Qigong for women with breast cancer: An updated systematic review and meta-analysis

Objective: The purpose of this review was to evaluate the effectiveness of Qigong in improving the quality of life and relieving fatigue, sleep disturbance, and cancer-related emotional disturbances (distress, depression, and anxiety) in women with breast cancer. Methods: The PubMed, Cochrane Centra...

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Main Authors: Tian Meng, Sheng-fang Hu, Yi-qin Cheng, Mei-na Ye, Bing Wang, Jing-jing Wu, Hong-feng Chen
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229921000844
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author Tian Meng
Sheng-fang Hu
Yi-qin Cheng
Mei-na Ye
Bing Wang
Jing-jing Wu
Hong-feng Chen
author_facet Tian Meng
Sheng-fang Hu
Yi-qin Cheng
Mei-na Ye
Bing Wang
Jing-jing Wu
Hong-feng Chen
author_sort Tian Meng
collection DOAJ
description Objective: The purpose of this review was to evaluate the effectiveness of Qigong in improving the quality of life and relieving fatigue, sleep disturbance, and cancer-related emotional disturbances (distress, depression, and anxiety) in women with breast cancer. Methods: The PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Sinomed, Wanfang, VIP, and China National Knowledge Infrastructure databases were searched from their inceptions to March 2020 for controlled clinical trials. Two reviewers selected relevant trials that assessed the benefit of Qigong for breast cancer patients independently. A methodological quality assessment was conducted according to the criteria of the 12 Cochrane Back Review Group for risk of bias independently. A meta-analysis was performed by Review Manager 5.3. Results: This review consisted of 17 trials, in which 1236 cases were enrolled. The quality of the included trials was generally low, as only five of them were rated high quality. The results showed significant effectiveness of Qigong on quality of life (n = 950, standardized mean difference (SMD), 0.65, 95 % confidence interval (CI) 0.23–1.08, P =  0.002). Depression (n = 540, SMD = −0.32, 95 % CI −0.59 to −0.04, P =  0.02) and anxiety (n = 439, SMD = −0.71, 95 % CI −1.32 to −0.10, P =  0.02) were also significantly relieved in the Qigong group. There was no significant benefit on fatigue (n = 401, SMD = −0.32, 95 % CI  0.71 to 0.07, P = 0.11) or sleep disturbance relief compared to that observed in the control group (n = 298, SMD = −0.11, 95 % CI  0.74 to 0.52, P = 0.73). Conclusion: This review shows that Qigong is beneficial for improving quality of lifeand relieving depression and anxiety; thus, Qigong should be encouraged in women with breast cancer.
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spelling doaj.art-71a0950d1b014a529cffec96ea3904742022-12-21T18:28:54ZengElsevierComplementary Therapies in Medicine0965-22992021-08-0160102743Qigong for women with breast cancer: An updated systematic review and meta-analysisTian Meng0Sheng-fang Hu1Yi-qin Cheng2Mei-na Ye3Bing Wang4Jing-jing Wu5Hong-feng Chen6Department of Breast, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Xuhui District, 200032, Shanghai, ChinaDepartment of Breast, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Xuhui District, 200032, Shanghai, ChinaDepartment of Breast, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Xuhui District, 200032, Shanghai, ChinaDepartment of Breast, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Xuhui District, 200032, Shanghai, ChinaDepartment of Breast, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Xuhui District, 200032, Shanghai, ChinaDepartment of Breast, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Xuhui District, 200032, Shanghai, ChinaCorresponding author.; Department of Breast, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Xuhui District, 200032, Shanghai, ChinaObjective: The purpose of this review was to evaluate the effectiveness of Qigong in improving the quality of life and relieving fatigue, sleep disturbance, and cancer-related emotional disturbances (distress, depression, and anxiety) in women with breast cancer. Methods: The PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Sinomed, Wanfang, VIP, and China National Knowledge Infrastructure databases were searched from their inceptions to March 2020 for controlled clinical trials. Two reviewers selected relevant trials that assessed the benefit of Qigong for breast cancer patients independently. A methodological quality assessment was conducted according to the criteria of the 12 Cochrane Back Review Group for risk of bias independently. A meta-analysis was performed by Review Manager 5.3. Results: This review consisted of 17 trials, in which 1236 cases were enrolled. The quality of the included trials was generally low, as only five of them were rated high quality. The results showed significant effectiveness of Qigong on quality of life (n = 950, standardized mean difference (SMD), 0.65, 95 % confidence interval (CI) 0.23–1.08, P =  0.002). Depression (n = 540, SMD = −0.32, 95 % CI −0.59 to −0.04, P =  0.02) and anxiety (n = 439, SMD = −0.71, 95 % CI −1.32 to −0.10, P =  0.02) were also significantly relieved in the Qigong group. There was no significant benefit on fatigue (n = 401, SMD = −0.32, 95 % CI  0.71 to 0.07, P = 0.11) or sleep disturbance relief compared to that observed in the control group (n = 298, SMD = −0.11, 95 % CI  0.74 to 0.52, P = 0.73). Conclusion: This review shows that Qigong is beneficial for improving quality of lifeand relieving depression and anxiety; thus, Qigong should be encouraged in women with breast cancer.http://www.sciencedirect.com/science/article/pii/S0965229921000844QigongBreast cancerSystematic reviewMeta-analysis
spellingShingle Tian Meng
Sheng-fang Hu
Yi-qin Cheng
Mei-na Ye
Bing Wang
Jing-jing Wu
Hong-feng Chen
Qigong for women with breast cancer: An updated systematic review and meta-analysis
Complementary Therapies in Medicine
Qigong
Breast cancer
Systematic review
Meta-analysis
title Qigong for women with breast cancer: An updated systematic review and meta-analysis
title_full Qigong for women with breast cancer: An updated systematic review and meta-analysis
title_fullStr Qigong for women with breast cancer: An updated systematic review and meta-analysis
title_full_unstemmed Qigong for women with breast cancer: An updated systematic review and meta-analysis
title_short Qigong for women with breast cancer: An updated systematic review and meta-analysis
title_sort qigong for women with breast cancer an updated systematic review and meta analysis
topic Qigong
Breast cancer
Systematic review
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S0965229921000844
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