Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials

BMJ, Год журнала: 2024, Номер unknown, С. e075847 - e075847

Опубликована: Фев. 14, 2024

Abstract Objective To identify the optimal dose and modality of exercise for treating major depressive disorder, compared with psychotherapy, antidepressants, control conditions. Design Systematic review network meta-analysis. Methods Screening, data extraction, coding, risk bias assessment were performed independently in duplicate. Bayesian arm based, multilevel meta-analyses primary analyses. Quality evidence each was graded using confidence meta-analysis (CINeMA) online tool. Data sources Cochrane Library, Medline, Embase, SPORTDiscus, PsycINFO databases. Eligibility criteria selecting studies Any randomised trial arms participants meeting clinical cut-offs depression. Results 218 unique a total 495 14 170 included. Compared active controls (eg, usual care, placebo tablet), moderate reductions depression found walking or jogging (n=1210, κ=51, Hedges’ g −0.62, 95% credible interval −0.80 to −0.45), yoga (n=1047, κ=33, −0.55, −0.73 −0.36), strength training (n=643, κ=22, −0.49, −0.69 −0.29), mixed aerobic exercises (n=1286, −0.43, −0.61 −0.24), tai chi qigong (n=343, κ=12, −0.42, −0.65 −0.21). The effects proportional intensity prescribed. Strength appeared be most acceptable modalities. robust publication bias, but only one study met low bias. As result, accordance CINeMA very other treatments. Conclusions Exercise is an effective treatment depression, jogging, yoga, more than exercises, particularly when intense. Yoga well tolerated equally people without comorbidities different baseline levels mitigate expectancy effects, future could aim blind staff. These forms considered alongside psychotherapy antidepressants as core treatments registration PROSPERO CRD42018118040.

Язык: Английский

---

Physical activity and prevention of mental health complications: An umbrella review

Neuroscience & Biobehavioral Reviews, Год журнала: 2024, Номер 160, С. 105641 - 105641

Опубликована: Март 26, 2024

Язык: Английский

---

Stress and cardiovascular disease: an update

Nature Reviews Cardiology, Год журнала: 2024, Номер 21(9), С. 603 - 616

Опубликована: Май 2, 2024

Язык: Английский

---

Wearable Devices to Improve Physical Activity and Reduce Sedentary Behaviour: An Umbrella Review

Sports Medicine - Open, Год журнала: 2024, Номер 10(1)

Опубликована: Янв. 14, 2024

Abstract Background Several systematic reviews (SRs), with and without meta-analyses, have investigated the use of wearable devices to improve physical activity, there is a need for frequent updated syntheses on topic. Objective We aimed evaluate whether using increased activity reduced sedentary behaviour in adults. Methods conducted an umbrella review searching PubMed, Cumulative Index Nursing Allied Health Literature, Cochrane Library, MedRxiv, Rxiv bioRxiv databases up February 5th, 2023. included all SRs that evaluated efficacy interventions when were used measure adults aged over 18 years. The primary outcomes measured as number steps per day, minutes moderate vigorous (MVPA) week, (SB) day. assessed methodological quality each SR Assessment Multiple Systematic Reviews, version 2 (AMSTAR 2) certainty evidence outcome GRADE (Grading Recommendations, Assessment, Development, Evaluations). interpreted results decision-making framework examining clinical relevance concordances or discordances effect size. Results Fifty-one included, which 38 meta-analyses (302 unique studies). Of SRs, 72.5% rated ‘critically low quality’. Overall, slight overlap studies (corrected cover area: 3.87% 3.12% MVPA, 4.06% SB) low-to-moderate evidence, WDs may increase PA by median 1,312.23 (IQR 627–1854) day 57.8 37.7 107.3) week MVPA. Uncertainty present pathologies older subgroups SB mixed (large confidence intervals). Conclusions Our findings suggest middle-aged Further are needed investigate effects specific (such adults) different follow-up lengths, role other intervention components.

Язык: Английский

---

Evaluating the effect of a digital health intervention to enhance physical activity in people with chronic kidney disease (Kidney BEAM): a multicentre, randomised controlled trial in the UK

