SYSTEMATIC REVIEW article
Front. Cardiovasc. Med.
Sec. Cardiovascular Epidemiology and Prevention
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1546996
Effects of Mind-Body Exercise in Chronic Cardiopulmonary Dyspnoea Patients-A Network Meta-Analysis of Randomized Controlled Trials
Provisionally accepted
- 1The Third People’s Hospital of Chengdu, chengdu, China
- 2Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China
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Background: The objective of this meta-analysis is to evaluate and compare the effectiveness of various mind-body exercises in the rehabilitation of individuals with chronic cardiopulmonary dyspnoea.Design: A systematic review and network meta-analysis was conducted on articles from PubMed, EMBASE, Cochrane Library, Web of Science, and China National Knowledge Infrastructure which were searched up to November 21, 2024. The methodological quality of the included trials was evaluated using the Cochrane Risk of Bias tool. A network meta-analysis was performed to compare the effects of various mind-body therapies, including Liuzijue, Baduanjin, Yoga, Tai Chi, Wuqinxi, Qigong, Yijinjing, and Buddhist walking meditation.Results: The analysis included 44 randomized controlled trials involving a total of 2,957 subjects. The network meta-analysis indicated that Yoga might be the most effective exercise intervention for reducing the MLHFQ score (SUCRA: 71.8%). Yoga training demonstrated superior results in increasing the 6-minute walk distance (6MWD) (SUCRA: 99.7%). Qigong was also identified as the most effective exercise intervention for decreasing St. George’s Respiratory Questionnaire (SGRQ) (SUCRA: 97.1%). When compared with other treatments, Baduanjin is likely the most appropriate intervention for decreasing COPD Assessment Test (CAT) (SUCRA: 87.1%). Regarding N-terminal pro-B-type natriuretic peptide (NT-proBNP), Yoga might be more advantageous for decreasing the NT-proBNP(SUCRA: 83.4%).Conclusion: The findings of this study suggest that mind-body exercise may represent a promising intervention for the management of chronic cardiopulmonary dyspnoea. Our findings indicate that Yoga might be the most effective exercise intervention for improving the MLHFQ scores, 6MWD, and NT-proBNP. Qigong is identified as the most effective exercise intervention for decreasing SGRQ. Compared to other treatment methods, Baduanjin may be the most suitable intervention for lowering CAT. This study recommends that patients with chronic cardiopulmonary dyspnoea select appropriate mind-body exercises to achieve effective management of chronic cardiopulmonary dyspnoea.
Keywords: exercise interventions, chronic cardiopulmonary dyspnoea, Yoga, Network meta-analysis, Mind-body exercises
Received: 21 Dec 2024; Accepted: 19 May 2025.
Copyright: © 2025 Li, Wu and Lei. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: jing Wu, The Third People’s Hospital of Chengdu, chengdu, China
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