New exercises of Health Qigong and patients with type 2 diabetes mellitus:a systematic review and meta-analysis

OBJECTIVE: To systematically assess the effect of new exercise of Health Qigong(NEHQ) on fasting plasma glucose(FPG), 2 hour postprandial plasma glucose(2 hPG), Hemoglobin A1C(HbA1C), triglycerides(TG), total cholesterol(TC), low density lipoprotein(LDL), and high density lipoprotein(HDL)in patients with type 2 diabetes mellitus(T2DM).METHODS: Data were retrieved by searching EMBASE,MEDLINE, The Cochrane Library, China Biology Medicine,China National Knowledge Infrastructure, Wanfang Data and Chongqing VIP Database. The random-ized controlled trials(RCTs) related to NEHQ were searched. The search terms were "fasting plasma glucose","2 hour postprandial plasma glucose","Hemoglobin A1C","TG(triglycerides)","total cholesterol","low density lipoprotein",and "high density lipoprotein". Meta-analysis were conducted with the Collaboration's Revman 5.3.RESULTS: Fourteen RCTs including 999 patients were analyzed. The levels of FPG in the patients with the intervention of NEHQ-Ba Duan Jin in 2, 6, 9 months respectively, and of NEHQ·Mawangdui Daoyin in 12 months were lower than those in the control group(P<0.05); the levels of 2hPG in the patients with the intervention of NEHQ-Ba Duan Jin in 2, 4, 6 months respectively were lower than those in the control group(P<0.05);the levels of HbAlc in the patients with the intervention of NEHQ·Ba Duan Jin in 2, 3, 4, 6, 9 months respectively, and of NEHQ·Mawangdui Daoyin 12 months were lower than those in the control group(P<0.05); the levels of TG in the patients with the intervention of NEHQ·Ba Duan Jin in 4 and 6 months respectively, and of NEHQ·Mawangdui Daoyin in 12 months were lower than those in the control group(P<0.05);the levels of TC in the patients with the intervention of NEHQ·Ba Duan Jin in 2,6, 9 months respectively were lower than those in the control group(P<0.05); the levels of LDL in the patients with the intervention of NEHQ-Ba Duan Jin in 3 and 6 months respectively were lower than those in the control group(P<0.05);the level of HDL in the patients with the intervention of NEHQ·Mawangdui Daoyin in 12 months was higher than those in the control group(P<0.05).CONCLUSION: The outcomes of the patients with T2DM in NEHQ group was better than those in the control group in terms of FPG, 2hPG, HbA1C, TQ LDL, and HDL.