Effect of Tai Ji and/or Qigong on patients with stable chronic obstructive pulmonary disease: A meta-analysis and systematic review

Abstract

Background:

Chronic obstructive pulmonary disease (COPD) is a global health problem with high morbidity and mortality. Tai Ji and Qigong are traditional Chinese meditative movements, benefit COPD patient’s physical and mental health.

Methods:

We searched the following 7 databases Web of Science, EBSCO, Medline, PubMed, CINAHL, Cochrane Library online, and CNKI from inception to July 2023. Any RCTs managed with Tai Ji and/or Qigong on stable COPD were eligible without age, and comparison management restrict, however should be published in English. Outcome measures comprised pulmonary function, 6WMT, physical and/or cognitive function, and any assessment of people QoL.

Results:

Tai Ji and/or Qigong significant increased %PredFEV1 on stable COPD people (MD: 3.46, 95% CI: 1.69–5.23), and 6MWT (MD: 45.07, 95% CI: 31.16–58.97). 5/6 studies reported a meaningful change in CAT/SGRQ total (MD: −4.04, 95% CI: −7.76 to −0.32; MD: −11.95, 95% CI: −21.22 to −2.68). However, 6MWT, CAT and SGRO total were debated on high heterogeneity.

Conclusion:

Tai Ji and Qigong increase %PredFEV1 and promote QoL. However, the evidences are not sufficient, a proper subgroup analysis should be considered.