A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations
A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations
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DOI：
10.1080/17437199.2015.1022901
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发表时间：
2015-08-07
影响因子：
9.8
通讯作者：
Vandelanotte, Corneel
中科院分区：
文献类型：
--
作者：
Rebar, Amanda L.;Stanton, Robert;Vandelanotte, Corneel
在大力推广体育活动对减少临床人群抑郁和焦虑的治疗益处的同时，很少有人关注体育活动对非临床人群的心理健康益处。本荟萃分析的目的是系统地汇总和量化非临床人群中体育活动对抑郁和焦虑影响的高质量荟萃分析结果。一项系统搜索确定了8项随机试验的荟萃分析结果，这些试验调查了体育锻炼对抑郁或焦虑的影响。随后的meta-meta分析是基于总共92项研究，涉及4310名参与者，研究体育活动对抑郁的影响，以及306项研究，涉及10755名参与者，研究体育活动对焦虑的影响。体育活动对抑郁症的影响中等[标准化平均差(SMD) = -0.50；95% CI: -0.93至-0.06]和焦虑的影响较小（SMD = -0.38; 95% CI: -0.66至-0.11）。这两种效应在meta分析中均未显示出显著的异质性。这些发现提供了全面的高质量证据，证明体育活动可以减少非临床人群的抑郁和焦虑。
Amidst strong efforts to promote the therapeutic benefits of physical activity for reducing depression and anxiety in clinical populations, little focus has been directed towards the mental health benefits of activity for non-clinical populations. The objective of this meta-meta-analysis was to systematically aggregate and quantify high-quality meta-analytic findings of the effects of physical activity on depression and anxiety for non-clinical populations. A systematic search identified eight meta-analytic outcomes of randomised trials that investigated the effects of physical activity on depression or anxiety. The subsequent meta-meta-analyses were based on a total of 92 studies with 4310 participants for the effect of physical activity on depression and 306 study effects with 10,755 participants for the effect of physical activity on anxiety. Physical activity reduced depression by a medium effect [standardised mean difference (SMD) = -0.50; 95% CI: -0.93 to -0.06] and anxiety by a small effect (SMD = -0.38; 95% CI: -0.66 to -0.11). Neither effect showed significant heterogeneity across meta-analyses. These findings represent a comprehensive body of high-quality evidence that physical activity reduces depression and anxiety in non-clinical populations.