Physical activity interventions for people with mental illness: a systematic review and meta-analysis.
By Simon Rosenbaum, A. Tiedemann, Catherine Sherrington, J. Curtis, Philip B. Ward. Journal of Clinical Psychiatry, 2014
672 citations recorded by the source corpus.
OBJECTIVE To determine effects of physical activity on depressive symptoms (primary objective), symptoms of schizophrenia, anthropometric measures, aerobic capacity, and quality of life (secondary objectives) in people with mental illness and explore between-study heterogeneity. DATA SOURCES MEDLINE, Cochrane Controlled Trials Register, PsycINFO, CINAHL, Embase, and the Physiotherapy Evidence Database (PEDro) were searched from earliest record to 2013. STUDY SELECTION Randomized controlled trials of adults with a DSM-IV-TR, ICD-10, or clinician-confirmed diagnosis of a mental illness other than dysthymia or eating disorders were selected. Interventions included exercise programs, exercise counseling, lifestyle interventions, tai chi, or physical yoga. Study methodological quality and intervention compliance with American College of Sports Medicine (ACSM) guidelines were also assessed. DATA EXTRACTION AND ANALYSIS Two investigators extracted data. Data were pooled using random-effects meta-analysis. Meta-regression was used to examine sources of between-study heterogeneity. RESULTS Thirty-nine eligible trials were identified. The primary meta-analysis found a large effect of physical activity on depressive symptoms (n = 20; standardized mean difference (SMD) = 0.80). The effect size in trial interventions that met ACSM guidelines for aerobic exercise did not differ significantly from those that did not meet these guidelines. The effect for trials with higher methodological quality was smaller than that observed for trials with lower methodological quality (SMD = 0.39 vs 1.35); however, the difference was not statistically significant. A large effect was found for schizophrenia symptoms (SMD = 1.0), a small effect was found for anthropometry (SMD = 0.24), and moderate effects were found for aerobic capacity (SMD = 0.63) and quality of life (SMD = 0.64). CONCLUSIONS Physical activity reduced depressive symptoms in people with mental illness. Larger effects were seen in studies of poorer methodological quality. Physical activity reduced symptoms of schizophrenia and improved anthropometric measures, aerobic capacity, and quality of life among people with mental illness. TRIAL REGISTRATION PROSPERO registration #CRD42012002012.
Subfields: Cardiology and Cardiovascular Medicine, Physiology, Psychiatry and Mental health
View Paper: https://www.semanticscholar.org/paper/e5eb8bfe4267b21a2401236a2b924cb628130f71
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Citations in the corpus
- Mental Health Smartphone Apps: Review and Evidence-Based Recommendations for Future Developments (2016, positive): “…and found large effect sizes for depressive symptoms (standardized mean difference=0.80, 95% CI 0.47-1.13) and schizophrenia symptoms (standardized mean difference=1.0, 95% CI 0.37-1.64), and a moderate effect size for quality of life (standardized mean difference=0.64, 95% CI 0.35-0.92) [158].”
- The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness. (2019, positive): “346,364,365 Therefore, integrating the DPP principles into mental health care could improve overall recovery, not only metabolic health.”
- A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations (2015, background): “…and previous meta-meta-analyses (Cooney et al., 2013; Josefsson et al., 2013; Krogh et al., 2011; Lawlor & Hopker, 2001; Rethorst et al., 2009; Rimer et al., 2012; Rosenbaum et al., 2014) establish that physical activity has antidepressant effects for both clinical and non-clinical populations.”