The effects of Baduanjin exercise on fatigue and quality of life in patients with heart failure: A randomized controlled trial

Chen, Dai Mei; Yu, Wen Chung; Hung, Huei Fong; Tsai, Jo Ting; Wu, Hsiao Ying; Chiou, Ai Fu

doi:10.1177/1474515117744770

Cited by 65 publications

(72 citation statements)

References 48 publications

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“…Compared with conventional exercise styles (e.g., resistance exercise, muscular endurance exercise, and aerobic exercise), Baduanjin typically involves a mind–body integration practice to balance the Yin and Yang in the body and promote blood circulation and Qi for maximizing both physical and mental well-being [37]. Previous studies have shown that regular Baduanjin exercise is beneficial in improving psychological and physiological outcomes among elderly adults and various clinical populations (e.g., Parkinson’s disease, chronic neck pain, chronic fatigue syndrome-like illness, psychological illness) [38–40]. As a typical mind–body exercise with characteristics of traditional Chinese medicine, Baduanjin may be considered to be an effective exercise for a wide range of populations (e.g., a healthy population or patients with chronic diseases; young, middle-aged, or elderly adults) in promoting health.…”

Section: Discussionmentioning

confidence: 99%

The effect of Baduanjin exercise on health-related physical fitness of college students: study protocol for a randomized controlled trial

Zhao

Sun

Xiong

et al. 2019

Trials

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Background Low health-related physical fitness in college students is a risk factor for future development of cardiovascular diseases at later stages in life, but appropriate exercise is one of the main determinant factors of health-related physical fitness. Previous studies have showed that Baduanjin exercise is beneficial in improving sleep quality, mental health, body flexibility, and body physique. However, the evidence is unclear whether Baduanjin exercise can be recommended as an effective exercise to promote health-related physical fitness of college students. Methods/design One hundred twenty college students will be recruited and randomly allocated to either the Baduanjin exercise or the control group at a ratio of 1:1. The students in the Baduanjin exercise group will receive a 12-week supervised Baduanjin exercise training intervention with a frequency of 1 h each day and 4 days per week, while those in the control group will not receive any specific exercise intervention and will be informed to maintain their original lifestyle for 12 weeks. The primary outcome of health-related physical fitness involving measurements of body flexibility, muscular strength, cardiopulmonary fitness, and body endurance will be measured at baseline and after the 12-week intervention period. Mixed linear models will be used to analyze the effect of the Baduanjin exercise intervention on the health-related physical fitness of college students. Discussion This is the first trial to evaluate the effects of Baduanjin exercise on health-related physical fitness in college students. If the results are as expected, they will provide evidence of Baduanjin exercise in promoting health-related physical fitness in young adults. Trial registration Chinese Clinical Trial Registry, ChiCTR-IOR-17013011. Registered on 17 November 2017.

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Section: Discussionmentioning

confidence: 99%

The effect of Baduanjin exercise on health-related physical fitness of college students: study protocol for a randomized controlled trial

Zhao

Sun

Xiong

et al. 2019

Trials

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“…Figure 2 shows the result of the assessment of risk of bias. A total of 13 RCTs (41.9%)[18,33,34,42,45-47,49,54-58] described random sequence generation and 9 (29.0%)[18,33,38,39,47,49,51,54,57] described allocation concealment. With the regard to blinding, 4 RCTs (12.9%)[33,45,47,54] blinded the participants and 14 (45.2%)[18,33,36,37,41,43-45,50-54,57] blinded the data collectors.…”

Section: Resultsmentioning

confidence: 99%

“…With the regard to blinding, 4 RCTs (12.9%)[33,45,47,54] blinded the participants and 14 (45.2%)[18,33,36,37,41,43-45,50-54,57] blinded the data collectors. The average dropout rate of participants was 12%, with 7 RCTs reporting a rate in excess of 20%[18,34,47,49,50,53,57]. Finally, absence of publication bias was further assured by funnel plot and Egger’s test results for heart rate ( P = 0.06), VO 2 peak ( P = 0.16), 6MWT ( P = 0.20), and MLWHFQ score ( P = 0.37), respectively.…”

Section: Resultsmentioning

confidence: 99%

Respiratory training interventions improve health status of heart failure patients: A systematic review and network meta-analysis of randomized controlled trails

