Effect of leisure-time physical activity on depression and depressive symptoms in menopausal women: a systematic review and meta-analysis of randomized controlled trials.

IF 3.2 3区 医学 Q2 PSYCHIATRY Frontiers in Psychiatry Pub Date : 2025-01-30 eCollection Date: 2024-01-01 DOI:10.3389/fpsyt.2024.1480623
Rong Liu, Xun Tang
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引用次数: 0

Abstract

Aims: Menopausal women often suffer from depression, which impairs their quality of life. Physical activity has been reported to exert beneficial effects on preventing and treating depression. This meta-analysis aims to explore the effect of leisure-time physical activity on determined depression or depressive symptoms in menopausal women.

Methods: Relevant studies were searched from PubMed, Embase, Cochrane Library, Web of Science, PsycINFO, CINAHL Plus, China National Knowledge Infrastructure (CNKI), VIP, and WanFang databases. Outcomes were depression or depressive symptoms. Weighted mean difference (WMD) or standard mean difference (SMD) with 95% confidence interval (CI) was used as the statistical measure. Heterogeneity tests were performed for each outcome, and all outcomes were subjected to sensitivity analysis. Subgroup analysis was performed based on depression degree, exercise intensity, exercise form, intervention duration, supervision, sample size, and geographical region.

Results: A total of 17 studies were included in this meta-analysis. The results showed that exercise alleviated the depressive symptoms of menopausal women (SMD = -1.23; 95% CI, -2.21 to -0.24). In addition, exercise was found to reduce the depression (SMD = 11.45; 95% CI, -1.75 to -1.15), and depression assessed by the Center for Epidemiologic Studies Depression Scale (CES-D) (WMD = -5.76; 95% CI, -6.63 to -4.89) or Self-Rating Depression Scale (SDS) (WMD = -6.86; 95% CI, -9.24 to -4.49). The results were similar regardless of depression degrees, exercise intensity, intervention duration, exercise form, supervision or not, sample size, and geographical region.

Conclusions: Leisure-time physical activity may help alleviate depressive symptoms or depression in menopausal women. However, further high-quality studies are needed to confirm these findings and better understand the specific effects of physical activity on depression in this population.

Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42024581087.

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目的:更年期妇女常常患有抑郁症,这影响了她们的生活质量。据报道,体育锻炼对预防和治疗抑郁症有益。本荟萃分析旨在探讨业余体育活动对确定更年期妇女抑郁或抑郁症状的影响:方法:从 PubMed、Embase、Cochrane Library、Web of Science、PsycINFO、CINAHL Plus、中国国家知识基础设施(CNKI)、VIP 和万方数据库中检索相关研究。研究结果为抑郁或抑郁症状。统计量采用加权平均差(WMD)或标准平均差(SMD)及95%置信区间(CI)。对每种结果进行了异质性检验,并对所有结果进行了敏感性分析。根据抑郁程度、运动强度、运动形式、干预持续时间、监督、样本量和地理区域进行了分组分析:本次荟萃分析共纳入了 17 项研究。结果显示,运动可减轻更年期妇女的抑郁症状(SMD = -1.23; 95% CI, -2.21至-0.24)。此外,运动还能减轻抑郁(SMD = 11.45;95% CI,-1.75 至-1.15),以及通过流行病学研究中心抑郁量表(CES-D)(WMD = -5.76;95% CI,-6.63 至-4.89)或自评抑郁量表(SDS)(WMD = -6.86;95% CI,-9.24 至-4.49)评估的抑郁程度。无论抑郁程度、运动强度、干预持续时间、运动形式、有无监督、样本大小和地理区域如何,结果都相似:结论:闲暇时间的体育锻炼可能有助于缓解更年期妇女的抑郁症状或抑郁情绪。然而,还需要进一步的高质量研究来证实这些发现,并更好地了解体育锻炼对该人群抑郁的具体影响。系统综述注册:https://www.crd.york.ac.uk/prospero/,标识符为 CRD42024581087。
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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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