Effects of traditional Chinese mind-body exercise-Baduanjin for type 2 diabetes on psychological well-being: A systematic review and meta-analysis

Kong, Lingjun; Ren, Jing; Fang, Sitong; He, Tianxiang; Zhou, Xin; Fang, Min

doi:10.3389/fpubh.2022.923411

Cited by 20 publications

(7 citation statements)

References 35 publications

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“…Several SRs have analyzed the evidence provided by RCTs on the effect of Baduanjin on various health conditions and diseases, such as hypertension, diabetes mellitus, and chronic obstructive pulmonary disease [21][22][23][24][25]. To date, no SRs/MAs have been performed on the effects of Baduanjin on MetS.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of Baduanjin on metabolic syndrome: An overview of systematic reviews and meta‐analyses

Zhao,

Li,

et al. 2024

Advanced Chinese Medicine

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ObjectiveThis meta‐analysis evaluated the effects of Baduanjin on the metabolic status of individuals with metabolic syndrome (MetS). The aim was to identify effective interventions for MetS prevention and treatment.MethodsWe conducted a comprehensive search of English (PubMed, Embase, Web of Science, and Cochrane Library) and Chinese (CNKI, Wanfang, Chinese Biomedical Database, VIP) databases till August 19, 2022. Randomized controlled trials (RCTs) focusing on Baduanjin for MetS patients were included. Data were pooled and assessed using the Cochrane risk‐of‐bias tool. The Grades of Recommendation, Assessment, Development, and Evaluation for Systematic Reviews was used to evaluate literature quality.ResultsEight RCTs involving 435 participants were included. Baduanjin showed significant improvements in fasting blood glucose (mean difference [MD] = −0.41, 95% confidence interval [CI] [−0.22, −0.61], p < 0.0001) and glycated hemoglobin levels (MD = −0.99, 95% CI [−0.38, −1.60], p < 0.00001). Waist‐to‐hip ratio (MD = −0.04, 95% CI [−0.03, −0.06], p = 0.002), body mass index (MD = −1.60, 95% CI [−0.10, −3.10], p = 0.04), fasting insulin (MD = −4.82, 95% CI [−0.15, −8.59], p = 0.01), systolic blood pressure (MD = −7.16, 95% CI [−5.16, −9.17], p < 0.00001), diastolic blood pressure (MD = −3.43, 95% CI [−0.62, −6.24], p = 0.02), total cholesterol (MD = −0.48, 95% CI [−0.10, −0.85], p = 0.01), triglycerides (MD = −0.39, 95% CI [−0.14, −0.64], p = 0.003), and low‐density lipoprotein cholesterol (MD = −0.52, 95% CI [−0.10, −0.94], p = 0.01) also significantly improved. No adverse events were reported. Literature quality ranged from very low to moderate.ConclusionsBaduanjin effectively improves metabolic status in individuals with MetS, including blood glucose, lipid profile, obesity‐related indicators, insulin levels, and blood pressure. However, the overall literature quality is moderate to low. Further rigorous RCTs are needed to explore Baduanjin's effects on MetS, considering intervention methods, content, and research methodologies.

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Section: Discussionmentioning

confidence: 99%

The effectiveness of Baduanjin on metabolic syndrome: An overview of systematic reviews and meta‐analyses

Zhao,

Li,

et al. 2024

Advanced Chinese Medicine

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“…This meta-analysis showed that Qigong exercise had significant effects on WC, SBP, and TG level, and the subgroup analysis confirmed the effects of Qigong exercise on BMI, DBP, and FBG, HDL-C, and TC levels. 1) The effects of Qigong exercise on WC and BMI may be attributable to the ability of Qigong exercise to dredge the meridians, promote blood circulation, regulate internal organs, and enhance health according to traditional Chinese medicine theory (Kong et al, 2022). The slow movements in Qigong exercise necessitate energy consumption during practice and thereby promote fat decomposition, which facilitates reductions in the WC and improvements in the BMI.…”

Section: Discussionmentioning

confidence: 99%

Effects of qigong exercise on cardiovascular risk factors in patients with metabolic syndrome: A systematic review and meta-analysis

Tao

Li²

2023

Front. Physiol.

