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A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases

1
Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China
2
Depression Clinical and Research Program, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA
3
The South Cove Community Health Center, Boston, MA 02111, USA
4
Department of Material Science and Engineering, Sichuan University-Pittsburgh Institute, Chengdu 610065, China
5
Department of Physical Education, Shanghai Jiaotong University, Shanghai 200240, China
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(2), 206; https://doi.org/10.3390/ijerph15020206
Received: 25 December 2017 / Revised: 20 January 2018 / Accepted: 22 January 2018 / Published: 25 January 2018
(This article belongs to the Special Issue Effect of Sport Activity on Health Promotion)
Objective: we performed the first systematic review with meta-analyses of the existing studies that examined mindfulness-based Baduanjin exercise for its therapeutic effects for individuals with musculoskeletal pain or insomnia. Methods: Both English- (PubMed, Web of Science, Elsevier, and Google Scholar) and Chinese-language (CNKI and Wangfang) electronic databases were used to search relevant articles. We used a modified PEDro scale to evaluate risk of bias across studies selected. All eligible RCTS were considered for meta-analysis. The standardized mean difference was calculated for the pooled effects to determine the magnitude of the Baduanjin intervention effect. For the moderator analysis, we performed subgroup meta-analysis for categorical variables and meta-regression for continuous variables. Results: The aggregated result has shown a significant benefit in favour of Baduanjin at alleviating musculoskeletal pain (SMD = −0.88, 95% CI −1.02 to −0.74, p < 0.001, I2 = 10.29%) and improving overall sleep quality (SMD = −0.48, 95% CI −0.95 to −0.01, p = 004, I2 = 84.42%). Conclusions: Mindfulness-based Baduanjin exercise may be effective for alleviating musculoskeletal pain and improving overall sleep quality in people with chronic illness. Large, well-designed RCTs are needed to confirm these findings. View Full-Text
Keywords: mind-body exercise; Baduanjin Qigong; pain; sleep quality mind-body exercise; Baduanjin Qigong; pain; sleep quality
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Zou, L.; Yeung, A.; Quan, X.; Boyden, S.D.; Wang, H. A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases. Int. J. Environ. Res. Public Health 2018, 15, 206.

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