{"title":"身心运动对慢性心肺呼吸困难患者的影响——随机对照试验的网络荟萃分析。","authors":"Yilin Li, Jing Wu, Rong Lei","doi":"10.3389/fcvm.2025.1546996","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p><p><strong>Systematic review registration: </strong>https://inplasy.com/inplasy-2024-11-0092/, INPLASY INPLASY2020100052.</p>","PeriodicalId":12414,"journal":{"name":"Frontiers in Cardiovascular Medicine","volume":"12 ","pages":"1546996"},"PeriodicalIF":2.8000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174109/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effects of mind-body exercise in chronic cardiopulmonary dyspnoea patients-a network meta-analysis of randomized controlled trials.\",\"authors\":\"Yilin Li, Jing Wu, Rong Lei\",\"doi\":\"10.3389/fcvm.2025.1546996\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p><p><strong>Systematic review registration: </strong>https://inplasy.com/inplasy-2024-11-0092/, INPLASY INPLASY2020100052.</p>\",\"PeriodicalId\":12414,\"journal\":{\"name\":\"Frontiers in Cardiovascular Medicine\",\"volume\":\"12 \",\"pages\":\"1546996\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-06-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174109/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Cardiovascular Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fcvm.2025.1546996\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Cardiovascular Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fcvm.2025.1546996","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Effects of mind-body exercise in chronic cardiopulmonary dyspnoea patients-a network meta-analysis of randomized controlled trials.
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.
期刊介绍：
Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers?
At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.
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