Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trials

Objective: This study assessed the effects of Health Qigong on sleep quality in adults. Design: Systematic review and meta-analysis. Method: We searched 10 databases to identify relevant randomized controlled trials (RCTs) published in English or Chinese languages that evaluated the effects of Healt...

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Main Authors: Ling-Hsin Ko, Yu-Jung Hsieh, Mei-Yeh Wang, Wen-Hsuan Hou, Pei-Shan Tsai
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229922000784
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author Ling-Hsin Ko
Yu-Jung Hsieh
Mei-Yeh Wang
Wen-Hsuan Hou
Pei-Shan Tsai
author_facet Ling-Hsin Ko
Yu-Jung Hsieh
Mei-Yeh Wang
Wen-Hsuan Hou
Pei-Shan Tsai
author_sort Ling-Hsin Ko
collection DOAJ
description Objective: This study assessed the effects of Health Qigong on sleep quality in adults. Design: Systematic review and meta-analysis. Method: We searched 10 databases to identify relevant randomized controlled trials (RCTs) published in English or Chinese languages that evaluated the effects of Health Qigong on sleep quality in participants aged ≥18 years old with or without diseases in comparison with any type of controls. Quality of the included studies was assessed by the revised Cochrane risk-of-bias tool for randomized trials. The between-group treatment effect size was estimated by calculating Hedges’ g and associated confidence interval (CI) through a random effects model. Cochran’s Q test and I2 were used to determine heterogeneity. Results: The initial search yielded 730 articles, of which 13 studies involving 1147 participants were included in the systematic review and meta-analysis. The overall effect size was −0.955 (95 % CI: −1.601 to −0.309, p = 0.004). A homogeneity test revealed high heterogeneity (Q = 278.187, p < 0.001, I2 = 95.686 %). A sensitivity analysis was conducted through the exclusion of an outlier, which revealed a small but statistically significant effect size (Hedges’ g = −0.423, 95 % CI: −0.603 to −0.243, p < 0.001; Q = 18.073, p = 0.08, I2 = 39.137 %). Conclusions: Our study results suggest that Health Qigong is beneficial for improving sleep quality in adults with and without disease. However, the effects of Health Qigong could be partially due to nonspecific effects as half of the included studies did not employ an active control.
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spelling doaj.art-e617c656ce714ceca25d1a80db61020c2022-12-22T04:40:27ZengElsevierComplementary Therapies in Medicine0965-22992022-12-0171102876Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trialsLing-Hsin Ko0Yu-Jung Hsieh1Mei-Yeh Wang2Wen-Hsuan Hou3Pei-Shan Tsai4School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Tungs' Taichung MetroHarbor Hospital, Taichung, TaiwanNational Taiwan University Hospital, Taipei, TaiwanDepartment of Nursing, Cardinal Tien Junior College of Healthcare and Management, New Taipei City, TaiwanCollege of Medicine, National Cheng Kung University, Tainan, Taiwan; School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan; Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, Tainan, TaiwanSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Sleep Research Center, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan; Correspondence to: School of Nursing, College of Nursing, Taipei Medical University, No. 250 Wu-Xing Street, Taipei city 110, Taiwan.Objective: This study assessed the effects of Health Qigong on sleep quality in adults. Design: Systematic review and meta-analysis. Method: We searched 10 databases to identify relevant randomized controlled trials (RCTs) published in English or Chinese languages that evaluated the effects of Health Qigong on sleep quality in participants aged ≥18 years old with or without diseases in comparison with any type of controls. Quality of the included studies was assessed by the revised Cochrane risk-of-bias tool for randomized trials. The between-group treatment effect size was estimated by calculating Hedges’ g and associated confidence interval (CI) through a random effects model. Cochran’s Q test and I2 were used to determine heterogeneity. Results: The initial search yielded 730 articles, of which 13 studies involving 1147 participants were included in the systematic review and meta-analysis. The overall effect size was −0.955 (95 % CI: −1.601 to −0.309, p = 0.004). A homogeneity test revealed high heterogeneity (Q = 278.187, p < 0.001, I2 = 95.686 %). A sensitivity analysis was conducted through the exclusion of an outlier, which revealed a small but statistically significant effect size (Hedges’ g = −0.423, 95 % CI: −0.603 to −0.243, p < 0.001; Q = 18.073, p = 0.08, I2 = 39.137 %). Conclusions: Our study results suggest that Health Qigong is beneficial for improving sleep quality in adults with and without disease. However, the effects of Health Qigong could be partially due to nonspecific effects as half of the included studies did not employ an active control.http://www.sciencedirect.com/science/article/pii/S0965229922000784Health QigongSleep qualitySystematic reviewMeta-analysis
spellingShingle Ling-Hsin Ko
Yu-Jung Hsieh
Mei-Yeh Wang
Wen-Hsuan Hou
Pei-Shan Tsai
Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trials
Complementary Therapies in Medicine
Health Qigong
Sleep quality
Systematic review
Meta-analysis
title Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trials
title_full Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trials
title_fullStr Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trials
title_full_unstemmed Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trials
title_short Effects of health qigong on sleep quality: A systematic review and meta-analysis of randomized controlled trials
title_sort effects of health qigong on sleep quality a systematic review and meta analysis of randomized controlled trials
topic Health Qigong
Sleep quality
Systematic review
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S0965229922000784
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