各种身心锻炼对心力衰竭患者心肺功能和生活质量的影响：一项网络Meta分析

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Problems in Cardiology Pub Date : 2024-10-10 DOI:10.1016/j.cpcardiol.2024.102881

Fengrui Shi , Jie Yu , Hong Wang , Chuanzhong Wu

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引用次数: 0

摘要

研究目的本研究旨在比较不同心身锻炼对心力衰竭（HF）患者心肺功能和生活质量的相对影响，为他们的康复提供有价值的见解：方法：我们检索了七个中英文数据库，包括中国知网（CNKI）和科学网（Web of Science）。结果：共纳入了 38 项研究，其中有 3 项研究的研究对象为慢性阻塞性肺疾病患者，有 2 项研究的研究对象为慢性阻塞性肺疾病患者：结果：共纳入 38 项研究，包括 8 种身心锻炼。10项研究报告了VO2峰值，结果表明舞蹈的表现优于太极拳（MD：-3.52，95% CI：-6.74，-0.30）和八段锦（MD：-2.34，95% CI：-4.32，-0.36）。此外，除太极拳（MD：-5.10，95% CI：-8.71，-1.49）和八段锦（MD：-3.92，95% CI：-6.50，-1.34）外，普拉提比易筋经更有效。21 项研究报告了六分钟步行测试（6MTW），与对照组相比，只有太极拳能显著提高 6MTW 分数（MD：50.77，95% CI：8.12，93.42）。23 项研究对左心室射血分数（LVEF）进行了评估，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）能显著提高高血压患者的 LVEF。19项研究对生活质量进行了评估，其中六字诀可能是最有效的干预方法（SUCRA：98.9）：结论：不同的身心锻炼在改善心房颤动患者的心脏功能和生活质量方面各有优势。结论：不同的心身锻炼方法在改善高血压患者的心脏功能和生活质量方面各有优势，未来需要更多样本、更高质量的研究来进一步验证结果的有效性。

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The impact of various mind-body exercises on cardiorespiratory function and quality of life in heart failure patients: A network meta-analysis

Objective

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.

Methods

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.

Results

A total of 38 studies were included, encompassing eight types of mind-body exercises. Ten studies reported peak VO₂, 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).

Conclusion

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.

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.