Wang

Yeh

2019

WJCC

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BACKGROUNDPrior studies indicate that doing breathing exercises improves physical performance and quality of life (QoL) in heart failure patients. However, these effects remain unclear and contradictory.AIMTo determine the effects of machine-assisted and non-machine-assisted respiratory training on physical performance and QoL in heart failure patients.METHODSThis was a systematic review and network meta-analysis study. A literature search of electronic databases was conducted for randomized controlled trials (RCTs) on heart failure. Respiratory training interventions were grouped as seven categories: IMT_Pn (inspiratory muscle training without pressure or < 10% maximal inspiratory pressure, MIP), IMT_Pl (inspiratory muscle training with low pressure, 10%-15% MIP), IMT_Pm (inspiratory muscle training with medium pressure, 30%-40% MIP), IMT_Ph (inspiratory muscle training with high pressure, 60% MIP or MIP plus aerobics), Aerobics (aerobic exercise or weight training), Qi_Ex (tai chi, yoga, and breathing exercise), and none. The four outcomes were heart rate, peak oxygen uptake (VO2 peak), 6-min walking distance test (6MWT), and Minnesota Living with Heart Failure QoL. The random-effects model, side-splitting model, and the surface under the cumulative ranking curve (SUCRA) were used to test and analyze the data.RESULTSA total of 1499 subjects from 31 RCT studies were included. IMT_Ph had the highest effect sizes for VO2 peak and 6MWT, IMT_Pm highest for QoL, and Qi_Ex highest for heart rate. Aerobics had the second highest for VO2 peak, Qi_Ex second highest for 6MWT, and IMT_Ph second highest for heart rate and QoL.CONCLUSIONThis study supports that high- and medium-intensity machine-assisted training improves exercise capacity and QoL in hospital-based heart failure patients. After hospital discharge, non-machine-assisted training continuously improves cardiac function.

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“…To the best of our knowledge, our study is the first RCT to investigate the effect of BST exercise in patients with AMI who underwent PCI. Chen and his colleagues [29] have indicated that Baduanjin exercise can effectively improve the quality of life in patients with heart failure. A meta-analysis of nineteen studies [30] also showed that Baduanjin practice is beneficial for the quality of life.…”

Section: Discussionmentioning

confidence: 99%

Effect of Baduanjin Sequential Therapy on the Quality of Life and Cardiac Function in Patients with AMI After PCI: A Randomized Controlled Trial

Chen

Liang

Kong

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Purpose. The purpose of this study was to examine the effects of Baduanjin sequential therapy (BST) on the quality of life and cardiac function in patients with AMI after PCI. Subjects. 96 patients with AMI after PCI were randomly assigned as subjects to two groups: BST group who received 24 weeks of BST training and control group who received no training. Methods. The methods used in this study included the changes in SF-36 subscales, the measures of left ventricular ejection fraction (LVEF), N-terminal pro-B-type natriuretic peptide (NT-pro-BNP), the body mass index (BMI), and the abdominal circumference. Results. Of the 96 participants, 82 total patients completed the entire study. At 12 weeks, role physical and health transition of SF-36 were significantly different between the two groups, with a difference of 26.12 (95% CI, 11.59 to 40.64) in role physical and a difference of 15.94 (95% CI, 5.60 to 26.28) in health transition (p<0.05). However, there were statistically significant differences in all aspects of SF-36 between the two groups at 24 weeks (p<0.05). The BST also lowered abdominal circumference and BMI as compared with the control group. In the 24-week follow-up, a significant difference was found in the decline of the LVEF in the control group (p=0.020), while there was a nonsignificant difference in the BST group (p=0.552). Compared with the control group, the BST group reduced 50 pg/ml on the NT-pro-BNP at 24 weeks (p=0.013). The effects of BST exercise were maintained at 24 weeks after the intervention. No serious adverse events were observed. Conclusions. The BST appears to improve the quality of life in patients with AMI after PCI, with additional benefits of lowered abdominal circumference and BMI and improved level of cardiac function. This trial is registered with NCT02693795.

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The effects of Baduanjin exercise on fatigue and quality of life in patients with heart failure: A randomized controlled trial

Abstract: This simple traditional exercise is recommended for Taiwanese patients with heart failure in order to improve their fatigue and quality of life.

Cited by 65 publications

References 48 publications

The effect of Baduanjin exercise on health-related physical fitness of college students: study protocol for a randomized controlled trial

The effect of Baduanjin exercise on health-related physical fitness of college students: study protocol for a randomized controlled trial

Respiratory training interventions improve health status of heart failure patients: A systematic review and network meta-analysis of randomized controlled trails

Effect of Baduanjin Sequential Therapy on the Quality of Life and Cardiac Function in Patients with AMI After PCI: A Randomized Controlled Trial

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