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

Li, Zaimin and Liu, Shijie and Wang, Lin and Smith, Lee (2019) Mind-body Exercise for Anxiety and Depression in COPD Patients: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 17 (1). p. 22. ISSN 1660-4601

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Official URL: https://doi.org/10.3390/ijerph17010022

Abstract

Objectives: Mind-body exercise has been generally recognized as 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 (taichi, health qigong, yoga) had significant benefits on COPD patients with anxiety (SMD=-0.76, 95%CI=-0.91, -0.60, p=0.04, I2=47.4%) and depression (SMD=-0.86, 95%CI=-1.14, -0.58, p=0.000, I2=71.4%). Sub-group analysis indicated that for anxiety, 30-60 minutes 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 than10-year disease course. For depression, 2-3 times a week, 30-60 minutes each time of health qigong had a significant effect on patients with COPD patients who are more than 70 years and have less than10-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.

Item Type: Journal Article
Keywords: Mind-body exercise, COPD, Anxiety, Depression, Meta-analysis
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 16 Dec 2019 09:45
Last Modified: 09 Sep 2021 18:54
URI: https://arro.anglia.ac.uk/id/eprint/705043

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