Mental Health and Physical Activity最新文献

{"title":"The effect of replacing sedentary behaviour with different intensities of physical activity on depression: A meta-analysis of isotemporal substitution studies","authors":"Xiaojun Liu ,&nbsp;Zhongyan Du ,&nbsp;Lina Wang ,&nbsp;Jiaqi Tian ,&nbsp;Ling Zhang ,&nbsp;Yuanyuan Li","doi":"10.1016/j.mhpa.2025.100677","DOIUrl":"10.1016/j.mhpa.2025.100677","url":null,"abstract":"<div><h3>Objective</h3><div>Physical activity, sedentary behaviour and sleep are modifiable risk factors associated with depressive symptoms, but there are conflicting findings regarding their relationship. Some studies reported that increased physical activity significantly reduces depressive symptoms, while others suggested that changes in sedentary behaviour or sleep have a more significant effect on depressive symptoms. In addition, many individual studies have ignored the dependencies between these behaviours. Studies have explored the effects of replacing sedentary behaviour with physical activity on depression, but the results remain inconclusive. Therefore, we aimed to summarize the evidence from studies that have used isotemporal substitution models to explore the effects of reallocating sedentary time to different activity intensities on adults with depression.</div></div><div><h3>Methods</h3><div>From inception to July 2024, a systematic search of Chinese and English databases was conducted to look for observational studies reporting the effects of replacing sedentary behaviours with light and/or moderate to vigorous physical activity, as well as sleep on depression. Random effects meta-analyses were performed to summarize the estimated odds ratios (ORs) and regression coefficients (β) and the corresponding 95 % confidence intervals (CIs). The OR reflects the effect of the substitution effect on the risk of depression, while the β reflects the effect on the level of depression. Subgroup analyses were also performed to explore potential moderators of heterogeneity. Study quality was assessed via the Newcastle-Ottawa Scale and the Agency for Health care Research and Quality evaluation criteria.</div></div><div><h3>Results</h3><div>Seventeen studies with 136,270 participants met the inclusion criteria. Pooled analyses revealed that replacing sedentary time with LPA was not significantly associated with depression in either cross-sectional (OR = 0.93, 95 % CI: 0.77–1.13) or prospective cohort studies (OR = 0.99, 95 % CI: 0.93–1.05). Reallocating sedentary time to patients' self-reported duration of sleep was associated with a reduction in depression (OR = 0.84, 95 %CI: 0.74–0.96). An accelerometer was used to measure physical activity, and replacing sedentary time with MVPA was cross-sectionally associated with depression (OR = 0.79, 95 % CI: 0.69–0.91), but no longitudinal association was found.</div></div><div><h3>Conclusion</h3><div>Replacing sedentary behaviours with moderate to vigorous physical activity and sleep may reduce the odds ratio of depression, but more research is needed to demonstrate the role of light-intensity physical activity on depression. Exercise guidelines and effective strategies to prevent depression must be developed to integrate the interplay of activity behaviours and provide targeted recommendations for time reallocation.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100677"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Running toward substance use recovery II: Associations between physical activity, recovery capital and hope","authors":"Daniel A.R. Cabral,&nbsp;Anthony Nist,&nbsp;Ghada Nusair,&nbsp;Rafaela M. Fontes,&nbsp;Ana Carolina L. Bovo,&nbsp;Warren K. Bickel","doi":"10.1016/j.mhpa.2025.100684","DOIUrl":"10.1016/j.mhpa.2025.100684","url":null,"abstract":"<div><h3>Background</h3><div>Hope and recovery capital are critical constructs for a successful recovery from substance use disorders (SUD). Physical activity (PA) may be associated with these constructs. The present study examines the relationship between PA, recovery capital, hope, and the mediating role of recovery capital in the PA-hope association.</div></div><div><h3>Methods</h3><div>Data were collected from the International Quit &amp; Recovery Registry (IQRR) and comprised of 217 participants who reported being in recovery from SUD. Participants completed the Adult Hope Scale, Brief Assessment of Recovery Capital, a validated single-item PA question, demographics, and SUD-related questions. Multivariate linear regressions were used to test associations between PA with recovery capital and PA with hope. Mediation analysis evaluated the mediating role of recovery capital in the relationship between PA and hope.</div></div><div><h3>Results</h3><div>Participants (73.70 % women) had a mean age of 44.65 years. Bivariate analyses revealed that PA was positively associated with both recovery capital (<em>β</em> = 1.11, 95 % CI [0.57–1.67]) and hope (<em>β</em> = 1.21, 95 % CI [0.64–1.77]). In addition, PA remained a significant predictor of recovery capital (<em>β</em> = 0.94, 95 % CI [0.45–1.43]; adjusted by remission status and education) and hope (<em>β</em> = 1.05, 95 % CI [0.51–1.59]; adjusted by sex, education, and remission status). Finally, recovery capital mediated the relationship between PA and hope (<em>β</em> = 0.67, 95 % CI[0.31, 1.07]; each arm of the mediation was adjusted by the same covariates).