[目的]借助网状Meta分析方法比较八段锦、太极拳、五禽戏和易筋经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.共纳入41篇文献,44项实验研究,实验组1 601人,对照组1 667人.[结果]对于结局指标抑郁自评量表(SDS),易筋经对其评分改善效果显著优于对照组;对于汉密尔顿抑郁量表(HAMD),八段锦对其评分改善效果显著优于对照组;对于症状自评量表(SCL-90),太极拳对其评分改善效果显著优于对照组.[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.
Network Meta-analysis of the Effectiveness of Traditional Chinese Fitness Exercises in the Treatment of Depressive Symptoms
[Objective]To compare the clinical effectiveness of four traditional Chinese fitness exercises,Baduanjin,Tai-jiquan,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 on CNKI,Wanfang,PubMed,Cochrane library and Web of Science databases was conducted to search for pub-lished experimental studies on the regulation of depressive symptoms by four traditional Chinese fitness exercises.Accord-ing 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.A total of 41 papers and 44 experimental studies were included,with 1 601 people in the experimental group and 1 667 people in the control group.[Results]For the outcome index self-rating depression scale(SDS),the improvement effect of Yijinjing on its score was significantly better than that of the control group;for Hamilton depression scale(HAMD),the effect of Baduanjin on the improvement of its score was significantly better than that of the control group;for symptom checklist 90(SCL-90),the improvement effect of Taijiquan on its score was significantly better than that of the control group.[Conclusion]Four kinds of traditional fitness exercises have a certain effect on regulating the depressive symp-toms of the subjects;compared with other interventions,Taijiquan has the most significant effect on regulating the indica-tors of depressive symptoms(SDS,SCL-90).Baduanjin has the best effect on regulating depressive symptoms(HAMD).Therefore,for people with depressive symptoms,Baduanjin and Taijiquan can be selected for intervention treatment.
NETL
NSTL
万方数据
维普
