Exercise interventions for the prevention of depression: a systematic review of meta-analyses

Background Exercise may be a promising target for depression interventions. However, evidence for a beneficial effect of exercise interventions on the prevention of depression differs substantially across different studies. Methods A systematic search was performed up to July 2018 using PubMed, Emba...

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Veröffentlicht in:BMC public health Jg. 20; H. 1; S. 1255 - 11
Hauptverfasser: Hu, Mandy X., Turner, David, Generaal, Ellen, Bos, Daniel, Ikram, M. Kamran, Ikram, M. Arfan, Cuijpers, Pim, Penninx, Brenda W. J. H.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 18.08.2020
BioMed Central Ltd
Springer Nature B.V
BMC
Schlagworte:
Adolescents
Adults
Age
Biostatistics
Care and treatment
Child & adolescent mental health
Children
Depression
Depression (Mood disorder)
Depression - prevention & control
Environmental Health
Epidemiology
Exercise
Exercise Therapy
Health behavior
health promotion and society
Heterogeneity
Humans
Intervention
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental health care
Meta-analysis
Meta-Analysis as Topic
Methods
Older people
Patient outcomes
Physical activity
Physical fitness
Prevention
Public Health
Quality
Randomized controlled trial
Research Article
Researchers
Risk factors
Studies
Systematic review
Teenagers
Treatment Outcome
Vaccine
Netherlands
Depression
Systematic review
Physical activity
Randomized controlled trial
Meta-analysis
ISSN:1471-2458, 1471-2458
Online-Zugang:Volltext
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Zusammenfassung:Background Exercise may be a promising target for depression interventions. However, evidence for a beneficial effect of exercise interventions on the prevention of depression differs substantially across different studies. Methods A systematic search was performed up to July 2018 using PubMed, Embase, PsycINFO, and Cochrane. Articles were included if a meta-analysis of randomized controlled trials was performed that examined the effect of exercise interventions on the onset of depression or depressive symptoms in the general population. Meta-analyses focusing on treatment of diagnosed depression were excluded. Two authors independently screened the articles and graded the quality of included meta-analyses using AMSTAR 2. Results Eight meta-analyses were included that showed little overlap in 134 included studies. All meta-analyses reported on depressive symptoms rather than onset of depression. Five of these were rated as moderate quality and three of low quality. Six meta-analyses found significant effects, and two found non-significant effects of exercise interventions in reducing depressive symptoms in children, adolescents, adults and the elderly (effect sizes ranging from − 0.10 to − 0.81). Scarce evidence did not allow to draw conclusions about the role of sex and characteristics of exercise on depression. However, some findings suggest that low intensity exercise was as effective as high intensity exercise. Heterogeneity among primary studies was high, likely caused by differences in study quality and exercise characteristics. Conclusions The evidence from this study suggests that exercise interventions have a beneficial effect on depressive symptoms in the general population across a wide age-range.
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ObjectType-Evidence Based Healthcare-1
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ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-020-09323-y