Physical activity interventions for people with mental illness: a systematic review and meta-analysis
- PMID: 24813261
- DOI: 10.4088/JCP.13r08765
Physical activity interventions for people with mental illness: a systematic review and meta-analysis
Abstract
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.
© Copyright 2014 Physicians Postgraduate Press, Inc.
Similar articles
-
Understanding the experience of initiating community-based physical activity and social support by people with serious mental illness: a systematic review using a meta-ethnographic approach.Syst Rev. 2017 Oct 25;6(1):214. doi: 10.1186/s13643-017-0596-2. Syst Rev. 2017. PMID: 29070081 Free PMC article. Review.
-
Exercise for treating fibromyalgia syndrome.Cochrane Database Syst Rev. 2007 Oct 17;(4):CD003786. doi: 10.1002/14651858.CD003786.pub2. Cochrane Database Syst Rev. 2007. PMID: 17943797 Review.
-
Treating depression with physical activity in adolescents and young adults: a systematic review and meta-analysis of randomised controlled trials.Psychol Med. 2018 May;48(7):1068-1083. doi: 10.1017/S0033291717002653. Epub 2017 Oct 10. Psychol Med. 2018. PMID: 28994355
-
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors: Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1. PMID: 29364620 Free Books & Documents. Review.
-
Yoga-based exercise improves health-related quality of life and mental well-being in older people: a systematic review of randomised controlled trials.Age Ageing. 2018 Jul 1;47(4):537-544. doi: 10.1093/ageing/afy044. Age Ageing. 2018. PMID: 29584813
Cited by
-
The Relationship between Cognitive Impairment and Violent Behavior in People Living with Schizophrenia Spectrum Disorders: A Critical Review and Treatment Considerations.Medicina (Kaunas). 2024 Aug 3;60(8):1261. doi: 10.3390/medicina60081261. Medicina (Kaunas). 2024. PMID: 39202542 Free PMC article. Review.
-
The Role of Sarcopenia in Heart Failure with Depression.Rev Cardiovasc Med. 2022 Sep 5;23(9):296. doi: 10.31083/j.rcm2309296. eCollection 2022 Sep. Rev Cardiovasc Med. 2022. PMID: 39077715 Free PMC article. Review.
-
Association between periodontal disease and schizophrenia: a bidirectional two-sample Mendelian randomization study.Sci Rep. 2024 Jul 29;14(1):17391. doi: 10.1038/s41598-024-65181-3. Sci Rep. 2024. PMID: 39075078 Free PMC article.
-
Influence of Lifestyle Factors on Metabolic Syndrome in Psychiatric Patients Attending a Community Mental Health Setting: A Cross-sectional Study.Indian J Psychol Med. 2024 Jul;46(4):313-322. doi: 10.1177/02537176231219770. Epub 2024 Jan 31. Indian J Psychol Med. 2024. PMID: 39056040 Free PMC article.
-
The association between maximal muscle strength, disease severity and psychopharmacotherapy among young to middle-aged inpatients with affective disorders - a prospective pilot study.BMC Psychiatry. 2024 May 29;24(1):401. doi: 10.1186/s12888-024-05849-2. BMC Psychiatry. 2024. PMID: 38811916 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous
