Effect of Baduanjin Exercise on the Rehabilitation of Maintenance Hemodialysis Patients: A Systematic Review and Meta-Analysis

Detai Wang; Anwen Zhao; Lan Zhou; Shucun Liang; Jie Li; Huizhou Yao

doi:10.54097/98d0e724

Authors

Detai Wang
Anwen Zhao
Lan Zhou
Shucun Liang
Jie Li
Huizhou Yao

DOI:

https://doi.org/10.54097/98d0e724

Keywords:

Baduanjin Exercise, Maintenance Hemodialysis, Systematic Review

Abstract

Background: Enhancing the physical function, psychological state and quality of life of hemodialysis patients represents a significant challenge in the rehabilitation process. Baduanjin training is a Chinese martial-arts exercise combined with TCM (traditional Chinese medicine), and increasing numbers of studies have shown its positive effects on clinical rehabilitation of maintenance different groups. However, there is currently no systematic review to evaluate the effect of Baduanjin training on the rehabilitation of hemodialysis patients. Objective: To systematically evaluate the effects of Baduanjin on physical function, psychological state and quality of life of hemodialysis patients. Methods: Six databases (PubMed, Web of Science, China National Knowledge Infrastructure, Wanfang, China Biology Medicine, China Science and Technology Periodical) were searched from inception through July 2025. Randomized controlled trials (RCTs) evaluating the effect of Baduanjin exercise on the clinical physical rehabilitation of patients were included. Review Manager 5.4 software was used to assess the risk of bias in the included studies and to conduct a comprehensive analysis of the data in accordance with the methods provided in the revised Cochrane Handbook. Results: Baduanjin training showed significant benefit for the rehabilitation of maintenance hemodialysis patients, including overall quality of life, psychology and physical function and their sub-domains, but no significance was found in 6MWD or ASM (a sub-domain of life), HB or Serum Phosphorus (a sub-domain of physical). No related adverse events were reported in the included studies. Conclusions: The research results of this review indicate that Baduanjin is safe and effective for the psychological rehabilitation and quality of life improvement of maintenance hemodialysis patients, and may be beneficial to some physical functions. However, before drawing more definite conclusions, more trials with larger sample sizes and more rigorous designs are needed.

Downloads

Download data is not yet available.

References

[1] Fu JX. Reserch on the Application Effect of Baduanjin Exercise in Patients with Maintenance Hemodialysis. thesis. CN: Qingdao University; 2022. Retrieved from https://link. cnki.net/doi/10.27262/d.cnki.gqdau.2022.001228Available from CNKI.

[2] GSe Higgins JPT. Cochrane handbook for systematic reviews of interventions. Version 5.3.0. The Cochrane Collaboration; 2014.www.cochrane-handbook.org.

[3] COSTIGAN S A, EATHER N, PLOTNIKOFF R C, et al. High-intensity interval training for improving health-related fitness in adolescents: a systematic review and meta-analysis [J]. Bri J Sports Med, 2015, 49 (19): 1253-1261.

[4] Zhu DM. Effect of Implementing Baduanjin Exercise in Hemodialysis Nursing Care for ESRD Patients on Fatigue, Sleep, and Quality of Life. Electronic Journal Of Practical Clinical Nursing Science. 2019; 4(49): 146.

[5] Ji. SM. To study the effect of Baduanjin qigong combined with progressive muscle relaxation Training on sleep quality and KTDA score of MHD patients. World Journal of Sleep Medicine. 2023: 10(11)2590-2592.

[6] Zhu XY, Zhu Y. the Effect analysis of aversion therapy combined with sitting Baduanjin exercise in hemodialysis patients. Chin J Convalescent Med, 2024; 1(33)46-48.

[7] Wang XF, Liu JH. Effect of Baduanjin in patients undergoing maintenance hemodialysis. Joumal of Clinical Nursing in Practice. 2022; 8(12): 41-44.

[8] Wu X. Analysis of Intervention Effect of Baduanjin Exercise on Hemodialysis Patients Complicated with Sarcopenia/WU Qian. LU Zeping. GU0 Deiiu. //Chinese and Foreign Medical Research. 2021. 19(36): 97-101.

[9] Dai QJ. WuX. Survey on the Quality of Life of Maintenance Hemodialysis Patients in Single Center and Clinical Observation on the Effect of Baduanjin on patients' Quality of Life. thesis. CN: Nanjing University of Chinese Medicine; 2020.

[10] Xie T, Bl Liming, GAo. Jun. Effects of Baduanjin training intervention on degree of fatigue, sleep qualityand psychological state of patients with maintenance hemodialysis. Traditional Chinese Medicine. Clinical medical research and practice. 2021: 6(29): 144-162.

[11] TianR., Luo Yang, et al. Effect of Baduanjin on cognitive function and activity of daily living of hemodialysis patients. Beijing Journal of Traditional Chinese Medicine. 2022: 1(39): 11-14.

[12] Ding ZR. Effect of Baduanjin on depression in patients with maintenance hemodialysis. thesis. CN: Changchun University Of Chinese Medicine; 2020.

[13] Dang XB. Effect of Baduanjin on shoulder function in maintenance hemodialysis patients. thesis. CN: Dalian Medical University; 2023.

[14] Xia XF. Effect of Baduanjin on quality of life of regular hemodialysis patients. thesis. CN: Changchun University Of Chinese Medicine; 2020.

[15] Pan W. A study on the effect of Ba DuanJin on the clinical efficacy andquality of life of peritoneal dialysis patients. thesis. CN: Changchun University Of Chinese Medicine; 2024.

[16] Zhang F, Liao J, Zhang w, Wang H, Huang L, Shen Q and Zhang H (2021) Effects ofBaduanjin Exercise onPhysical Function and Health-RelatedQuality of Life in Peritoneal DialysisPatients: A Randomized Trial. Front. Med. 8: 789521. doi: 10. 3389/fmed. 2021. 789521.

[17] Wang J, Lei Y, Wang J. MC X. et. al. Value of neutrophil-to-lymphocyte ratio for diagnosing sarcopenia in patients undergoing maintenance hemodialysis and efficacy of Baduanjin exercise combined with nutritional support. Front. Neurol. 14: 1072986doi: 10. 3389/fneur. 2023. 1072986.

[18] Wang XQ, Jiawei Wu, Mingzhu Ye, et. al. Effect of Baduanjin exercise on the cognitive function of middle-aged andolder adults: A systematic review and meta-analysis. Complementary Therapies in Medicine. 2021: (59)1-8. Retrieved from https://doi.org/10.1016/j.ctim.2021.102727.