{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:40:16Z","timestamp":1792384816711,"version":"4.4.0"},"reference-count":46,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Evidence Based Medicine"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Baduanjin (BDJ) is a traditional Chinese mind\u2013body exercise increasingly evaluated in rehabilitation and chronic disease care. The growth of systematic reviews has made the literature difficult to interpret because review volume, methodological quality, certainty of evidence, and overlap of primary trials are rarely considered together. This umbrella review aimed to map the clinical condition spectrum of BDJ research and to appraise the credibility and redundancy of the existing review evidence.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Eight English and Chinese databases were searched from inception to April 2026 for systematic reviews and meta\u2010analyses in which BDJ was a standalone or separable intervention. Eligible reviews were mapped by clinical condition. Representative core reviews were selected using prespecified hierarchical criteria. Methodological quality, certainty of evidence, and primary\u2010trial overlap were assessed using A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2), grading of recommendations assessment, development and evaluation (GRADE), and corrected covered area (CCA), respectively.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 261 reviews were included. Thirty\u2010one core reviews underwent AMSTAR 2 appraisal, 21 condition\u2013outcome pairs underwent GRADE assessment, and 10 review clusters underwent CCA analysis. Review activity was concentrated in cardiovascular\/cardiac rehabilitation, musculoskeletal pain, cognitive\/neurological rehabilitation, endocrine\/metabolic disorders, psychological\/sleep\/emotional conditions, oncology\/postoperative rehabilitation, and respiratory disease. AMSTAR 2 ratings were moderate in one review, low in 18, and critically low in 12. Nineteen condition\u2013outcome pairs were rated low certainty and 2 very low certainty. Several clusters showed high or very high primary\u2010trial overlap.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n BDJ has been reviewed widely, but the evidence is methodologically uneven, frequently overlapping, and of low or very low certainty. Current findings should be interpreted as uncertain evidence signals rather than practice recommendations.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jebm.70196","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:01:01Z","timestamp":1792382461000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Baduanjin Exercise Across Clinical Conditions: An Umbrella Review"],"prefix":"10.1111","author":[{"given":"Dongsheng","family":"Yuan","sequence":"first","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renkun","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongsheng","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Scientific Research and Publicity Health Qigong Management Center State General Administration of Sports Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kexin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhefeng","family":"Jin","sequence":"additional","affiliation":[{"name":"The Third Department of Sports Medicine Wangjing Hospital China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaming","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liguo","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"},{"name":"Beijing Key Laboratory of Intelligent Traditional Chinese Medicine for Prevention and Treatment of Degenerative Bone and Joint Diseases Wangjing Hospital, China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaokuan","family":"Qin","sequence":"additional","affiliation":[{"name":"Beijing Key Laboratory of Intelligent Traditional Chinese Medicine for Prevention and Treatment of Degenerative Bone and Joint Diseases Wangjing Hospital, China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Spine Wangjing Hospital of China Academy of Chinese Medical Sciences Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","DOI":"10.1155\/2017\/4548706","article-title":"Systematic Review and Meta\u2010Analysis Baduanjin Qigong for Health Benefits: Randomized Controlled Trials","volume":"2017","author":"Zou 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