中国传统健身功法治疗抑郁症状有效性的网状Meta分析
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淮北师范大学 体育学院,安徽 淮北 235000

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教育部人文社会科学研究青年基金项目;安徽省教育厅质量工程重点项目;淮北师范大学2024年度研究生创新基金项目


Network Meta-analysis of the effectiveness of traditional Chinese fitness exercises in the treatment of depressive symptoms
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College of Physical Education, Huaibei Normal University, Huaibei, Anhui 235000

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    目的:借助网状Meta分析方法比较八段锦、太极拳、五禽戏、易筋经4种中国传统健身功法调节抑郁症状的临床疗效,为制定调节抑郁症状的运动处方提供科学依据。方法:全面检索中国知网、万方、PubMed、Cochrane library和Web of Science等数据库,搜索公开发表的以4种中国传统健身功法调节抑郁症状的实验研究。按照Cochrane手册标准对所纳入的研究进行文献质量评价与偏倚风险评估,运用Stata软件对纳入文献进行网状Meta分析。结果:共纳入41篇文献,44项试验研究,实验组1601人,对照组1667人。网状Meta分析结果显示,对于结局指标SDS,易筋经对其评分改善效果显著优于对照组,差异具有显著性意义 [SMD=-0.88,95%CI(-1.70,-0.06)];对于HAMD,八段锦对其评分改善效果显著优于对照组,差异具有显著性意义 [SMD=-1.32,95%CI(-2.31,-0.32)];对于SCL-90,太极拳对其评分改善效果显著优于对照组,差异具有显著性意义 [SMD=-0.55,95%CI(-1.05,-0.06)]。对结局指标SDS评分干预效果最优的运动方式概率排序为:太极拳(71.3)>易筋经(68.6)>八段锦(54.6)>五禽戏(43.4)>无干预/其他干预(12.1);对结局指标HAMD评分干预效果最优的运动方式概率排序为:八段锦 (70.1)>五禽戏(69.4)>易筋经(55.1)>太极拳(49.1)>无干预/其他干预(6.3);对结局指标SCL-90评分干预效果最优的运动方式概率排序为:太极拳(68.0)>八段锦(62.9)>易筋经(61.8)>五禽戏(48.8)>无干预/其他干预(8.5)。结论:4种传统健身功法对调节被试人群抑郁症状均具有一定疗效;太极拳相比其他干预措施对调节抑郁症状各项指标(SDS、SCL-90)的疗效最为显著;八段锦对调节抑郁症状(HAMD)的效果最佳。因此,对于抑郁症状人群,可以选择八段锦与太极拳进行干预。针对本研究的局限性,未来相关研究需要限定被试人群特征,并进一步探讨干预频率、周期等调节变量对被试人群抑郁症状参数的影响。此外,为增强研究结果的可信性,后续相关研究应该选择更大、更为科学的样本量加以补充。

    Abstract:

    Objective : To compare the clinical efficacy of four traditional Chinese fitness exercises, Baduanjin, Tai Chi, Wuqinxi and Yijinjing, in regulating depressive symptoms by means of network meta-analysis, so as to provide scientific basis for formulating exercise prescriptions for regulating depressive symptoms. Methods : A comprehensive search of CNKI, Wanfang, PubMed, Cochrane library and Web of Science databases was conducted to search for published experimental studies on the regulation of depressive symptoms with four traditional Chinese fitness exercises. According to the Cochrane handbook standard, the literature quality evaluation and bias risk assessment of the included studies were carried out, and the network meta-analysis of the included literature was carried out by using Stata software. Results : A total of 41 articles and 44 experimental studies were included, 1601 in the experimental group and 1667 in the control group.The results of network meta-analysis showed that for the outcome index SDS, the improvement effect of Yijinjing on its score was significantly better than that of the control group, and the difference was significant [ SMD = -0.88,95 % CI ( -1.70, -0.06 ) ] ; for HAMD, the improvement effect of Baduanjin on its score was significantly better than that of the control group, and the difference was significant [ SMD = -1.32,95 % CI ( -2.31, -0.32 ) ] ; for SCL-90, the improvement effect of Tai Chi on its score was significantly better than that of the control group, and the difference was significant [ SMD = -0.55,95 % CI ( -1.05, -0.06 ) ].The probability of exercise mode with the best intervention effect on the outcome index SDS score was ranked as follows : Taijiquan ( 71.3 ) > Yijinjing ( 68.6 ) > Baduanjin ( 54.6 ) > Wuqinxi ( 43.4 ) > no intervention / other intervention ( 12.1 ) ; the probability of exercise mode with the best intervention effect on the outcome index HAMD score was : Baduanjin ( 70.1 ) > Wuqinxi ( 69.4 ) > Yijinjing ( 55.1 ) > Tai Chi ( 49.1 ) > no intervention / other intervention ( 6.3 ) ; the probability of exercise mode with the best intervention effect on the outcome index SCL-90 score was : Taijiquan ( 68.0 ) > Baduanjin ( 62.9 ) > Yijinjing ( 61.8 ) > Wuqinxi ( 48.8 ) > no intervention / other intervention ( 8.5 ).Conclusion : Four kinds of traditional fitness exercises have a certain effect on regulating the depressive symptoms of the subjects ; compared with other interventions, Tai Chi has the most significant effect on regulating the indicators of depressive symptoms ( SDS, SCL-90 ). Baduanjin has the best effect on regulating depressive symptoms ( HAMD ). Therefore, for people with depressive symptoms, Baduanjin and Tai Chi can be selected for intervention. In view of the limitations of this study, future related research needs to limit the characteristics of the subjects, and further explore the effects of regulatory variables such as intervention frequency and cycle on the parameters of depressive symptoms in the subjects. In addition, in order to enhance the credibility of the research results, subsequent related research should choose a larger and more scientific sample size to supplement.

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  • 收稿日期:2024-01-11
  • 最后修改日期:2024-03-03
  • 录用日期:2024-03-12
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