传统功法对中老年人抑郁症状影响贝叶斯Meta分析

Bayesian Meta-analysis of the Effect of Traditional Exercises on Depressive Symptoms in Middle-aged and Elderly People

目的 基于贝叶斯模型网状Meta分析综合评价4种传统功法治疗中老年人抑郁症状的疗效。方法 检索中国知网、万方、PubMed等数据库从建库起至2023年12月20日有关传统功法对中老年人抑郁症状影响的实验研究。使用Cochrane手册对所纳入的研究进行文献质量评价,运用RevManager5.4和Stata16.0软件对提取数据进行贝叶斯网状Meta分析。结果 最终纳入39篇文献,被试人数共3 187人。网状Meta分析结果显示,SDS方面:八段锦(84.8)>太极拳(66.8)>易筋经(47.1)>五禽戏(32.8)>常规干预(18.6);HAMD方面:八段锦(98.4)>太极拳(64.5)>易筋经(43.7)>五禽戏(42.3)>常规干预(1.1);SCL-90方面:五禽戏(75.1)>八段锦(63.0)>易筋经(55.6)>太极拳(51.7)>常规干预(4.5)。结论 传统功法对改善中老年人的抑郁症状具有积极作用;八段锦是改善中老年人抑郁症状各项指标(SDS、HAMD)的最佳干预方式;五禽戏对调节中老年人群抑郁症状(SCL-90)的疗效最佳。因此,家庭、社区和医疗机构在对中老年抑郁人群提供运动治疗时,可以选择八段锦与五禽戏进行干预,提高其对运动治疗的依从性。

Objective To comprehensively evaluate the efficacy of four traditional exercises in the treatment of depressive symptoms in middle-aged and elderly people based on Bayesian model network Meta-analysis.Method The experimental studies on the effects of traditional exercises on depressive symptoms in middle-aged and elderly people were retrieved from CNKI,Wanfang,PubMed and other databases from the establishment of the database to December 20,2023.The Cochrane Handbook was used to evaluate the literature quality of the included studies,and RevManager5.4 and Stata16.0 software were used to perform Bayesian network Meta-analysis on the extracted data.Result A total of 39 articles were included,with a total of 3187 participants.The results of network Meta-analysis showed that SDS:Baduanjin(84.8)>Tai Chi(66.8)>Yijinjing(47.1)>Wuqinxi(32.8)>routine intervention(18.6);HAMD:Baduanjin(98.4)>Tai Chi(64.5)>Yijinjing(43.7)>Wuqinxi(42.3)>routine intervention(1.1);SCL-90:Wuqinxi(75.1)>Baduanjin(63.0)>Yijinjing(55.6)>Tai Chi(51.7)>routine intervention(4.5).Conclusion Traditional exercises have a positive effect on improving the depressive symptoms of middle-aged and elderly people;the Baduanjin is the best intervention method to improve the indicators of depressive symptoms(SDS,HAMD)in middle-aged and elderly people;five-animal exercise has the best effect on regulating depressive symptoms(SCL-90)in middle-aged and elderly people.Therefore,when families,communities and medical institutions provide exercise therapy for middle-aged and elderly people with depression,they can choose Baduanjin and Wuqinxi to intervene to improve their compliance with exercise therapy.