</div></div><div><h3>Conclusion</h3><div>PA can be an important tool in the treatment and recovery of SUD, as it is associated with key recovery constructs. It may help build resources and a sense of hope among individuals in recovery from SUD.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100684"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘A spark to start’: Experiences of forcibly displaced individuals participating in a co-designed exercise and sport intervention","authors":"Florian Knappe ,&nbsp;Konstantinia Filippou ,&nbsp;Antonis Hatzigeorgiadis ,&nbsp;Harald Seelig ,&nbsp;Marianne Meier ,&nbsp;Luce Ann Pieters ,&nbsp;Chiara Zollino ,&nbsp;Uwe Pühse ,&nbsp;Markus Gerber","doi":"10.1016/j.mhpa.2025.100681","DOIUrl":"10.1016/j.mhpa.2025.100681","url":null,"abstract":"<div><h3>Background</h3><div>A growing number of individuals are forced to leave their homes, facing numerous pre- and post-migration challenges that can increase their risk of physical and mental distress. Given the health benefits of exercise and sport, several initiatives aim to address these needs. However, the experiences and perceptions of displaced individuals participating in such activities have received little attention.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study in 2021 within a reception center in Greece, utilizing ethnographic research methods, including observations, informal discussions, and field notes. These methods complemented the analysis of thirteen focus group discussions and six semi-structured interviews involving fifty-four individuals. An inductive, reflexive thematic analysis was performed to understand the factors driving engagement in exercise and sport activities cooperatively designed with participants, as well as their experiences and the meaning these activities hold for them.</div></div><div><h3>Results</h3><div>Three main themes were created: (1) a life on hold: systemic barriers to well-being in a reception center, (2) the multi-layered role of exercise and sport in pursuing individual goals, (3) co-designed exercise and sport activities as drivers to leave the container.</div></div><div><h3>Conclusion</h3><div>Structured, co-designed exercise and sport activities particularly enabled accessibility for women and older individuals. While these activities cannot resolve the burdensome structural conditions, they offer a ground for potential psychosocial benefits within the given socio-political framework, supporting individuals’ coping mechanisms with current living difficulties.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100681"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the barriers and facilitators of physical activity promotion for depression among healthcare professionals: A systematic review","authors":"Jemima Cooper,&nbsp;Georgina Wort,&nbsp;Fiona Gillison,&nbsp;Jeffrey Lambert","doi":"10.1016/j.mhpa.2025.100674","DOIUrl":"10.1016/j.mhpa.2025.100674","url":null,"abstract":"<div><div>Despite the evidence-based benefits of physical activity (PA) as a treatment for depression, many Healthcare Professionals (HCPs) do not promote PA to patients. We conducted a systematic review to identify the barriers and/or facilitators reported by HCPs working with individuals with depression, either exclusively or alongside other health conditions. Data were extracted and thematically analysed using the Theoretical Domains Framework (TDF). From 10,619 articles identified, 23 studies involving 5711 HCPs across 12 countries met the inclusion criteria of; 1) HCPs working with individuals with depression, either exclusively or alongside other health conditions, and 2) primary data on barriers and/or facilitators experienced by HCPs for promoting PA for the treatment of depression. We identified three key themes: assumptions about patients, perceived HCP beliefs and capabilities, and contextual influences. From the studies included in this review, key barriers to the promotion of PA for depression are HCPs’ perceptions about barriers to patients becoming more active, and a lack of a supportive environment for HCPs to promote PA for depression. HCPs having good knowledge of the benefits of PA and perceiving PA as an effective treatment for depression were key facilitators.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100674"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative effectiveness of mindfulness and physical exercise on rumination in patients with major depression: An integrated evaluation of an open label randomized trial","authors":"Hanna Gabriela Bezerra de Macedo Tinôco ,&nbsp;Geovan Menezes de Sousa ,&nbsp;Elissa Beatriz Araújo Ribeiro ,&nbsp;Jovita Eduarda de Mendonça Maciel ,&nbsp;Vagner Deuel de O. Tavares ,&nbsp;Maria Luiza de Morais ,&nbsp;Renali Camilo Bezerra ,&nbsp;Leonardo Alves Fernandes ,&nbsp;Rodolfo Aragão Lira ,&nbsp;Geissy Lainny de Lima-Araujo ,&nbsp;Emerson Arcoverde Nunes ,&nbsp;Megan Teychenne ,&nbsp;Patrícia Cavalcanti-Ribeiro ,&nbsp;Fernanda Palhano-Fontes ,&nbsp;Maria Bernardete Cordeiro de Sousa ,&nbsp;Nicole Leite Galvão-Coelho","doi":"10.1016/j.mhpa.2025.100679","DOIUrl":"10.1016/j.mhpa.2025.100679","url":null,"abstract":"<div><h3>Background and aims</h3><div>Rumination, characterized by repetitive and prolonged negative thoughts, is a common symptom of Major Depressive Disorder (MDD) that can impair treatment effectiveness. Among MDD treatments, pharmacological and non-pharmacological approaches have been demonstrating important changes in brain and behavior. Therefore, this randomized controlled trial aimed to evaluate the level of rumination of individuals who underwent the combined use of escitalopram and physical exercise or mindfulness practice, compared to those who used the medication as a stand-alone.