Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map

Author: Lissandra Zanovelo Fogaça1, Caio Fabio Schlechta Portella2, Ricardo Ghelman2, Carmen Verônica Mendes Abdala3, Mariana Cabral Schveitzer1
Affiliation: <sup>1</sup> Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil. <sup>2</sup> Brazilian Academic Consortium for Integrative Health (CABSIn), São Paulo, Brazil. <sup>3</sup> BIREME (Latin American and Caribbean Center on Health Sciences Information) - Pan American Health Organization/World Health Organization (PAHO/WHO), São Paulo, Brazil.
Conference/Journal: Front Public Health
Date published: 2021 Dec 10
Other: Volume ID: 9 , Pages: 659075 , Special Notes: doi: 10.3389/fpubh.2021.659075. , Word Count: 285

Background: The mind-body therapies of traditional Chinese medicine include several intervention types and combine physical poses with conscious relaxation and breathing techniques. The purpose of this Evidence Map is to describe these different interventions and report related health outcomes. Methods: This evidence map is based on the 3iE Evidence Gap Map methodology. We searched seven electronic databases (BVS, PUBMED, EMBASE, PEDro, ScienceDirect, Web of Sciences, and PschyInfo) from inception to November 2019 and included systematic reviews only. Systematic reviews were analyzed based on AMSTAR 2. We used Tableau to graphically display quality assessment, the number of reviews, outcomes, and effects. Results: The map is based on 116 systematic reviews and 44 meta-analyses. Most of the reviews were published in the last 5 years. The most researched interventions were Tai Chi and Qi Gong. The reviews presented the following quality assessment: 80 high, 43 moderate, 23 low, and 14 critically low. Every 680 distinct outcome effect was classified: 421 as potential positive; 237 as positive; 21 as inconclusive/mixed; one potential negative and none no effect. Positive effects were related to chronic diseases; mental indicators and disorders; vitality, well-being, and quality of life. Potential positive effects were related to balance, mobility, Parkinson's disease, hypertension, joint pain, cognitive performance, and sleep quality. Inconclusive/mixed-effects justify further research, especially in the following areas: Acupressure as Shiatsu and Tuiná for nausea and vomiting; Tai Chi and Qi Gong for acute diseases, prevention of stroke, stroke risk factors, and schizophrenia. Conclusions: The mind-body therapies from traditional Chinese medicine have been applied in different areas and this Evidence Map provides a visualization of valuable information for patients, professionals, and policymakers, to promote evidence-based complementary therapies.

Keywords: Qi Gong; Tai Chi; evidence map; mind-body therapies; public health; traditional Chinese medicine.

PMID: 34988045 PMCID: PMC8722380 DOI: 10.3389/fpubh.2021.659075