Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysis
Objective: Baduanjin exercise is a traditional Chinese mind-body exercise routine characterized by slow, coordinated, and sequential movements. We have performed the first meta-analysis on the main effect of Baduanjin exercise in patients with breast cancer. Methods: This study followed the 2020 PRI...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229922000887 |
| _version_ | 1811178758505234432 |
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| author | Xiaogang Gong Guang Rong Zhiyong Wang Ayuan Zhang Xiaoke Li Lepeng Wang |
| author_facet | Xiaogang Gong Guang Rong Zhiyong Wang Ayuan Zhang Xiaoke Li Lepeng Wang |
| author_sort | Xiaogang Gong |
| collection | DOAJ |
| description | Objective: Baduanjin exercise is a traditional Chinese mind-body exercise routine characterized by slow, coordinated, and sequential movements. We have performed the first meta-analysis on the main effect of Baduanjin exercise in patients with breast cancer. Methods: This study followed the 2020 PRISMA guideline. We searched for randomized controlled trials in PubMed, Embase, Cochrane Library, Web of Science, Clinical Trials.gov, Chinese National Knowledge Infrastructure, Wanfang Data Information Site, Chinese Biomedical Database, and Chinese Science and Technique Journals Database through 31 August 2022. Data were analyzed for the outcomes of quality of life, anxiety, and depression. Review Manager 5.4 software was used for data analysis. Results: Seven randomized controlled trials with a total of 537 patients with breast cancer were examined. Compared with the control therapies, Baduanjin exercise significantly improved the total quality of life score (SMD = 0.83; 95 % CI, 0.58–1.08; P < 0.00001) and in two associated domains: emotional well-being (SMD = 0.67; 95 % CI, 0.26–1.07; P = 0.001), functional well-being (SMD = 0.55; 95 % CI, 0.30–0.79; P < 0.00001) and breast cancer subscale (SMD = 0.39; 95 % CI, 0.02–0.77; P = 0.04). Meanwhile, it significantly reduced anxiety score (SMD = − 0.60; 95 % CI, − 1.15 to − 0.05; P = 0.03) and in depression score (SMD = − 0.70 95 % CI, − 0.97 to − 0.42; P < 0.00001). None adverse event was reported. Conclusion: The meta-analysis suggests that Baduanjin exercise is an effective and safe exercise for improving quality of life and alleviating depression and anxiety in patients with breast cancer. Significant methodological concerns of the included studies limit the interpretation of the results. For future trials of Baduanjin exercise on BC, we highlight the importance of adopting more rigorous study design in terms of assessor blinding, hypothesis/purpose blinding, allocation concealment, objective outcome selection and consistent reporting of adverse events. |
| first_indexed | 2024-04-11T06:24:34Z |
| format | Article |
| id | doaj.art-d7dd23bd4d684fd08ab1477b6387f1c3 |
| institution | Directory Open Access Journal |
| issn | 0965-2299 |
| language | English |
| last_indexed | 2024-04-11T06:24:34Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj.art-d7dd23bd4d684fd08ab1477b6387f1c32022-12-22T04:40:27ZengElsevierComplementary Therapies in Medicine0965-22992022-12-0171102886Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysisXiaogang Gong0Guang Rong1Zhiyong Wang2Ayuan Zhang3Xiaoke Li4Lepeng Wang5Department of Medicine, College of Special Education, Beijing Union University, 100075 Beijing, ChinaDepartment of Education, Faculty of Educational Sciences, University of Helsinki, 00170 Helsinki, FinlandDepartment of Anatomy and Histo-embryology, School of Basic Medical Sciences, Peking University, 100191 Beijing, ChinaDepartment of Primary Education, Teachers College, Beijing Union University, 100011 Beijing, China; College of Elementary Education, Capital Normal University, 100048 Beijing, China; Corresponding author at: Department of Primary Education, Teachers College, Beijing Union University, 100011 Beijing, China.International Exchange Center of Traditional Chinese Medicine, National Administration of Traditional Chinese Medicine, 100027 Beijing, ChinaSchool of Humanities, Beijing University of Chinese Medicine, 100029 Beijing, China; Corresponding author.Objective: Baduanjin exercise is a traditional Chinese mind-body exercise routine characterized by slow, coordinated, and sequential movements. We have performed the first meta-analysis on the main effect of Baduanjin exercise in patients with breast cancer. Methods: This study followed the 2020 PRISMA guideline. We searched for randomized controlled trials in PubMed, Embase, Cochrane Library, Web of Science, Clinical Trials.gov, Chinese National Knowledge Infrastructure, Wanfang Data Information Site, Chinese Biomedical Database, and Chinese Science and Technique Journals Database through 31 August 2022. Data were analyzed for the outcomes of quality of life, anxiety, and depression. Review Manager 5.4 software was used for data analysis. Results: Seven randomized controlled trials with a total of 537 patients with breast cancer were examined. Compared with the control therapies, Baduanjin exercise significantly improved the total quality of life score (SMD = 0.83; 95 % CI, 0.58–1.08; P < 0.00001) and in two associated domains: emotional well-being (SMD = 0.67; 95 % CI, 0.26–1.07; P = 0.001), functional well-being (SMD = 0.55; 95 % CI, 0.30–0.79; P < 0.00001) and breast cancer subscale (SMD = 0.39; 95 % CI, 0.02–0.77; P = 0.04). Meanwhile, it significantly reduced anxiety score (SMD = − 0.60; 95 % CI, − 1.15 to − 0.05; P = 0.03) and in depression score (SMD = − 0.70 95 % CI, − 0.97 to − 0.42; P < 0.00001). None adverse event was reported. Conclusion: The meta-analysis suggests that Baduanjin exercise is an effective and safe exercise for improving quality of life and alleviating depression and anxiety in patients with breast cancer. Significant methodological concerns of the included studies limit the interpretation of the results. For future trials of Baduanjin exercise on BC, we highlight the importance of adopting more rigorous study design in terms of assessor blinding, hypothesis/purpose blinding, allocation concealment, objective outcome selection and consistent reporting of adverse events.http://www.sciencedirect.com/science/article/pii/S0965229922000887Baduanjin exerciseBreast cancerSystematic review |
| spellingShingle | Xiaogang Gong Guang Rong Zhiyong Wang Ayuan Zhang Xiaoke Li Lepeng Wang Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysis Complementary Therapies in Medicine Baduanjin exercise Breast cancer Systematic review |
| title | Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysis |
| title_full | Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysis |
| title_fullStr | Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysis |
| title_full_unstemmed | Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysis |
| title_short | Baduanjin exercise for patients with breast cancer: A systematic review and meta-analysis |
| title_sort | baduanjin exercise for patients with breast cancer a systematic review and meta analysis |
| topic | Baduanjin exercise Breast cancer Systematic review |
| url | http://www.sciencedirect.com/science/article/pii/S0965229922000887 |
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