. K., Gulati, K., Ray, A. & Menon, B. K. Effects of yogic intervention on pulmonary functions and health status in patients of COPD and the possible mechanisms. Comp. Ther. Clin. Pract. 33, 20–26. https://doi.org/10.1016/j.ctcp.2018.07.008 (2018).
doi: 10.1016/j.ctcp.2018.07.008
Li, P. et al. Effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease. Clin. Interventions Aging 13, 1391–1399. https://doi.org/10.2147/CIA.S169671 (2018).
doi: 10.2147/CIA.S169671
Chan, A. W. K., Lee, A., Suen, L. K. P. & Tam, W. W. S. Tai chi Qigong improves lung functions and activity tolerance in COPD clients: A single blind, randomized controlled trial. Comp. Ther. Med. 19, 3–11. https://doi.org/10.1016/j.ctim.2010.12.007 (2011).
doi: 10.1016/j.ctim.2010.12.007
Wang, L., Wu, K., Chen, X. & Liu, Q. The effects of Tai Chi on lung function, exercise capacity and health related quality of life for patients with chronic obstructive pulmonary disease: A pilot study. Heart Lung Circ. 28, 1206–1212. https://doi.org/10.1016/j.hlc.2018.05.204 (2019).
doi: 10.1016/j.hlc.2018.05.204
pubmed: 30166260
Luo, C., Jiang, H., Li, H. & Chi, X. Effects of Tai Chi on patients with moderate to severe COPD in stable phase. Medicine 102, e33503. https://doi.org/10.1097/md.0000000000033503 (2023).
doi: 10.1097/md.0000000000033503
pubmed: 37026910
Liu, X.-D. et al. Therapeutic effects of Qigong in patients with COPD: A randomized controlled trial. Hong Kong J. Occup. Ther. 22, 38–46. https://doi.org/10.1016/j.hkjot.2012.06.002 (2012).
doi: 10.1016/j.hkjot.2012.06.002
Kantatong, T., Panpanich, R., Deesomchok, A., Sungkarat, S. & Siviroj, P. Effects of the tai chi qigong programme on functional capacity, and lung function in chronic obstructive pulmonary disease patients: A ramdomised controlled trial. J. Trad. Comp. Med. 10, 354–359. https://doi.org/10.1016/j.jtcme.2019.03.008 (2020).
doi: 10.1016/j.jtcme.2019.03.008
Zhang, M., Xv, G., Luo, C., Meng, D. & Ji, Y. Qigong Yi Jinjing promotes pulmonary function, physical activity, quality of life and emotion regulation self-efficacy in patients with chronic obstructive pulmonary disease: A pilot study. J. Altern. Comp. Med. 22, 810–817. https://doi.org/10.1089/acm.2015.0224 (2016).
doi: 10.1089/acm.2015.0224
Yudhawati, R. & Mariani Rasjid, H. S. Effect of yoga on FEV1, 6-minute walk distance (6-MWD) and quality of life in patients with COPD group B. Adv. Resp. Med. 87, 261–268. https://doi.org/10.5603/ARM.2019.0047 (2019).
doi: 10.5603/ARM.2019.0047
Yang, D. L., Wu, J. H. & Han, Z. J. Evaluation of the therapeutic effect of fitness Qigong Baduanjin in pulmonary rehabilitation of patients with stable chronic obstructive pulmonary disease. Chin. Gen. Pract. 20, 356–358 (2017).
Zhou, M. J. & Zheng, J. P. Clinical practical methods, indicators, and significance of pulmonary function testing. Chin. J. Pract. Internal Med. 32, 575–577 (2012).
Donohue, J. F. Minimal clinically important differences in COPD lung function. COPD J. Chronic Obstruct. Pulmonary Dis. 2, 111–124 (2005).
doi: 10.1081/COPD-200053377
Bonnevie, T. et al. The six-minute stepper test is related to muscle strength but cannot substitute for the one repetition maximum to prescribe strength training in patients with COPD. Int. J. Chronic Obstructive Pulmonary Dis., 767–774 (2019).
