Effect of Tai Ji and/or Qigong on patients with stable chronic obstructive pulmonary disease: A meta-analysis and systematic review

Author: Hongliang Liu1, Ningchang Cheng2
Affiliation:
1 Nanjing University of Chinese Medicine, Nanjing, China.
2 Department of Respiratory, Xinglong Community Health Center, Nanjing 210019, China.
Conference/Journal: Medicine (Baltimore)
Date published: 2025 Jan 31
Other: Volume ID: 104 , Issue ID: 5 , Pages: e41390 , Special Notes: doi: 10.1097/MD.0000000000041390. , Word Count: 176


Background:
Chronic obstructive pulmonary disease (COPD) is a global health problem with high morbidity and mortality. Tai Ji and Qigong are traditional Chinese meditative movements, benefit COPD patient's physical and mental health.

Methods:
We searched the following 7 databases Web of Science, EBSCO, Medline, PubMed, CINAHL, Cochrane Library online, and CNKI from inception to July 2023. Any RCTs managed with Tai Ji and/or Qigong on stable COPD were eligible without age, and comparison management restrict, however should be published in English. Outcome measures comprised pulmonary function, 6WMT, physical and/or cognitive function, and any assessment of people QoL.

Results:
Tai Ji and/or Qigong significant increased %PredFEV1 on stable COPD people (MD: 3.46, 95% CI: 1.69-5.23), and 6MWT (MD: 45.07, 95% CI: 31.16-58.97). 5/6 studies reported a meaningful change in CAT/SGRQ total (MD: -4.04, 95% CI: -7.76 to -0.32; MD: -11.95, 95% CI: -21.22 to -2.68). However, 6MWT, CAT and SGRO total were debated on high heterogeneity.

Conclusion:
Tai Ji and Qigong increase %PredFEV1 and promote QoL. However, the evidences are not sufficient, a proper subgroup analysis should be considered.


PMID: 39889182 DOI: 10.1097/MD.0000000000041390

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