Comparative effects of mind-body exercises on anxiety and depression in patients with chronic obstructive pulmonary disease: A network meta-analysis of randomized controlled trials.
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| Titel: | Comparative effects of mind-body exercises on anxiety and depression in patients with chronic obstructive pulmonary disease: A network meta-analysis of randomized controlled trials. |
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| Autoren: | Tang Y; The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Chongqing 400010, China., Wang J; The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Chongqing 400010, China. Electronic address: 300423@hospital.cqmu.edu.cn., Jiang Y; The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Chongqing 400010, China. |
| Quelle: | Heart & lung : the journal of critical care [Heart Lung] 2026 Jan-Feb; Vol. 75, pp. 254-262. Date of Electronic Publication: 2025 Oct 24. |
| Publikationsart: | Journal Article; Meta-Analysis; Comparative Study; Review |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Mosby Country of Publication: United States NLM ID: 0330057 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-3288 (Electronic) Linking ISSN: 01479563 NLM ISO Abbreviation: Heart Lung Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: St. Louis, Mosby. |
| MeSH-Schlagworte: | Pulmonary Disease, Chronic Obstructive*/psychology , Pulmonary Disease, Chronic Obstructive*/complications , Pulmonary Disease, Chronic Obstructive*/therapy , Mind-Body Therapies*/methods , Depression*/therapy , Depression*/etiology , Anxiety*/therapy , Anxiety*/etiology, Humans ; Randomized Controlled Trials as Topic ; Network Meta-Analysis as Topic |
| Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Background: Anxiety and depression are clinically common but are underestimated in chronic obstructive pulmonary disease (COPD) patients. Mind-body exercises like Qigong (e.g., Baduanjin), which combine gentle movements, breath control, and focused attention, have shown benefits for physical and psychological health, but comparative efficacy between different mind-body exercises remains unclear. Objectives: To compare the efficacy of mind-body exercises on anxiety and depression in patients with COPD. Methods: We searched 9 databases for randomized controlled trials of the effects of mind-body exercise on anxiety and depression in patients with chronic obstructive pulmonary disease up to January 13, 2025. A network meta-analysis was used to compare primary outcomes within a frequency theory framework, and all data analyses were performed in Stata 18.0. Each intervention was individually ranked using the surface under the cumulative ranking curve. Results: A total of 23 studies with 2303 participants included. Compared to usual care and therapy, Mindfulness-Based Stress Reduction (MBSR) combined with Baduanjin showed the greatest benefit for anxiety (SMD = -1.93, 95 % CI -3.54 to -0.31) and for depression (SMD = -1.96, 95 % CI -3.52 to -0.41). SUCRA rankings placed MBSR combined with Baduanjin highest for anxiety at 83.5 % and for depression at 86.3 %. Conclusion: In this study, mind-body exercise can significantly reduce anxiety and depression symptoms in patients with chronic obstructive pulmonary disease. By comparing multiple mind-body exercise methods, the results showed that the combination of MBSR and Baduanjin was the most effective modality for improving both anxiety and depression. Medical practitioners may consider combining MBSR and Baduanjin in the future to achieve the best therapeutic effect. (Copyright © 2025 Elsevier Inc. All rights reserved.) |
| Contributed Indexing: | Keywords: Anxiety; Chronic obstructive pulmonary disease; Depression; Mind-body exercises; Network meta-analysis |
| Entry Date(s): | Date Created: 20251025 Date Completed: 20251116 Latest Revision: 20251116 |
| Update Code: | 20251117 |
| DOI: | 10.1016/j.hrtlng.2025.10.014 |
| PMID: | 41138488 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Background: Anxiety and depression are clinically common but are underestimated in chronic obstructive pulmonary disease (COPD) patients. Mind-body exercises like Qigong (e.g., Baduanjin), which combine gentle movements, breath control, and focused attention, have shown benefits for physical and psychological health, but comparative efficacy between different mind-body exercises remains unclear.<br />Objectives: To compare the efficacy of mind-body exercises on anxiety and depression in patients with COPD.<br />Methods: We searched 9 databases for randomized controlled trials of the effects of mind-body exercise on anxiety and depression in patients with chronic obstructive pulmonary disease up to January 13, 2025. A network meta-analysis was used to compare primary outcomes within a frequency theory framework, and all data analyses were performed in Stata 18.0. Each intervention was individually ranked using the surface under the cumulative ranking curve.<br />Results: A total of 23 studies with 2303 participants included. Compared to usual care and therapy, Mindfulness-Based Stress Reduction (MBSR) combined with Baduanjin showed the greatest benefit for anxiety (SMD = -1.93, 95 % CI -3.54 to -0.31) and for depression (SMD = -1.96, 95 % CI -3.52 to -0.41). SUCRA rankings placed MBSR combined with Baduanjin highest for anxiety at 83.5 % and for depression at 86.3 %.<br />Conclusion: In this study, mind-body exercise can significantly reduce anxiety and depression symptoms in patients with chronic obstructive pulmonary disease. By comparing multiple mind-body exercise methods, the results showed that the combination of MBSR and Baduanjin was the most effective modality for improving both anxiety and depression. Medical practitioners may consider combining MBSR and Baduanjin in the future to achieve the best therapeutic effect.<br /> (Copyright © 2025 Elsevier Inc. All rights reserved.) |
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| ISSN: | 1527-3288 |
| DOI: | 10.1016/j.hrtlng.2025.10.014 |