Chronic Obstructive Pulmonary Disease, Lung Diseases, Obstructive
Conditions
Keywords
TCM Daoyin, at-risk for COPD, early COPD, chronic obstructive pulmonary disease
Brief summary
Chronic obstructive pulmonary disease (COPD) is a common, preventable and treatable disease. The aim of prospective randomized study is to evaluate the effects of TCM Daoyin training on Individuals at-risk for COPD.
Detailed description
Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide. Early prevention and treatment of COPD is crucial, but there is a lack of specific interventions for individuals at-risk for COPD in clinical guidelines. The study focuses on individuals at-risk for COPD (COPD-SQ≥16, current lung function failed to meet diagnostic criteria for COPD but with manifestations of early airflow limitation). This is a two-group prospective, randomized, assessor-blinded trial, planning to enroll 60 participants (30 for TCM Daoyin intervention group receiving health education plus a TCM Daoyin training program, and 30 for health education control group only receiving health education). TCM Daoyin is a form of mind-body exercise with a profound philosophical foundation rooted in Chinese culture. Previous researches have provided some evidence of beneficial effects on TCM Daoyin for COPD patients with an established diagnosis, such as Liuzijue and Baduanjin. However, the evidences of TCM Daoyin on patients with early COPD is limited. The aim of prospective randomized study is to evaluate the effects of TCM Daoyin training on individuals at-risk of COPD.
Interventions
BEHAVIORALTCM Daoyin
The TCM Daoyin training program consisted of two 90-min training classes and at least five 30-min at-home practice sessions per week for 16-weeks. All sessions included 10 min of warmup and 10 min of cooldown.
BEHAVIORALHealth education
Health education is provided by doctor and nurse, including work, rest, diet and other basic programs.
Sponsors
Shanghai University of Traditional Chinese Medicine
Changzheng Community Health Service Center of Putuo District, Shanghai
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessors were blinded to the group allocation of the participants.
Intervention model description
This study is a 16-week, randomized controlled trial. Individuals at-risk for COPD are randomized to either TCM Daoyin intervention group or health education control group.
Eligibility
Sex/Gender
ALL
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Subject at-risk for COPD (Chronic obstructive pulmonary disease screening questionnaire (COPD-SQ) score≥16; and pre-bronchodilator FEV1/FVC ≥ 0.70, or pre-bronchodilator FEV1/FVC\<0.70 but post-bronchodilator FEV1/FVC ≥ 0.70). * Aged 40 to 75, male or female. * Subject has a clear mind and the ability to lead an independent life. * Subject agrees to perform a blood-test. * Subject agrees to participate in this study and sign to the informed consent.
Exclusion criteria
* Subject with acute exacerbation of COPD. * Subject with respiratory infectious disease (e.g., tuberculosis, influenza, etc.) within 1 month. * Subject with serious current unstable physical illness and mental illness. * Subject with definite clinical diagnosis of Alzheimer's disease, or severe cognitive impairment. * Subject is pregnant or lactating women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lung function | Change from Baseline lung function at 16 weeks | Participants' lung function (FVC、FVC%、FEV1、FEV1%、FEV1/FVC) will be tested to identify air flow condition in both group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 6-min walk distance(6MWD) | Change from Baseline 6MWD at 16 weeks | The 6MWD is a well-established field exercise test to assess the functional exercise capacity in COPD clinical trials. |
| Immune function | Change from Baseline immune function at 16 weeks | Venous blood will be collect to detect immunity function (IL-6, IL-8, IL-10 and biomarkers). |
| Depression, Anxiety and Stress Scale-21 item (DASS-21) | Change from Baseline DASS-21 at 16 weeks | Questions focus on depressive, anxious and stress symptoms during the past 7 days, and higher cumulative scores indicate more severe depression, anxiety and stress. Subscale scores are calculated as the sum of the responses to the seven items from each subscale multiplied by 2. The cutoffs for depression, anxiety, and stress are \>9, \>7, and \>14, respectively. |
| St. George's Respiratory Questionnaire (SGRQ) | Change from Baseline SGRQ at 16 weeks | Quality of Life will be assessed by St. George's Respiratory Questionnaire (SGRQ). The SGRQ is a disease-specific measure of health status for use in COPD. It has a 0 - 100 score; 0 as low symptoms (feeling better) and 100 as high symptoms (feeling worse). A 4-unit change is the minimum clinically important difference. |
| Adverse effects | 8 weeks | During the intervention period, the doctors will ask specifically about, and record any adverse effect of the treatment that may have occurred. |
Countries
China
Contacts
STUDY_CHAIRXiaoting Zhao
Shanghai Qigong Research Institute
STUDY_DIRECTORJie Li, Doctor
Shanghai University of Traditional Chinese Medicine
PRINCIPAL_INVESTIGATORYing Lu, Master
Shanghai Qigong Research Institute
Outcome results
None listed