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Mind-body therapies and their interplay with the immune system in children and adolescents: a protocol for a systematic review and meta-analysis.

Systematic reviewsยทApril 2025ยทSteven Schepanski, Gonza B Ngoumou, Anna Katharina Koch et al.
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Key Finding

This protocol establishes methodology for systematically evaluating the safety and effectiveness of mind-body therapies, including acupuncture, on immune system modulation in children and adolescents, addressing an underexplored area in pediatric integrative medicine.

What This Means For You

Researchers are planning a comprehensive review to examine whether mind-body therapies like acupuncture, yoga, and meditation can help reduce chronic inflammation in children and teenagers. Chronic inflammation in young people is a serious health concern because it increases the risk of developing various health problems later in life. While studies in adults have shown that mind-body therapies can help regulate immune system responses and reduce inflammation, much less is known about whether these treatments are safe and effective for pediatric patients. This upcoming review will analyze data from multiple types of studies, including randomized controlled trials and observational studies, to understand how these therapies affect immune markers in young patients. The researchers will search major medical databases and carefully evaluate the quality of each study using established assessment tools. Importantly, this is a protocol paper, meaning it outlines the plan for conducting the review rather than presenting actual results. Once completed, this systematic review will provide valuable evidence to help doctors, parents, and policymakers make informed decisions about incorporating mind-body therapies into pediatric healthcare. The findings could be particularly important for children dealing with inflammatory conditions or those at risk for chronic disease. If you're considering acupuncture or other mind-body therapies for your child, consult with a qualified, licensed practitioner experienced in pediatric care.

Clinical Notes for Practitioners

This protocol outlines a systematic review and meta-analysis examining the effects of mind-body therapies, including acupuncture, on immune modulation in pediatric populations. Following PRISMA 2020 guidelines, the review will include randomized controlled trials, non-randomized controlled trials, cohort studies, and case-control studies. Researchers will search MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and Cochrane Library databases. Study quality will be assessed using the Cochrane Risk of Bias Tool (RoB 1), ROBINS-I, and Newcastle-Ottawa Scale. Two independent reviewers will screen studies and extract data, with meta-analysis conducted using R software. The review focuses on immune markers as outcomes in children and adolescents receiving mind-body interventions. As this is a protocol paper, no sample sizes or effect sizes are yet reported. Clinical takeaway: This forthcoming review will provide evidence-based guidance for integrating mind-body therapies into pediatric care for inflammatory conditions, addressing a significant gap in current literature.

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