A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases

Author: Zou L1, Yeung A2,3, Quan X4, Boyden SD5, Wang H6
1Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China. liyezou123@gmail.com.
2Depression Clinical and Research Program, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA. AYEUNG@mgh.harvard.edu.
3The South Cove Community Health Center, Boston, MA 02111, USA. AYEUNG@mgh.harvard.edu.
4Department of Material Science and Engineering, Sichuan University-Pittsburgh Institute, Chengdu 610065, China. xinfeng.quan@gmail.com.
5Depression Clinical and Research Program, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA. SBOYDEN@partners.org.
6Department of Physical Education, Shanghai Jiaotong University, Shanghai 200240, China. wanghrsjtu@163.com.
Conference/Journal: Int J Environ Res Public Health.
Date published: 2018 Jan 25
Other: Volume ID: 15 , Issue ID: 2 , Special Notes: doi: 10.3390/ijerph15020206. , Word Count: 189

OBJECTIVE: we performed the first systematic review with meta-analyses of the existing studies that examined mindfulness-based Baduanjin exercise for its therapeutic effects for individuals with musculoskeletal pain or insomnia.

METHODS: Both English- (PubMed, Web of Science, Elsevier, and Google Scholar) and Chinese-language (CNKI and Wangfang) electronic databases were used to search relevant articles. We used a modified PEDro scale to evaluate risk of bias across studies selected. All eligible RCTS were considered for meta-analysis. The standardized mean difference was calculated for the pooled effects to determine the magnitude of the Baduanjin intervention effect. For the moderator analysis, we performed subgroup meta-analysis for categorical variables and meta-regression for continuous variables.

RESULTS: The aggregated result has shown a significant benefit in favour of Baduanjin at alleviating musculoskeletal pain (SMD = -0.88, 95% CI -1.02 to -0.74, p < 0.001, I² = 10.29%) and improving overall sleep quality (SMD = -0.48, 95% CI -0.95 to -0.01, p = 004, I² = 84.42%).

CONCLUSIONS: Mindfulness-based Baduanjin exercise may be effective for alleviating musculoskeletal pain and improving overall sleep quality in people with chronic illness. Large, well-designed RCTs are needed to confirm these findings.

KEYWORDS: Baduanjin Qigong; mind-body exercise; pain; sleep quality

PMID: 29370149 DOI: 10.3390/ijerph15020206