Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysis
Background: Elderly patients with Chronic Obstructive Pulmonary Disease (COPD) commonly suffer from anxiety, depression, and impaired health-related quality of life (HRQOL). This review evaluated the effects of mind-body exercises on these outcomes and exercise tolerance in COPD patients aged ≥ 60 y...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-10-01
|
| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229925001128 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849222567855915008 |
|---|---|
| author | Zhaoying Yan Tao Zhang Zifan Ding Baole Tao Junwen Shu Minlei Yu Qingyu Liang Jun Yan |
| author_facet | Zhaoying Yan Tao Zhang Zifan Ding Baole Tao Junwen Shu Minlei Yu Qingyu Liang Jun Yan |
| author_sort | Zhaoying Yan |
| collection | DOAJ |
| description | Background: Elderly patients with Chronic Obstructive Pulmonary Disease (COPD) commonly suffer from anxiety, depression, and impaired health-related quality of life (HRQOL). This review evaluated the effects of mind-body exercises on these outcomes and exercise tolerance in COPD patients aged ≥ 60 years. Methods: Following PRISMA guidelines, we systematically searched PubMed, Embase, PsycINFO, Cochrane Library, and Web of Science (inception-January 2025) for randomized controlled trials (RCTs) comparing mind-body exercise versus usual care. Outcomes were anxiety, depression, HRQOL (St. George's Respiratory Questionnaire or Chronic Respiratory Questionnaire), and exercise tolerance (6-minute walk test). Meta-analyses used random-effects models, reporting Standardized Mean Differences (SMDs) or Mean Differences (MDs) with 95 % confidence intervals (CIs). Evidence certainty was assessed (GRADE framework). Seventeen RCTs were included. Results: Mind-body exercise reduced anxiety (SMD = −0.59, 95 % CI: −0.84 to −0.34; high certainty) and depression (SMD = −0.34, 95 % CI: −0.54 to −0.14; high certainty). HRQOL improved significantly (SMD = −0.79, 95 % CI: −1.14 to −0.44; low certainty), with exploratory findings showing greater improvement in Southeast Asian patients (SMD = −3.41). Exercise tolerance increased (MD = 44.23 m, 95 % CI: 26.12–62.34), exceeding minimal clinically important differences. Intervention duration for depression was a key moderator, with greater benefits in patients with interventions lasting ≥ 3080 min. Conclusion: Mind-body exercise reduces anxiety and depression, improves health-related quality of life, and increases exercise tolerance in elderly patients with COPD. For anxiety and depression, benefits are significantly enhanced with intervention durations ≥ 3080 minutes. Incorporating mind-body exercise into comprehensive COPD management for older adults is recommended. |
| format | Article |
| id | doaj-art-6e7de603f62c4621bc6cd11feb4ec34e |
| institution | Kabale University |
| issn | 0965-2299 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj-art-6e7de603f62c4621bc6cd11feb4ec34e2025-08-26T04:14:09ZengElsevierComplementary Therapies in Medicine0965-22992025-10-019310323710.1016/j.ctim.2025.103237Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysisZhaoying Yan0Tao Zhang1Zifan Ding2Baole Tao3Junwen Shu4Minlei Yu5Qingyu Liang6Jun Yan7College of Physical Education, Yangzhou University, No.196 West Huayang Road, Hanjiang District, Yangzhou, Jiangsu Province, ChinaHebei Normal University of Science and Technology, No. 360, West Section of Hebei Avenue, Haigang District, Qinhuangdao City, Hebei Province, ChinaCollege of Physical Education, Yangzhou University, No.196 West Huayang Road, Hanjiang District, Yangzhou, Jiangsu Province, ChinaCollege of Physical Education, Yangzhou University, No.196 West Huayang Road, Hanjiang District, Yangzhou, Jiangsu Province, ChinaCollege of Physical Education, Yangzhou University, No.196 West Huayang Road, Hanjiang District, Yangzhou, Jiangsu Province, ChinaCollege of Physical Education, Yangzhou University, No.196 West Huayang Road, Hanjiang District, Yangzhou, Jiangsu Province, ChinaCollege of Physical Education, Yangzhou University, No.196 West Huayang Road, Hanjiang District, Yangzhou, Jiangsu Province, ChinaCollege of Physical