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Qigong for hypertension: a systematic review.

Xingjiang Xiong1, Pengqian Wang, Xiaoke Li

  • 1From the Department of Cardiology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences (XX); Bio-organic and Natural Products Laboratory, McLean Hospital, Harvard Medical School, Belmont, MA, USA (XL); Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences (PW), Beijing, China; Bio-organic and Natural Products Laboratory, McLean Hospital, Harvard Medical School, Belmont, MA; and Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada (YZ).

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|January 9, 2015
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Summary

Qigong effectively lowers blood pressure in hypertensive patients, significantly reducing both systolic and diastolic measures compared to no intervention. While less effective than exercise for systolic pressure, it shows promise as an adjunctive therapy.

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Area of Science:

  • Integrative and Complementary Medicine
  • Cardiovascular Health
  • Evidence-Based Practice

Background:

  • Hypertension remains a significant global health concern, necessitating diverse therapeutic strategies.
  • Qigong, a mind-body exercise, has gained attention for its potential health benefits.
  • Evaluating qigong's efficacy and safety in hypertension management is crucial for evidence-based recommendations.

Purpose of the Study:

  • To systematically review and meta-analyze the effectiveness and safety of qigong for managing hypertension.
  • To compare qigong's impact against no intervention, exercise, and antihypertensive drugs.

Main Methods:

  • A systematic literature search was conducted across seven databases up to April 2014.
  • Included randomized controlled trials (RCTs) of qigong as monotherapy or adjunctive therapy.
  • Risk of bias was assessed using the Cochrane Handbook methodology.

Main Results:

  • Twenty RCTs with 2349 patients were included; risk of bias was generally high.
  • Qigong significantly reduced systolic blood pressure (SBP) and diastolic blood pressure (DBP) versus no intervention.
  • Qigong was less effective than exercise for SBP reduction but comparable for DBP. It showed potential for DBP reduction compared to antihypertensive drugs.
  • Qigong combined with antihypertensive drugs significantly lowered both SBP and DBP compared to drugs alone. No serious adverse events were reported.

Conclusions:

  • Qigong demonstrates efficacy as a therapy for hypertension.
  • Further high-quality RCTs with long-term follow-up and focus on clinical outcomes are needed to solidify these findings.