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The influence of Baduanjin on sleep and depression and anxiety of college students with Qi-deficiency constitution: a randomized controlled trial.

Frontiers in sports and active livingยทApril 2026ยทMa Mengjuan, Deng Shuhong, Chen Yinan et al.
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Key Finding

Ten weeks of Baduanjin practice significantly improved sleep quality, anxiety, depression, and qi-deficiency constitution in college students, with improvements in sleep quality positively correlated with improvements in qi-deficiency symptoms.

What This Means For You

Researchers studied whether Baduanjin, a traditional Chinese exercise practice, could help college students with qi-deficiency constitution who were experiencing sleep problems, anxiety, and depression. Qi-deficiency is a common Traditional Chinese Medicine diagnosis characterized by fatigue, weakness, and low energy that affects many young adults. The study included 37 college students who were randomly assigned to either practice Baduanjin exercises or receive no intervention for 10 weeks. The Baduanjin group practiced specific movements designed to promote qi and blood circulation throughout the body. After 10 weeks, students who practiced Baduanjin showed significant improvements in multiple areas. Their sleep quality improved dramatically based on standardized questionnaires, and they reported lower levels of both anxiety and depression compared to the control group. The students also showed improvement in their underlying qi-deficiency constitution. Importantly, researchers found that improvements in sleep quality were directly correlated with improvements in qi-deficiency symptoms, suggesting these benefits are interconnected. The control group, who did not practice Baduanjin, showed no significant changes in any measures. These findings suggest that Baduanjin exercise may be an effective, non-pharmaceutical approach for college students struggling with sleep problems and emotional difficulties related to qi-deficiency. For patients interested in exploring Traditional Chinese Medicine approaches to similar health concerns, it's important to work with a qualified, licensed acupuncturist or TCM practitioner who can provide proper assessment and guidance.

Clinical Notes for Practitioners

This randomized controlled trial evaluated 10 weeks of Baduanjin exercise in 37 college students with qi-deficiency constitution and sleep disturbances (n=19 intervention, n=18 control). The intervention group demonstrated statistically significant improvements in qi-deficiency constitution conversion scores, Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) compared to baseline and controls (P<0.05 for all measures). The control group showed no significant changes in any outcome measures (P>0.05). Correlation analysis revealed a significant positive relationship between improvements in qi-deficiency constitution and sleep quality (P=0.013), indicating these outcomes are interdependent. The intervention group's total clinical effectiveness rate was significantly higher than controls (P<0.001). These findings support Baduanjin as an evidence-based adjunct therapy for patients presenting with qi-deficiency patterns, particularly when accompanied by sleep disorders and mood disturbances. The practice may be recommended as part of comprehensive treatment protocols addressing constitutional imbalances and their associated symptomatology.

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