Effectiveness of meditative movement on COPD: a systematic review and meta-analysis
Authors Wu LL, Lin ZK, Weng HD, Qi QF, Lu J, Liu KX
Received 6 December 2017
Accepted for publication 7 February 2018
Published 17 April 2018 Volume 2018:13 Pages 1239—1250
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Charles Downs
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Chunxue Bai
Lu-Ling Wu,1 Zheng-Kun Lin,2 Hui-Dan Weng,3 Qiao-Fang Qi,4 Jun Lu,5 Kai-Xiong Liu6
1Department of Respiratory Medicine, Fuzhou Pulmonary Hospital, Fuzhou, People’s Republic of China; 2Department of Rehabilitation, No. 175 Hospital of PLA, Zhangzhou, Fujian, People’s Republic of China; 3Postgraduate Institute of Fujian Medical University, Fuzhou, People’s Republic of China; 4Department of Respiratory Medicine, Fuzhou Pulmonary Hospital, Fuzhou, People’s Republic of China; 5Department of Medical Oncology, Fuzhou Pulmonary Hospital, Fuzhou, People’s Republic of China; 6Department of Respiratory Medicine, The First Affiliated Hospital, Fujian Medical University, Fuzhou, People’s Republic of China
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.
Keywords: meditative movement, COPD, meta-analysis, tai chi, yoga, qigong
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]