The Lancet Digital Health, Год журнала: 2023, Номер 6(1), С. e23 - e32

Опубликована: Ноя. 14, 2023

BackgroundRemote digital health interventions to enhance physical activity provide a potential solution improve the sedentary behaviour, inactivity, and poor health-related quality of life that are typical chronic conditions, particularly for people with kidney disease. However, there is need high-quality evidence support implementation in clinical practice. The Kidney BEAM trial evaluated effect 12-week intervention on life.MethodsIn single-blind, randomised controlled conducted at 11 centres UK, adult participants (aged ≥18 years) disease were recruited randomly assigned (1:1) or waiting list control group. Randomisation was performed web-based system, permuted blocks six. Outcome assessors masked treatment allocation. primary outcome difference Disease Quality Life Short Form version 1.3 Mental Component Summary (KDQoL-SF1.3 MCS) between baseline 12 weeks. powered detect clinically meaningful 3 arbitrary units (AU) KDQoL-SF1.3 MCS. Outcomes analysed by an intention-to-treat approach using analysis covariance model, measures age as covariates. registered ClinicalTrials.gov, NCT04872933.FindingsBetween May 6, 2021, Oct 30, 2022, 1102 individuals assessed eligibility, whom 340 enrolled group (n=173) (n=167). 268 completed (112 156 group). All included intention-to treat population. At weeks, significant improvement KDQoL-SF.13 MCS score (from mean 44·6 AU [SD 10·8] 47·0 [10·6] weeks) compared 46·1 [10·5] 45·0 [10·1]; between-group 3·1 [95% CI 1·8–4·4]; p<0·0001).InterpretationThe platform efficacious mental patients These findings could facilitate incorporation remote into practice offer worthy investigation other conditions.FundingKidney Research UK.

Язык: Английский

---

The Impact of Physical Activity and Inactivity on Cardiovascular Risk across Women’s Lifespan: An Updated Review

Journal of Clinical Medicine, Год журнала: 2023, Номер 12(13), С. 4347 - 4347

Опубликована: Июнь 28, 2023

Physical inactivity (PI) represents a significant, modifiable risk factor that is more frequent and severe in the female population worldwide for all age groups. The physical activity (PA) gender gap begins early life leads to considerable short-term long-term adverse effects on health outcomes, especially cardiovascular (CV) health. Our review aims highlight prevalence mechanisms of PI across women’s lifespan, describing beneficial PA many physiological pathological clinical scenarios underlining need awareness global commitment promote strategies bridge limit current future generations.

Язык: Английский

---

The impact of Exergames on emotional experience: a systematic review

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Сен. 7, 2023

Background Gamification has proven to be a significant tool for health promotion, with particular focus on physical activities such as Exergames, which improve not only physical, but also cognitive health. However, it is still clear what effect the practice of Exergames changing emotional experience. Purpose The objective this systematic review evaluate impact training Methods A search was conducted in PUBMED and SCOPUS databases. relevant articles were screened independently by three researchers. Data concerning measures Exergame extracted analysis. Results yielded 38 articles, 16 included. found significantly happiness, anxiety, depressive symptoms, mental health-related quality life, self-worth, self-esteem, self-efficacy, perceived behavioral control, vigor, vitality, intrinsic motivation, energy, relaxation. Conclusion Our supports evidence that activity through experience generally generates an increase positive emotions. In sense, results support both use leisure promotes wellbeing regulation, well public health, clinical purposes. strongly notion engaging leads As result, these findings endorse utilization promote well-being regulation. Moreover, hold potential

Язык: Английский

---

Meeting 24-h movement behavior guidelines is linked to academic engagement, psychological functioning, and cognitive difficulties in youth with internalizing problems

Journal of Affective Disorders, Год журнала: 2024, Номер 349, С. 176 - 186

Опубликована: Янв. 6, 2024

Язык: Английский

---

Adolescent mental health interventions: a narrative review of the positive effects of physical activity and implementation strategies

Frontiers in Psychology, Год журнала: 2024, Номер 15

Опубликована: Июнь 27, 2024

Introduction The psychological well-being of adolescents is a global concern due to increasing societal pressures and mental health issues. Physical activity known enhance physical has potential benefits for health, including reducing symptoms anxiety depression, boosting self-esteem, improving social skills. This narrative review explores how can serve as an intervention help manage stress prevent Methods An extensive literature search was conducted using databases such PubMed, PsycINFO, Web Science, Scopus. Keywords included “adolescent health,” “physical activity,” “psychological intervention,” “types exercise,” “anxiety,” “depression,” “self-esteem,” “social skills,” “emotional regulation.” Studies were based on relevance, peer-reviewed status, involvement adolescent populations. Data extracted analyzed qualitatively, focusing the impacts different types activity. Sixty one articles eventually included. Results conclusion identified multiple studies highlighting positive effects various activities health. Aerobic exercises found improve mood cognitive function, strength training reduced depressive increased self-efficacy, team sports enhanced skills sense community, mind–body practices like yoga tai chi improved management emotional regulation. findings suggest that play significant role in promoting Implementation strategies school community settings, integrating into curricula, offering diverse options, professional instructors, encouraging family involvement, regular monitoring evaluation, are recommended. Future research should address limitations sample diversity long-term effects. underscores importance enhancing Effective implementation multi-sector collaboration essential maximizing interventions.

Язык: Английский

---

The impact of exercise on depression: how moving makes your brain and body feel better

Physical Activity and Nutrition, Год журнала: 2024, Номер 28(2), С. 43 - 51

Опубликована: Июнь 30, 2024

This study aimed to comprehensively explore and elucidate the intricate relationship between exercise depression, focused on physiological mechanisms by which influences brain body alleviate depression symptoms. By accumulating current research findings neurobiological insights, this provide a deeper understanding of therapeutic potential in management treatment depression.

Язык: Английский

---