PDF(Pubmed)
Abstract：
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.
摘要：
慢性阻塞性肺疾病（COPD）是一个全球性的健康问题。建议将太极拳和瑜伽等身心锻炼作为COPD管理的非药物干预措施。这项荟萃分析评估了身心锻炼对稳定期COPD患者肺功能和运动能力的影响，旨在评估其康复效果。在各种数据库中进行的系统搜索确定了相关的随机对照试验，直到2024年4月。主要结果包括肺功能测试（FEV1，FVC，FEV1/FVC,FEV1%)和六分钟步行测试(6MWT)结果。标准化平均差(SMD)测量了干预效果。分析了15项1047名参与者的研究。身心锻炼显着改善了FEV1（SMD=0.87），FEV1/FVC(SMD=0.19),FEV1%（SMD=0.43），与标准护理相比，6MWT(SMD=1.21)。敏感性和亚组分析证实了结果的稳定性，尽管有一些异质性。总之,心身锻炼可增强稳定期COPD患者的肺功能和运动能力。建议将它们纳入全面的康复计划。进一步的研究应该探索不同运动类型和强度的具体影响。
