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TaiChi and Qigong for Depressive Symptoms in Patients with Chronic Heart Failure: A Systematic Review with Meta-Analysis.
- Source :
- Evidence-based Complementary & Alternative Medicine (eCAM); 6/25/2021, p1-12, 12p, 4 Diagrams, 2 Charts
- Publication Year :
- 2021
-
Abstract
- Background. Depression is a debilitating comorbidity of heart failure (HF) that needs assessment and management. Along with mind-body exercise to deal with HF with depression, the use of TaiChi and/or Qigong practices (TQPs) has increased. Therefore, this systematic review assesses the effects of TQPs on depression among patients with HF. Methods. Randomized controlled trials (RCTs) that examined the effect of TQPs on depression in patients with HF were searched by five databases (PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, CINAHL, and China National Knowledge Infrastructure (CNKI)). With standardized mean difference (SMD) and 95% confidence intervals (95% CI), random-effects meta-analyses of the effect of TQPs on depressive symptoms were performed. Results. Of eight included RCTs, seven (481 patients) provided data for the meta-analysis. The pooling revealed that TQPs contribute to depression remission in HF (SMD −0.66; 95% CI −0.98 to −0.33, P < 0.0001 ; I<superscript>2</superscript> = 64%). Its antidepressive effect was not influenced by intervention duration or exercise setting, but rather by ejection fraction subtype, depressive severity, and depression instruments. The beneficial effects were preserved when the study with the largest effect was removed. Conclusion. This study suggests that TQPs might be a good strategy for alleviating depressive symptoms in patients with HF. And rigorous-design RCTs, which focus on the identified research gaps, are needed to further establish the therapeutic effects of TQPs for depression in HF. [ABSTRACT FROM AUTHOR]
- Subjects :
- EVALUATION of medical care
ONLINE information services
CINAHL database
META-analysis
MEDICAL databases
INFORMATION storage & retrieval systems
MEDICAL information storage & retrieval systems
CONFIDENCE intervals
PSYCHOLOGY of cardiac patients
QI gong
SYSTEMATIC reviews
TAI chi
RANDOMIZED controlled trials
MENTAL depression
DESCRIPTIVE statistics
MEDLINE
HEART failure
DISEASE remission
Subjects
Details
- Language :
- English
- ISSN :
- 1741427X
- Database :
- Complementary Index
- Journal :
- Evidence-based Complementary & Alternative Medicine (eCAM)
- Publication Type :
- Academic Journal
- Accession number :
- 151085788
- Full Text :
- https://doi.org/10.1155/2021/5585239