Mind-body exercise for patients with stable COPD on lung function and exercise capacity: a systematic review and meta-analysis of RCTs

Author: Yutong Zhu#1, Zhihao Zhang#2, Zhihao Du3, Feng Zhai4
Affiliation:
1 College of Physical Education, China University of Mining and Technology, Xuzhou, Jiangsu, China.
2 Collge of Education, National University of Malaysia, Bangi, Selangor, Malaysia.
3 College of Physical Education, China University of Mining and Technology, Xuzhou, Jiangsu, China. dzh_cumt_edu@163.com.
4 College of Physical Education, China University of Mining and Technology, Xuzhou, Jiangsu, China. zhaifeng123@126.com.
Conference/Journal: Sci Rep
Date published: 2024 Aug 7
Other: Volume ID: 14 , Issue ID: 1 , Pages: 18300 , Special Notes: doi: 10.1038/s41598-024-69394-4. , Word Count: 176


Chronic Obstructive Pulmonary Disease (COPD) is a global health concern. Mind-body exercises like Tai Chi and Yoga are suggested as non-pharmacological interventions for COPD management. This meta-analysis evaluates mind-body exercises' impact on lung function and exercise capacity in stable COPD patients, aiming to assess their effectiveness in rehabilitation. A systematic search across various databases identified relevant randomized controlled trials until April 2024. Primary outcomes included lung function tests (FEV1, FVC, FEV1/FVC, FEV1%) and Six-Minute Walk Test (6MWT) results. The Standardized Mean Difference (SMD) measured intervention effects. Fifteen studies with 1047 participants were analyzed. Mind-body exercises significantly improved FEV1 (SMD = 0.87), FEV1/FVC (SMD = 0.19), FEV1% (SMD = 0.43), and 6MWT (SMD = 1.21) compared to standard care. Sensitivity and subgroup analyses confirmed result stability despite some heterogeneity.In conclusion, Mind-body exercises enhance lung function and exercise capacity in stable COPD patients. Integrating them into comprehensive rehabilitation programs is advisable. Further research should explore the specific impacts of different exercise types and intensities.

Keywords: Chronic obstructive pulmonary disease; Exercise capacity; Lung function; Meta-analysis; Mind–body exercises.

PMID: 39112599 PMCID: PMC11306772 DOI: 10.1038/s41598-024-69394-4

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