The Impact of Various Mind-Body Exercises on Cardiorespiratory Function and Quality of Life in Heart Failure Patients: A Network Meta-Analysis
Author: Fengrui Shi1, Jie Yu2, Hong Wang3, Chuanzhong Wu4
Affiliation:
1 School of Physical Education, Wuhan University of Technology, Wuhan, 430070, China. Electronic address: 18339191039@163.com.
2 School of Physical Education, Wuhan University of Technology, Wuhan, 430070, China. Electronic address: 2041490961@qq.com.
3 School of Wushu, Wuhan Sports University, Wuhan, 430079, China. Electronic address: 2004002@whsu.edu.cn.
4 Xianda College of Economics and Humanities, Shanghai International Studies University, Shanghai, 202162, China. Electronic address: 19065273411@163.com.
Conference/Journal: Curr Probl Cardiol
Date published: 2024 Oct 9
Other:
Pages: 102881 , Special Notes: doi: 10.1016/j.cpcardiol.2024.102881. , Word Count: 242
Objective:
This study aims to compare the relative effects of different mind-body exercises on cardiorespiratory function and quality of life in Heart failure (HF) patients, providing valuable insights for their rehabilitation.
Methods:
We conducted a search across seven Chinese and English databases, including China National Knowledge Infrastructure (CNKI) and Web of Science. A network meta-analysis was performed using STATA 14.0 within a frequentist framework.
Results:
A total of 38 studies were included, encompassing eight types of mind-body exercises. Ten studies reported peak VO2, indicating that dancing outperformed Tai Chi (MD: -3.52, 95% CI: -6.74, -0.30) and Baduanjin (MD: -2.34, 95% CI: -4.32, -0.36). Additionally, Pilates demonstrated greater effectiveness than Yijinjing, aside from Tai Chi (MD: -5.10, 95% CI: -8.71, -1.49) and Baduanjin (MD: -3.92, 95% CI: -6.50, -1.34). Twenty-one studies reported the six-minute walk test (6MTW), with only Tai Chi significantly improving 6MTW scores compared to the control group (MD: 50.77, 95% CI: 8.12, 93.42). Twenty-three studies assessed left ventricular ejection fraction (LVEF), finding that Tai Chi (MD: 3.83, 95% CI: 2.07, 5.59), Baduanjin (MD: 2.90, 95% CI: 1.04, 4.76), and yoga (MD: 3.32, 95% CI: 0.37, 6.27) significantly increased LVEF in HF patients. Nineteen studies evaluated quality of life, with the Liuzijue possibly being the most effective intervention (SUCRA: 98.9).
Conclusion:
Different mind-body exercises have their own advantages in improving the heart function and quality of life of HF patients. In the future, higher-quality studies with larger samples are needed to further verify the validity of the results.
Keywords: Mind-body exercise; cardiorespiratory function; heart failure; network meta-analysis; quality of life.
PMID: 39393623 DOI: 10.1016/j.cpcardiol.2024.102881
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