Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysis
BackgroundAs a therapy to prevent and treat essential hypertension (EH), traditional Chinese exercises (TCEs) were widely used in clinical practice. However, there is a lack of strictly comparison of the antihypertensive efficacy of different TCEs, which not conducive to the selection of the best an...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1300319/full |
| _version_ | 1827572908996689920 |
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| author | Qingyuan Zhang Qingyuan Zhang Xiaogang Xu Qianyan Wu Jingwen Zhang Shenghe Huang Lin Wu Minping Tian Delin Zhang Delin Zhang |
| author_facet | Qingyuan Zhang Qingyuan Zhang Xiaogang Xu Qianyan Wu Jingwen Zhang Shenghe Huang Lin Wu Minping Tian Delin Zhang Delin Zhang |
| author_sort | Qingyuan Zhang |
| collection | DOAJ |
| description | BackgroundAs a therapy to prevent and treat essential hypertension (EH), traditional Chinese exercises (TCEs) were widely used in clinical practice. However, there is a lack of strictly comparison of the antihypertensive efficacy of different TCEs, which not conducive to the selection of the best and most optimal treatment. This study aimed to perform a network meta-analysis to objectively evaluate which TCE has the best effects in assisting with lowering blood pressure.MethodsPubMed, Embase, the Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), VIP, SinoMed and Wanfang Data were searched for all randomized controlled trials (RCTs) on TCEs for the treatment of EH published up to July 10, 2023. RoB2.0 tool was utilized to evaluate the quality of the RCTs. The network meta-analysis was performed by R 4.1.2 and Stata 17.0. Weighted mean difference (WMD) was calculated for continuous outcomes.ResultsA total of 29 studies, including 2,268 patients were included to analyze 6 different interventions. The network meta-analysis results presented that in comparison with control group, Tai Chi + antihypertensive medication [WMD = −10.18, 95% CI, (−14.94, −5.44)] is the most effective intervention for lowering systolic blood pressure (SBP), and Wuqinxi + antihypertensive medication [WMD = −10.36, 95% CI (−18.98, −1.66)] is the most effective intervention for lowering diastolic blood pressure (DBP).ConclusionTCEs combined with antihypertensive medication may be able to achieve more prominent antihypertensive effects with Tai Chi and Wuqinxi potentially being the higher-priority options. However, well-designed randomized studies are warranted to further verify currently conclusion. |
| first_indexed | 2024-03-07T19:58:28Z |
| format | Article |
| id | doaj.art-d7d75d7fcfa44484af28f44d86026387 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-07T19:58:28Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-d7d75d7fcfa44484af28f44d860263872024-02-28T12:36:27ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.13003191300319Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysisQingyuan Zhang0Qingyuan Zhang1Xiaogang Xu2Qianyan Wu3Jingwen Zhang4Shenghe Huang5Lin Wu6Minping Tian7Delin Zhang8Delin Zhang9College of Traditional Chinese Medicine and College of Life Sciences, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaEvidence-Based Medicine Research Center, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaCollege of Traditional Chinese Medicine and College of Life Sciences, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaCollege of Traditional Chinese Medicine and College of Life Sciences, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaCollege of Traditional Chinese Medicine and College of Life Sciences, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaCollege of Traditional Chinese Medicine and College of Life Sciences, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaCollege of Traditional Chinese Medicine and College of Life Sciences, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaSchool of Clinical Medicine, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaCollege of Traditional Chinese Medicine and College of Life Sciences, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaInstitute of Traditional Chinese Medicine and Health Development, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaBackgroundAs a therapy to prevent and treat essential hypertension (EH), traditional Chinese exercises (TCEs) were widely used in clinical practice. However, there is a lack of strictly comparison of the antihypertensive efficacy of different TCEs, which not conducive to the selection of the best and most optimal treatment. This study aimed to perform a network meta-analysis to objectively evaluate which TCE has the best effects in assisting with lowering blood pressure.MethodsPubMed, Embase, the Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), VIP, SinoMed and Wanfang Data were searched for all randomized controlled trials (RCTs) on TCEs for the treatment of EH published up to July 10, 2023. RoB2.0 tool was utilized to evaluate the quality of the RCTs. The network meta-analysis was performed by R 4.1.2 and Stata 17.0. Weighted mean difference (WMD) was calculated for continuous outcomes.ResultsA total of 29 studies, including 2,268 patients were included to analyze 6 different interventions. The network meta-analysis results presented that in comparison with control group, Tai Chi + antihypertensive medication [WMD = −10.18, 95% CI, (−14.94, −5.44)] is the most effective intervention for lowering systolic blood pressure (SBP), and Wuqinxi + antihypertensive medication [WMD = −10.36, 95% CI (−18.98, −1.66)] is the most effective intervention for lowering diastolic blood pressure (DBP).ConclusionTCEs combined with antihypertensive medication may be able to achieve more prominent antihypertensive effects with Tai Chi and Wuqinxi potentially being the higher-priority options. However, well-designed randomized studies are warranted to further verify currently conclusion.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1300319/fullessential hypertensiontraditional Chinese exerciseTai ChiBaduanjinsystematic reviewnetwork meta-analysis |
| spellingShingle | Qingyuan Zhang Qingyuan Zhang Xiaogang Xu Qianyan Wu Jingwen Zhang Shenghe Huang Lin Wu Minping Tian Delin Zhang Delin Zhang Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysis Frontiers in Cardiovascular Medicine essential hypertension traditional Chinese exercise Tai Chi Baduanjin systematic review network meta-analysis |
| title | Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysis |
| title_full | Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysis |
| title_fullStr | Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysis |
| title_full_unstemmed | Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysis |
| title_short | Effects of different traditional Chinese exercise in the treatment of essential hypertension: a systematic review and network meta-analysis |
| title_sort | effects of different traditional chinese exercise in the treatment of essential hypertension a systematic review and network meta analysis |
| topic | essential hypertension traditional Chinese exercise Tai Chi Baduanjin systematic review network meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1300319/full |
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