Education, Yangzhou University, No.196 West Huayang Road, Hanjiang District, Yangzhou, Jiangsu Province, China; Corresponding author.Background: Elderly patients with Chronic Obstructive Pulmonary Disease (COPD) commonly suffer from anxiety, depression, and impaired health-related quality of life (HRQOL). This review evaluated the effects of mind-body exercises on these outcomes and exercise tolerance in COPD patients aged ≥ 60 years. Methods: Following PRISMA guidelines, we systematically searched PubMed, Embase, PsycINFO, Cochrane Library, and Web of Science (inception-January 2025) for randomized controlled trials (RCTs) comparing mind-body exercise versus usual care. Outcomes were anxiety, depression, HRQOL (St. George's Respiratory Questionnaire or Chronic Respiratory Questionnaire), and exercise tolerance (6-minute walk test). Meta-analyses used random-effects models, reporting Standardized Mean Differences (SMDs) or Mean Differences (MDs) with 95 % confidence intervals (CIs). Evidence certainty was assessed (GRADE framework). Seventeen RCTs were included. Results: Mind-body exercise reduced anxiety (SMD = −0.59, 95 % CI: −0.84 to −0.34; high certainty) and depression (SMD = −0.34, 95 % CI: −0.54 to −0.14; high certainty). HRQOL improved significantly (SMD = −0.79, 95 % CI: −1.14 to −0.44; low certainty), with exploratory findings showing greater improvement in Southeast Asian patients (SMD = −3.41). Exercise tolerance increased (MD = 44.23 m, 95 % CI: 26.12–62.34), exceeding minimal clinically important differences. Intervention duration for depression was a key moderator, with greater benefits in patients with interventions lasting ≥ 3080 min. Conclusion: Mind-body exercise reduces anxiety and depression, improves health-related quality of life, and increases exercise tolerance in elderly patients with COPD. For anxiety and depression, benefits are significantly enhanced with intervention durations ≥ 3080 minutes. Incorporating mind-body exercise into comprehensive COPD management for older adults is recommended.http://www.sciencedirect.com/science/article/pii/S0965229925001128Chronic obstructive pulmonary diseaseMind-body exerciseAnxietyDepressionQuality of lifeRandomized controlled trials |
| spellingShingle | Zhaoying Yan Tao Zhang Zifan Ding Baole Tao Junwen Shu Minlei Yu Qingyu Liang Jun Yan Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysis Complementary Therapies in Medicine Chronic obstructive pulmonary disease Mind-body exercise Anxiety Depression Quality of life Randomized controlled trials |
| title | Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysis |
| title_full | Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysis |
| title_fullStr | Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysis |
| title_full_unstemmed | Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysis |
| title_short | Effects of a mind-body exercise intervention on anxiety, depression and quality of life in elderly patients with chronic obstructive pulmonary disease: A systematic evaluation and META analysis |
| title_sort | effects of a mind body exercise intervention on anxiety depression and quality of life in elderly patients with chronic obstructive pulmonary disease a systematic evaluation and meta analysis |
| topic | Chronic obstructive pulmonary disease Mind-body exercise Anxiety Depression Quality of life Randomized controlled trials |
| url | http://www.sciencedirect.com/science/article/pii/S0965229925001128 |
| work_keys_str_mv | AT zhaoyingyan effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis AT taozhang effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis AT zifanding effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis AT baoletao effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis AT junwenshu effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis AT minleiyu effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis AT qingyuliang effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis AT junyan effectsofamindbodyexerciseinterventiononanxietydepressionandqualityoflifeinelderlypatientswithchronicobstructivepulmonarydiseaseasystematicevaluationandmetaanalysis |