Ding, M., Zhang, W., Li, K. & Chen, X. Effectiveness of t’ai chi and qigong on chronic obstructive pulmonary disease: A systematic review and meta-analysis. J. Altern. Comp. Med. 20, 79–86 (2014).
doi: 10.1089/acm.2013.0087
Yan, J.-H., Guo, Y.-Z., Yao, H.-M. & Pan, L. Effects of Tai Chi in patients with chronic obstructive pulmonary disease: Preliminary evidence. PloS one 8, e61806 (2013).
doi: 10.1371/journal.pone.0061806
pubmed: 23626732
pmcid: 3634011
Yang, X. et al. The effects of a customized yoga breathing exercise on pulmonary rehabilitation and depression in COPD patients. J. Nurs. Sci. 30, 18–21 (2015).
Zou, L. et al. Effects of mind–body movements on balance function in stroke survivors: A meta-analysis of randomized controlled trials. Int. J. Environ. Res. Public Health 15, 1292 (2018).
doi: 10.3390/ijerph15061292
pubmed: 29925770
pmcid: 6025433
Xu, W. J. & Li, Y. K. Interpretations of Tai Chi Theory and Methods. J. Beijing Sport Univ. 34, 1–4 (2011).
Li, J., Hong, Y. & Chan, K. Tai chi: Physiological characteristics and beneficial effects on health. Br. J. Sports Med. 35, 148–156 (2001).
doi: 10.1136/bjsm.35.3.148
pubmed: 11375872
pmcid: 1724328
Brown, R. P. & Gerbarg, P. L. Yoga breathing, meditation, and longevity. Ann. New York Acad. Sci. 1172, 54–62 (2009).
doi: 10.1111/j.1749-6632.2009.04394.x
Cleutjens, F. A. et al. The impact of cognitive impairment on efficacy of pulmonary rehabilitation in patients with COPD. J. Am. Med. Directors Assoc. 18, 420–426 (2017).
doi: 10.1016/j.jamda.2016.11.016
Engel, R. M., Gonski, P., Beath, K. & Vemulpad, S. Medium term effects of including manual therapy in a pulmonary rehabilitation program for chronic obstructive pulmonary disease (COPD): A randomized controlled pilot trial. J. Manual Manipul. Ther. 24, 80–89 (2016).
doi: 10.1179/2042618614Y.0000000074
Schroff, P. et al. Pulmonary rehabilitation improves outcomes in chronic obstructive pulmonary disease independent of disease burden. Ann. Am. Thoracic Soc. 14, 26–32 (2017).
doi: 10.1513/AnnalsATS.201607-551OC
Zhang, L. L., Ke, D. D., Wu, W. & Lu, D. J. The effects of Tai Chi on physical fitness and health in humans. Chin. J. Gerontol. 37, 2309–2312 (2017).
Zou, L. et al. A review study on the beneficial effects of Baduanjin. J. Altern. Comp. Med. 24, 324–335 (2018).
doi: 10.1089/acm.2017.0241
Guo, Y. et al. Beneficial effects of qigong wuqinxi in the improvement of health condition, prevention, and treatment of chronic diseases: Evidence from a systematic review. Evid.-Based Comp. Altern. Med. 2018 (2018).
Pelegrino, N. R. G. et al. Influence of lean body mass on cardiopulmonary repercussions during the six-minute walk test in patients with COPD. Jornal Brasileiro de Pneumologia 35, 20–26 (2009).
doi: 10.1590/S1806-37132009000100004
pubmed: 19219327
Celli, B. R. et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. New England J. Med. 350, 1005–1012 (2004).
doi: 10.1056/NEJMoa021322
Wu, L.-L. et al. Effectiveness of meditative movement on COPD: A systematic review and meta-analysis. Int. J. Chronic Obstructive Pulmonary Dis., 1239–1250 (2018).