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Effectiveness of meditative movement on COPD: a systematic review and meta-analysis.
Int J Chron Obstruct Pulmon Dis. 2018; 13:1239-1250.IJ

Abstract

Background

The effectiveness of meditative movement (tai chi, yoga, and qigong) on COPD remained unclear. We undertook a systematic review and meta-analysis to determine the effectiveness of meditative movement on COPD patients.

Methods

We searched PubMed, Web of Science, EMBASE, and the Cochrane Center Register of Controlled Trials for relevant studies. The methods of standard meta-analysis were utilized for identifying relevant researches (until August 2017), quality appraisal, and synthesis. The primary outcomes were the 6-minute walking distance (6MWD), lung function, and dyspnea levels.

Results

Sixteen studies involving 1,176 COPD patients were included. When comparing with the control group, the 6MWD was significantly enhanced in the treatment group (3 months: mean difference [MD]=25.40 m, 95% CI: 16.25 to 34.54; 6 months: MD=35.75 m, 95% CI: 22.23 to 49.27), as well as functions on forced expiratory volume in 1 s (FEV1) (3 months: MD=0.1L, 95% CI: 0.02 to 0.18; 6 months: MD=0.18L, 95% CI: 0.1 to 0.26), and FEV1 % predicted (3 months: 4L, 95% CI: 2.7 to 5.31; 6 months: MD=4.8L, 95% CI: 2.56 to 7.07). Quality of life for the group doing meditative movement was better than the control group based on the Chronic Respiratory Disease Questionnaire dyspnea score (MD=0.9 units, 95% CI: 0.51 to 1.29) and fatigue score (MD=0.75 units, 95% CI: 0.42 to 1.09) and the total score (MD=1.92 units, 95% CI: 0.54 to 3.31).

Conclusion

Meditative movement may have the potential to enhance lung function and physical activity in COPD patients. More large-scale, well-designed, multicenter, randomized controlled trials should be launched to evaluate the long-range effects of meditative movement.

Authors+Show Affiliations

Department of Respiratory Medicine, Fuzhou Pulmonary Hospital, Fuzhou, People's Republic of China.Department of Rehabilitation, No. 175 Hospital of PLA, Zhangzhou, Fujian, People's Republic of China.Postgraduate Institute of Fujian Medical University, Fuzhou, People's Republic of China.Department of Respiratory Medicine, Fuzhou Pulmonary Hospital, Fuzhou, People's Republic of China.Department of Medical Oncology, Fuzhou Pulmonary Hospital, Fuzhou, People's Republic of China.Department of Respiratory Medicine, The First Affiliated Hospital, Fujian Medical University, Fuzhou, People's Republic of China.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

29713157

Citation

Wu, Lu-Ling, et al. "Effectiveness of Meditative Movement On COPD: a Systematic Review and Meta-analysis." International Journal of Chronic Obstructive Pulmonary Disease, vol. 13, 2018, pp. 1239-1250.
Wu LL, Lin ZK, Weng HD, et al. Effectiveness of meditative movement on COPD: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2018;13:1239-1250.
Wu, L. L., Lin, Z. K., Weng, H. D., Qi, Q. F., Lu, J., & Liu, K. X. (2018). Effectiveness of meditative movement on COPD: a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 13, 1239-1250. https://doi.org/10.2147/COPD.S159042
Wu LL, et al. Effectiveness of Meditative Movement On COPD: a Systematic Review and Meta-analysis. Int J Chron Obstruct Pulmon Dis. 2018;13:1239-1250. PubMed PMID: 29713157.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of meditative movement on COPD: a systematic review and meta-analysis. AU - Wu,Lu-Ling, AU - Lin,Zheng-Kun, AU - Weng,Hui-Dan, AU - Qi,Qiao-Fang, AU - Lu,Jun, AU - Liu,Kai-Xiong, Y1 - 2018/04/17/ PY - 2018/5/2/entrez PY - 2018/5/2/pubmed PY - 2018/10/23/medline KW - COPD KW - meditative movement KW - meta-analysis KW - qigong KW - tai chi KW - yoga SP - 1239 EP - 1250 JF - International journal of chronic obstructive pulmonary disease JO - Int J Chron Obstruct Pulmon Dis VL - 13 N2 - Background: The effectiveness of meditative movement (tai chi, yoga, and qigong) on COPD remained unclear. We undertook a systematic review and meta-analysis to determine the effectiveness of meditative movement on COPD patients. Methods: We searched PubMed, Web of Science, EMBASE, and the Cochrane Center Register of Controlled Trials for relevant studies. The methods of standard meta-analysis were utilized for identifying relevant researches (until August 2017), quality appraisal, and synthesis. The primary outcomes were the 6-minute walking distance (6MWD), lung function, and dyspnea levels. Results: Sixteen studies involving 1,176 COPD patients were included. When comparing with the control group, the 6MWD was significantly enhanced in the treatment group (3 months: mean difference [MD]=25.40 m, 95% CI: 16.25 to 34.54; 6 months: MD=35.75 m, 95% CI: 22.23 to 49.27), as well as functions on forced expiratory volume in 1 s (FEV1) (3 months: MD=0.1L, 95% CI: 0.02 to 0.18; 6 months: MD=0.18L, 95% CI: 0.1 to 0.26), and FEV1 % predicted (3 months: 4L, 95% CI: 2.7 to 5.31; 6 months: MD=4.8L, 95% CI: 2.56 to 7.07). Quality of life for the group doing meditative movement was better than the control group based on the Chronic Respiratory Disease Questionnaire dyspnea score (MD=0.9 units, 95% CI: 0.51 to 1.29) and fatigue score (MD=0.75 units, 95% CI: 0.42 to 1.09) and the total score (MD=1.92 units, 95% CI: 0.54 to 3.31). Conclusion: Meditative movement may have the potential to enhance lung function and physical activity in COPD patients. More large-scale, well-designed, multicenter, randomized controlled trials should be launched to evaluate the long-range effects of meditative movement. SN - 1178-2005 UR - https://www.unboundmedicine.com/medline/citation/29713157/Effectiveness_of_meditative_movement_on_COPD:_a_systematic_review_and_meta_analysis_ L2 - https://dx.doi.org/10.2147/COPD.S159042 DB - PRIME DP - Unbound Medicine ER -