Baduanjin for executive function in patients with mild cognitive impairment: A systematic review and meta-analysis


Author: Shaohong Lin1, Jiaying Guo2, Pingying Nie3, Xinming Chen4, Jiayao Guo5, Nan Lin6, Fang Liu7

Affiliation: <sup>1</sup> College of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China. Electronic address: 1363592939@qq.com.

<sup>2</sup> College of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China. Electronic address: 977714967@qq.com.

<sup>3</sup> College of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China. Electronic address: 1132032926@qq.com.

<sup>4</sup> College of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China. Electronic address: 1094096664@qq.com.

<sup>5</sup> College of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China. Electronic address: 2365832993@qq.com.

<sup>6</sup> College of Acupuncture and Massage, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China. Electronic address: 731407237@qq.com.

<sup>7</sup> College of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China. Electronic address: liufangcn05@163.com.
Conference/Journal: Complement Ther Clin Pract
Date published: 2022 Jun 28
Other:
 Volume ID: 49   ,  Pages: 101626   ,  Special Notes: doi: 10.1016/j.ctcp.2022.101626.   ,  Word Count: 278  
    Background and purpose:

Mild cognitive impairment (MCI) represents age-related cognitive decline and affects various aspects of cognitive function, including memory, attention, executive function (EF), mental processing speed, speech-language skills, and visual-spatial skills. Among these, the EF is the most likely to decline with increasing age. Existing RCTs have shown that Baduanjin can improve the EF in MCI patients. In this study, we aimed to perform a systematic review to assess the efficacy of Baduanjin in improving the EF of patients with MCI.



Methods:

Ten databases [English: Cochrane Library, PubMed, Web of Science, Embase, OVID, and EBSCOhost; Chinese: Wanfang Data, China National Knowledge Infrastructure Database (CNKI), China Science and Technology Journal Database (VIP), and SinoMed] were systematically searched in April 2021. We herein included randomized controlled trials (RCTs) written in Chinese or English that assessed the effect of Baduanjin on the EF of patients with MCI. Two researchers used the Cochrane Collaboration's tool and assessed the risks of bias and performed a meta-analysis through the RevMan 5.4 software. We used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) to evaluate the quality of the body of evidence. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines were followed.



Results:

Sixteen RCTs involving 934 patients with MCI were included. The duration of Baduanjin was 16-24 weeks. The study showed that Baduanjin could significantly improve the EF (P < 0.05) based on the evaluation of the EF of patients with MCI using Montreal Cognitive Assessment, the Clock Drawing Test, the Digit Symbol Coding test, and the Trail Making Test.



Conclusion:

Baduanjin significantly improved the EF of patients with MCI.



Keywords: Baduanjin; Executive function; Meta-analysis; Mild cognitive impairment; Systematic review.



PMID: 35785625 DOI: 10.1016/j.ctcp.2022.101626