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Effect of Baduanjin exercise on patients with chronic heart failure: protocol for a systematic review and
Jieying Li1, Feng Yu2, Na Huang1
1First Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Insights
This systematic review evaluates Baduanjin exercise (BDJE) for chronic heart failure (CHF) patients. It aims to statistically assess BDJE
Area of Science:
- Cardiology and Rehabilitation Medicine
- Integrative and Complementary Medicine
Background:
- Chronic heart failure (CHF) is a prevalent, lifelong condition impacting cardiac function and requiring effective management strategies.
- Baduanjin exercise (BDJE), a traditional Chinese regimen, is increasingly used in China for cardiac rehabilitation, showing potential benefits for CHF patients.
- The statistical efficacy and safety of BDJE for CHF patients require comprehensive evaluation.
Purpose of the Study:
- To systematically examine the efficacy and safety of Baduanjin exercise (BDJE) as a therapeutic intervention for patients with chronic heart failure (CHF).
- To provide a statistically rigorous evaluation of BDJE's impact on quality of life and functional capacity in CHF patients.
Main Methods:
- A systematic literature search will be conducted across multiple databases (Web of Science, Pubmed, Embase, etc.) up to October 2018.
- Randomized controlled trials (RCTs) focusing on CHF patients treated with BDJE will be selected for analysis.
- Outcomes will include quality of life (Minnesota Living with Heart Failure Questionnaire) and functional capacity (6-minute walk test), with data synthesis using RevMan 5.3 and bias assessment.
Main Results:
- This section is to be populated upon completion of the data analysis.
- The review will synthesize findings from selected RCTs to determine the overall effect of BDJE on CHF patients.
- Statistical analyses, including meta-regression and subgroup analyses, will be employed to explore potential variations in treatment effects.
Conclusions:
- This systematic review will provide a comprehensive statistical evaluation of Baduanjin exercise for chronic heart failure.
- Findings will inform clinical practice regarding the integration of BDJE into cardiac rehabilitation programs.
- The study aims to clarify the evidence base for BDJE's efficacy and safety in managing CHF.
Introduction:
Chronic heart failure (CHF) is defined when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs, and it is caused by various cardiopulmonary diseases. CHF is a common, lifelong and costly condition. Baduanjin exercise (BDJE), a form of traditional Chinese regimen, has been integrated into China's clinical practice in recent years and has shown promise in cardiac rehabilitation of CHF patients. However, the efficacy of BDJE on CHF patients has not been fully statistically evaluated. In this study, we aim to systematically examine the efficacy and safety of BDJE for CHF patients.
Methods And Analysis:
A systematic literature search for articles up to October 2018 will be conducted in the following databases: Web of Science, Pubmed, Embase, Cochrane Library, Chinese Science and Technology Periodicals Database, Chinese National Knowledge Infrastructure and Wanfang Database. We will also search other resources. Randomised controlled trials that examined treatment of CHF patients with BDJE will be selected. Results will be analysed by assessing the quality of life of patients using the Minnesota living with heart failure questionnaire, and measurement of distance walked over a span of 6 min in the 6 min walk test. RevMan 5.3 will be used for data synthesis, sensitivity analysis, meta-regression analysis, subgroup analysis and risk of bias assessment. A funnel plot will be developed to evaluate reporting bias, and Begg and Egger tests will be used to assess funnel plot symmetries. Grading of recommendations assessment, development and evaluation system will be utilised to assess the quality of evidence.
Ethics And Dissemination:
This systematic review will be submitted to a peer-reviewed journal.
Prosperoregistration Number:
CRD42018114672.
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