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The efficacy of exercise interventions on depressive symptoms and cognitive function in adults with depression: An umbrella review.
Liu, Yan; Zhao, Guorui; Guo, Jing; Qu, Haiying; Kong, Lingling; Yue, Weihua.
Afiliación
  • Liu Y; School of Special Education and Rehabilitation, Bin Zhou Medical University, Yantai 264003, China; Peking University Sixth Hospital (Institute of Mental Health), NHC Key Laboratory of Mental Health & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beiji
  • Zhao G; Peking University Sixth Hospital (Institute of Mental Health), NHC Key Laboratory of Mental Health & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China.
  • Guo J; Peking University Sixth Hospital (Institute of Mental Health), NHC Key Laboratory of Mental Health & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China.
  • Qu H; School of Special Education and Rehabilitation, Bin Zhou Medical University, Yantai 264003, China.
  • Kong L; School of Special Education and Rehabilitation, Bin Zhou Medical University, Yantai 264003, China. Electronic address: kll0535@126.com.
  • Yue W; School of Special Education and Rehabilitation, Bin Zhou Medical University, Yantai 264003, China; Peking University Sixth Hospital (Institute of Mental Health), NHC Key Laboratory of Mental Health & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beiji
J Affect Disord ; 2024 Sep 13.
Article en En | MEDLINE | ID: mdl-39278470
ABSTRACT

OBJECTIVE:

This umbrella review aims to consolidate the evidence concerning the influence of exercise on depressive symptoms and cognitive performance in adults diagnosed with depression.

METHODS:

An umbrella review of systematic reviews with meta-analyses investigating the effect of exercise on depression and cognition was performed. Databases (PubMed, Cochrane Library, Web of Science, Embase) were searched from inception until February 2024 for reviews of randomized controlled trials. Overlap within included reviews was assessed using the corrected covered area method (CCA). A random effects model was used to calculate overall pooled effect size with sub-analyses.

RESULTS:

This study included 27 reviews, encompassing 190 experiments. In patients with depression, compared to the control group, exercise demonstrated a moderate effect size in reducing depressive symptoms (SMD = -0.67; SE = 0.04; p < 0.0001), with a Number Needed to Treat (NNT) of 2.78. When analyses were limited to data from studies with a low risk of bias, the effect on depressive symptoms was smaller (SMD = -0.38; SE = 0.07; p < 0.0001; NNT = 4.72). Exercise had a small effect on cognitive functions (SMD = 0.12; SE = 0.03; p < 0.0001), with an NNT for cognitive function treatment of 14.79.

CONCLUSIONS:

All forms of exercise benefit patients with depression. However, for optimal intervention outcomes, it is essential to customize the intensity and type of exercise according to the specific characteristics of the patient's depressive symptoms and cognitive functions. It is recommended to implement a phased treatment approach for patients based on the intensity of exercise.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Affect Disord Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Affect Disord Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos