• Hongliang Liu and Ningchang Cheng.
• Nanjing University of Chinese Medicine, Nanjing, China.
• Medicine (Baltimore). 2025 Jan 31; 104 (5): e41390e41390.

BackgroundChronic obstructive pulmonary disease (COPD) is a global health problem with high morbidity and mortality. Tai Ji and Qigong are traditional Chinese meditative movements, benefit COPD patient's physical and mental health.MethodsWe searched the following 7 databases Web of Science, EBSCO, Medline, PubMed, CINAHL, Cochrane Library online, and CNKI from inception to July 2023. Any RCTs managed with Tai Ji and/or Qigong on stable COPD were eligible without age, and comparison management restrict, however should be published in English. Outcome measures comprised pulmonary function, 6WMT, physical and/or cognitive function, and any assessment of people QoL.ResultsTai Ji and/or Qigong significant increased %PredFEV1 on stable COPD people (MD: 3.46, 95% CI: 1.69-5.23), and 6MWT (MD: 45.07, 95% CI: 31.16-58.97). 5/6 studies reported a meaningful change in CAT/SGRQ total (MD: -4.04, 95% CI: -7.76 to -0.32; MD: -11.95, 95% CI: -21.22 to -2.68). However, 6MWT, CAT and SGRO total were debated on high heterogeneity.ConclusionTai Ji and Qigong increase %PredFEV1 and promote QoL. However, the evidences are not sufficient, a proper subgroup analysis should be considered.Copyright © 2025 the Author(s). Published by Wolters Kluwer Health, Inc.

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