Effects of traditional Chinese exercise on physical and mental health and quality of survival in patients with stable angina pectoris: A meta-analysis

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Problems in Cardiology Pub Date : 2024-10-05 DOI:10.1016/j.cpcardiol.2024.102872

Lin Wang, Xinchu Zhou, Danfeng Tang, Chao Zhang, Chunguang Pan, Fei Dai

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Abstract

Objective

Coronary heart disease (CHD) poses a significant threat to patients' health, with stable angina pectoris (SAP) being prevalent among individuals with CHD. This study aims to evaluate the effects of Traditional Chinese Exercise (TCE) on the physical and mental well-being, as well as the quality of life, of patients suffering from SAP.

Methods

We searched databases including China National Knowledge Infrastructure (CNKI), Wanfang, China Science and Technology Journal Database, PubMed, Web of Science, Cochrane and Embase for randomised controlled trials evaluating the effects of TCE on patients with SAP. Effect sizes and heterogeneity were calculated using RevMan 5.3 software.

Results

A total of 14 studies involving 1,288 participants were included in the analysis. Most studies were assessed to have a moderate risk of bias. The pooled results indicated that TCE significantly improved the 6-Minute Walk Test scores of patients with SAP (MD = 35.48, 95 % CI: 23.66–47.29, P < 0.001), enhanced scores across various dimensions of the Seattle Angina Questionnaire (P < 0.05), and reduced levels of depression (MD = -6.32, 95 % CI: -9.13 to -3.51, P < 0.001) and anxiety (MD = -6.41, 95 % CI: -9.18 to -3.64, P < 0.001) among SAP patients. Additionally, the Egger's test revealed no significant publication bias across the outcomes (P > 0.05).

Conclusion

TCE significantly enhances the physical and mental health of SAP patients, leading to improved quality of life. Future studies with larger sample sizes and high methodological quality are needed to further evaluate the clinical efficacy of TCE.

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中国传统运动对稳定型心绞痛患者身心健康和生存质量的影响：一项荟萃分析。

目的：冠心病（CHD）对患者的健康构成重大威胁，稳定性心绞痛（SAP）在冠心病患者中十分普遍。本研究旨在评估中医运动（TCE）对稳定型心绞痛患者的身心健康和生活质量的影响：方法：我们检索了中国国家知识基础设施（CNKI）、万方数据库、中国科技期刊数据库、PubMed、Web of Science、Cochrane 和 Embase 等数据库，以评估中医运动对 SAP 患者影响的随机对照试验。使用RevMan 5.3软件计算效应大小和异质性：共有 14 项研究被纳入分析，涉及 1288 名参与者。经评估，大多数研究存在中度偏倚风险。汇总结果显示，TCE能显著提高SAP患者的6分钟步行测试得分（MD = 35.48，95 % CI：23.66-47.29，P < 0.001），提高西雅图心绞痛问卷各方面的得分（P < 0.05），并降低了 SAP 患者的抑郁水平（MD = -6.32，95 % CI：-9.13 至 -3.51，P < 0.001）和焦虑水平（MD = -6.41，95 % CI：-9.18 至 -3.64，P < 0.001）。此外，Egger's检验显示，所有结果均无明显的发表偏倚（P > 0.05）：结论：TCE能明显改善SAP患者的身心健康，提高生活质量。未来需要样本量更大、方法质量更高的研究来进一步评估 TCE 的临床疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.