Cervical sub-health and poor sleep quality are prevalent among university students, yet optimal exercise prescription parameters for Baduanjin intervention remain unclear. This study investigates the dose-response effects of different Baduanjin practice frequencies on cervical function and sleep quality. A 12-week randomized controlled trial will recruit 120 university students aged 18-30 years. Eligible participants will meet the criteria for cervical sub-health (defined as a Visual Analogue Scale [VAS] score ≥30 mm and a Neck Disability Index [NDI] score ≥20%) and poor sleep quality (defined as a Pittsburgh Sleep Quality Index [PSQI] score >7). Participants will be randomly assigned to high-frequency group (5 sessions/week, 60 min), low-frequency group (3 sessions/week, 60 min), or wait-list control group. Primary outcomes include cervical pain – VAS, NDI, and Pittsburgh Sleep Quality Index (PSQI). Assessments will occur at baseline, 6 weeks, 12 weeks, and 4-week follow-up. Repeated measures ANOVA will analyze group-by-time interactions. This trial will provide evidence-based guidance for optimizing Baduanjin exercise prescription, addressing the fundamental question of “how much exercise is enough” in traditional Chinese exercise interventions. Findings will inform precision exercise recommendations for young adults with cervical sub-health and sleep disturbances.
References
[1] Tao, Y., Luo, H., Huang, L., Sun, Y., Tian, H., Liu, Z., Peng, L. (2024) The impact of physical exercise on cervical spine dysfunction in college students: the mediating effect of mobile phone dependence and the regulatory effect of education level. Current Psychology, 43(48), 36807-36819.
[2] Aldabbas, M. M., Tanwar, T., Iram, I., Spence, D. W., Pandi-Perumal, S. R., Veqar, Z. (2022) Sleep disturbance in neck pain patients: implications to pain intensity and disability. Sleep and Vigilance, 6(2), 349-357.
[3] Zou, L., Yeung, A., Quan, X., Boyden, S. D., Wang, H. (2018) A systematic review and meta-analysis of mindfulness-based (Baduanjin) exercise for alleviating musculoskeletal pain and improving sleep quality in people with chronic diseases. International Journal of Environmental Research and Public Health, 15(2), 206.
[4] Zou, L., Pan, Z., Yeung, A., Talwar, S., Wang, C., Liu, Y., Shu, Y., Chen, X., Thomas, G. A. (2018) A review study on the beneficial effects of Baduanjin. The Journal of Alternative and Complementary Medicine: Paradigm, Practice, and Policy Advancing Integrative Health, 24(4), 324-335.
[5] Ramesh, R., Shah, M. (2019) Effect of Baduanjin exercises on sleep, anxiety and quality of life in 50-70 years old population. International Journal of Health Sciences & Research, 9(5), 141-53.
[6] Gao, Y., Chen, Z., Chen, S., Wang, S., Lin, J. (2023) Risk factors for neck pain in college students: a systematic review and meta-analysis. BMC Public Health, 23(1), 1502.
[7] Liu, D., Kahathuduwa, C., Vazsonyi, A. T. (2021) The Pittsburgh Sleep Quality Index (PSQI): psychometric and clinical risk score applications among college students. Psychological Assessment, 33(9), 816.
[8] Jones, C., Qi, M., Xie, Z., Moyle, W., Weeks, B., Li, P. (2022) Baduanjin exercise for adults aged 65 years and older: a systematic review and meta-analysis of randomized controlled studies. Journal of Applied Gerontology, 41(4), 1244-1256.
[9] Wang, Z., Cheng, H., Qin, Q. (2025) The research on video analysis of key motion positions based on deep learning technology. International Journal of e-Collaboration (IJeC), 21(1), 1-16.
[10] Zou, L., Yeung, A., Quan, X., Hui, S. S.-C., Hu, X., Chan, J. S. M., Wang, C., Boyden, S. D., Sun, L., Wang, H. (2018) Mindfulness-based Baduanjin exercise for depression and anxiety in people with physical or mental illnesses: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 15(2), 321.
[11] Zhang, Y., Jiang, X. (2023) The effect of Baduanjin exercise on the physical and mental health of college students: a randomized controlled trial. Medicine, 102(34), e34897.
[12] Liu, Z., Hu, H., Wen, X., Liu, X., Xu, X., Wang, Z., Li, L., Liu, H. (2023) Baduanjin improves neck pain and functional movement in middle-aged and elderly people: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Medicine, 9, 920102.
[13] Liu, H., Liu, S., Xiong, L., Luo, B. (2023) Efficacy of Baduanjin for treatment of fatigue: a systematic review and meta-analysis of randomized controlled trials. Medicine, 102(32), e34707.
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Yue, W., Othman, A. T. (2025) A Dose-response Study of Baduanjin Exercise on Cervical Sub-health and Sleep Quality in University Students: A Randomized Controlled Trial. Journal of Disease and Public Health, 1(3), 1-8. https://doi.org/10.71052/jdph/FSQQ9752