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Background: As a traditional Chinese exercise system, Qigong includes many types of exercises, including Baduanjin, Wuqinxi, Yijinjing, and Liuzijue. However, reviews highlighting the effects of a specific type of Qigong exercise in patients with metabolic syndrome or risk factors for metabolic syndrome are limited, and no articles have systematically evaluated the effects of Qigong exercise on cardiovascular risk factors in patients with metabolic syndrome. Therefore, this systematic review aimed to evaluate the effects of Qigong exercise on cardiovascular risk factors in patients with metabolic syndrome.Objective: Relevant randomized controlled trials were identified to conduct a meta-analysis of the effects of Qigong exercise on patients with metabolic syndrome, and to further explore the overall impact, heterogeneity, and publication bias related to the effects of Qigong exercise on metabolic syndrome.Methods: We searched for RCTs of Qigong exercise in patients with metabolic syndrome from the following databases: Pubmed, Web of Science, The Cochrane Library, Scopus, Embase, Physiotherapy Evidenced Database (PEDro), Google Scholar, Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure Database (CNKI), Chinese Science, Wanfang Data, and the VIP database. The search duration was set from the establishment of the database to 16 April 2022. We used the “Bias Risk Assessment” tool recommended by Cochrane Manual 5.0 to assess the methodological quality of the included literature and the R (version 3.6.2) package gemtc to analyze the data.Results: A total of seven RCTs with 486 participants were included in the meta-analysis. The results showed that Qigong exercise had significant effects on waist circumference (standardized mean difference [SMD] = −0.67; 95% CI, −1.16 to −0.17), systolic blood pressure (standardized mean difference = −0.53; 95% CI, −0.78 to −0.28) and triglyceride level (SMD = −0.60; 95% CI, −0.79 to −0.41). Subgroup analyses showed that 6-month Qigong exercise significantly improved diastolic blood pressure (SMD = −1.06; 95% CI, −1.57 to −0.56), high-density lipoprotein cholesterol level (SMD = 1.45; 95% CI, 1.06–1.85), total cholesterol level (SMD = −0.65; 95% CI, −1.04 to −0.27), and body mass index (SMD = −0.97; 95% CI, −1.23 to −0.72). For fasting blood glucose (SMD = −1.12; 95% CI, −1.58 to −0.67), the effect of a 3-month intervention seemed more effective than 6 months of Qigong exercise, but the evidence was insufficient. In addition, Qigong exercise had minimal effects on low-density lipoprotein cholesterol levels (SMD = −1.22; 95% CI, −1.95 to −0.50).Conclusion: Qigong may be an alternative exercise mode to improve cardiovascular risk factors in patients with metabolic syndrome. However, the findings are limited by the number and quality of the included studies, and require validation through more high-quality studies.

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“…Moreover, the FPG level was lower in the Qigong group than in that of the resistance exercise group and the HbA1c level of the other aerobic exercise group, and the differences were statistically significant [71]. Baduanjin, another kind of mind-body program, got better improvements in FPG, 2hPG and HbA1c, better gains in body mass index and more positive impact on depression, anxiety and mental health compared with usual care and better improvements in HbA1c, body mass index, depression and anxiety compared with other exercises [75,78].…”

Section: Physical Activitymentioning

confidence: 99%

Non-drug interventions of traditional Chinese medicine in preventing type 2 diabetes: a review

Liu,

Yao,

Wang

et al. 2023

Chin Med

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Traditional Chinese medicine (TCM) is increasingly used to manage type 2 diabetes and its nonpharmacological interventions are showing potential for preventing type 2 diabetes. This study mainly reviews relevant research. The most mentioned non-drug treatments for preventing type 2 diabetes in TCM are healthy diet, physical activity, emotional therapy, and acupuncture. In most studies, blood glucose status in patients with prediabetes and type 2 diabetes was significantly improved after TCM non-drug interventions, and there was no significant difference between the adverse effect of TCM and control groups or other intervention groups, while the methodological quality of the clinical trials involving TCM generally kept a low level. The effectiveness of TCM in preventing type 2 diabetes has yet to be validated in large randomized controlled trials and the underlying mechanism also needs further exploration.

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Effects of traditional Chinese mind-body exercise-Baduanjin for type 2 diabetes on psychological well-being: A systematic review and meta-analysis

Cited by 20 publications

References 35 publications

The effectiveness of Baduanjin on metabolic syndrome: An overview of systematic reviews and meta‐analyses

The effectiveness of Baduanjin on metabolic syndrome: An overview of systematic reviews and meta‐analyses

Effects of qigong exercise on cardiovascular risk factors in patients with metabolic syndrome: A systematic review and meta-analysis

Non-drug interventions of traditional Chinese medicine in preventing type 2 diabetes: a review

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