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Mind–Body Exercise for Anxiety and Depression in COPD Patients: A Systematic Review and Meta-Analysis

Author

Listed:
  • Zaimin Li

    (School of Wushu, Chengdu Sport University, Chengdu 610041, China)

  • Shijie Liu

    (School of Physical Education and Sport Training, Shanghai University of Sport, Shanghai 200438, China)

  • Lin Wang

    (Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China)

  • Lee Smith

    (The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK)

Abstract

Objectives: Mind–body exercise has been generally recognized as a beneficial strategy to improve mental health in those with Chronic Obstructive Pulmonary Disease (COPD). However, to date, no attempt has been made to collate this literature. The aim of the present study was to systematically analyze the effects of mind–body exercise for COPD patients with anxiety and depression and provide scientific evidence-based exercise prescription. Methods: both Chinese and English databases (PubMed, the Cochrane Library, EMBASE, Web of Science, Google Scholar, Chinese National Knowledge Infrastructure, Wanfang, Baidu Scholar) were used as sources of data to search randomized controlled trials (RCT) relating to mind–body exercise in COPD patients with anxiety and depression that were published between January 1982 to June 2019. 13 eligible RCT studies were finally used for meta-analysis. Results: Mind–body exercise (tai chi, health qigong, yoga) had significant benefits on COPD patients with anxiety (SMD = −0.76, 95% CI −0.91 to −0.60, p = 0.04, I 2 = 47.4%) and depression (SMD = −0.86, 95% CI −1.14 to −0.58, p = 0.000, I 2 = 71.4%). Sub-group analysis indicated that, for anxiety, 30–60 min exercise session for 24 weeks of health qigong or yoga had a significant effect on patients with COPD who are more than 70 years and have more than a 10-year disease course. For depression, 2–3 times a week, 30–60 min each time of health qigong had a significant effect on patients with COPD patients who are more than 70 years old and have less than a 10-year disease course. Conclusions: Mind–body exercise could reduce levels of anxiety and depression in those with COPD. More robust RCT are required on this topic.

Suggested Citation

  • Zaimin Li & Shijie Liu & Lin Wang & Lee Smith, 2019. "Mind–Body Exercise for Anxiety and Depression in COPD Patients: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(1), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:22-:d:299386
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    References listed on IDEAS

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    1. Xiaotian Luo & Jifeng Zhang & Rachel Castelberg & Tao Wu & Pengming Yu & Chengqi He & Pu Wang, 2016. "The Effects of Traditional Chinese Exercise in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-15, September.
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    4. Shi-Jie Liu & Zhanbing Ren & Lin Wang & Gao-Xia Wei & Liye Zou, 2018. "Mind–Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 15(9), pages 1-19, August.
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    9. Shengwen Zhou & Yanjie Zhang & Zhaowei Kong & Paul D. Loprinzi & Yang Hu & Jiajie Ye & Shijie Liu & Jane Jie Yu & Liye Zou, 2019. "The Effects of Tai Chi on Markers of Atherosclerosis, Lower-limb Physical Function, and Cognitive Ability in Adults Aged Over 60: A Randomized Controlled Trial," IJERPH, MDPI, vol. 16(5), pages 1-12, March.
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    Cited by:

    1. Michael Stellefson & Min-Qi Wang & Caitlin Kinder, 2021. "Racial Disparities in Health Risk Indicators Reported by Alabamians Diagnosed with COPD," IJERPH, MDPI, vol. 18(18), pages 1-18, September.

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