Overview of systematic reviews/meta analyses on traditional exercise for the improvement of cardiopulmonary function
10.3760/cma.j.cn115398-20200603-00044
- VernacularTitle:传统功法改善心肺功能系统评价的AMSTAR2质量评价及GRADE证据分级
- Author:
Yanji ZHOU
1
;
Changxin LIU
;
Meiling CAI
;
Ying ZHOU
;
Duoduo LI
;
Changhe YU
Author Information
1. 北京中医药大学第一临床医学院2019级硕士研究生 100700
- Keywords:
Qigong (TCM);
Shadow boxing;
Five mimic animal boxing;
Eight sections brocade ( Baduanjin);
Six-character formula ( Liuzijue);
Car
- From:
International Journal of Traditional Chinese Medicine
2021;43(12):1272-1281
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the methodological quality and evidence quality of outcome of the systematic reviews/meta analyses on traditional exercise for the improvement of cardiopulmonary function.Methods:By searching for PubMed, Cochrane Library, Web of Science, CNKI, Wanfang, VIP and CBM databases in Chinese or English, the Systematic Reviews/meta analysis of traditional exercises for improving cardiopulmonary function was conducted. The retrieval time was March 8th, 2020. The AMSTAR 2 scale was used to evaluate the methodological quality of the systematic review/meta-analysis that met the inclusion criteria. Since the included studies cannot reflect the overall effect of traditional exercises on improving cardiopulmonary function, and the methodological quality of systematic reviews was generally low, a secondary analysis of the RCT studies included in the systematic reviews was conducted. The methodological quality evaluation of the original RCT study adopted the Cochrane Reviewers’ Handbook Version 5.0.0 bias risk assessment method (Risk of Bias, ROB), and applied the Revman 5.3 software to merge the original RCT data. The GRADE system was used for evidence evaluation.Results:A total of 32 systematic reviews/meta analysis were included, and the AMSTAR2 scale indicated that only one of the 32 systematic reviews/meta included was of high-quality, 1 was of low-quality, and the others were of extremely low quality. A total of 57 RCTs were included in the 32 systematic reviews for bias risk assessment and data consolidation. GRADE evidence quality evaluation showed that 14 evidences were of medium quality, 26 evidences were of low quality, and 5 evidences were of extremely low quality.Conclusions:Traditional exercises can improve cardiopulmonary function, but with low evidence quality. Thus, clinicians should make clinical decisions based on conditions.