</div></div><div><h3>Methods</h3><div>Rumination was evaluated in 88 MDD patients who were randomly assigned to three groups: stand-alone pharmacotherapy (control group, CG, n = 33), escitalopram adjunct to exercise (exercise group, EG, n = 26, 2 h/week), and escitalopram adjunct to mindfulness (mindfulness group, MG, n = 29, 2 h/week), in a 12-week treatment. The Ruminative Response Scale-Short Form (RRS-SF) was administered pre- and post-treatment to assess changes in rumination levels.</div></div><div><h3>Results</h3><div>While all groups exhibited reductions in general rumination, the mindfulness group demonstrated larger effect sizes (MG: d = 1.30; EG: d = 0.68; CG: d = 0.96), particularly among patients with high baseline rumination levels (MG: d = 1.51; EG: d = 0.88; CG: d = 0.42). Results for patients with low baseline levels of rumination were mixed. Further analysis of the reflective factor of the RRS-SF showed reductions only for EG and MG. A greater reduction in the brooding factor was found for MG in patients with high level of rumination.</div></div><div><h3>Conclusion</h3><div>These findings suggest that mindfulness, when used as a complementary therapy, may reduce the burden of MDD by promoting a more resilient state of mind that fosters less ruminative thought patterns, particularly in patients with intense rumination.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100679"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between lifestyle behaviors and depression in 90.846 Brazilian adults: A cluster analysis","authors":"Sarah Vitoria Bristot Carnevalli ,&nbsp;Renato Claudino ,&nbsp;Leticia Schmitz Nacur de Almeida ,&nbsp;Tuane Sarmento ,&nbsp;Jhonatan Wélington Pereira Gaia ,&nbsp;Thiago Sousa Matias","doi":"10.1016/j.mhpa.2025.100672","DOIUrl":"10.1016/j.mhpa.2025.100672","url":null,"abstract":"<div><h3>Background and aims</h3><div>A lifestyle that includes high screen time, unhealthy eating behaviors, physical inactivity, and tobacco use has been associated with an increased risk of developing depressive disorders. However, lifestyles often encompass a combination of both positive and negative behaviors. This study aimed to investigate the association between clusters of lifestyle behaviors and depression in Brazilians.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted using the data from the Brazilian National Health Survey. Brazilians aged ≥15 years participated in this study. Lifestyle evaluations included eating behavior, physical activity, screen time, tobacco use, and alcohol consumption. Clinical diagnoses of depression were self-reported. Two-step cluster analysis was used to identify the lifestyle profiles. We used a multivariate logistic regression model to examine the association between the lifestyle cluster profiles and depression.</div></div><div><h3>Results</h3><div>A total of 90,846 Brazilians were analyzed, revealing three lifestyle clusters. The “At Risk” cluster, characterized by the least healthy behaviors represented 12.5% of the sample and had a depression prevalence of 10.9%. The results demonstrated that participants in the “active with alcohol consumption” cluster had approximately 35% (OR^adjusted = 0.65; 95%CI = 0.57, 0.74) and the “healthier” cluster had 27% (OR^adjusted = 0.73; 95%CI = 0.65, 0.85) lower odds of reporting depression than those in the at-risk cluster.</div></div><div><h3>Conclusion</h3><div>Participants in clusters that combine multiple detrimental health behaviors showed an association with depression. Synergies between lifestyle behaviors may be key to understanding mental health issues.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100672"},"PeriodicalIF":2.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143196583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity and mental health in patients with multimorbidity","authors":"Christian W. Schmidt ,&nbsp;Megan Agnew ,&nbsp;Kristen Malecki ,&nbsp;Ronald Gangnon ,&nbsp;Amy Schultz ,&nbsp;Paul E. Peppard ,&nbsp;Lisa Cadmus-Bertram","doi":"10.1016/j.mhpa.2025.100673","DOIUrl":"10.1016/j.mhpa.2025.100673","url":null,"abstract":"<div><h3>Background and aims</h3><div>Multimorbidity, defined as the presence of two or more chronic health conditions, is a growing problem in the United States and abroad. Physical activity is a modifiable health behavior that promotes physical and mental health, yet little is known about the relationship between physical activity and mental health among those with multimorbidity.</div></div><div><h3>Methods</h3><div>Using a population-based survey of community dwelling adults in Wisconsin, the Survey of the Health of Wisconsin (SHOW), we assessed the relationship between accelerometer-measured physical activity and self-reported depressive and anxiety symptoms among those with and without multimorbidity.</div></div><div><h3>Results</h3><div>Participants with multimorbidity were significantly more likely to have moderate to extremely severe levels of anxiety than those without multimorbidity (17.2% vs 10.5%, p &lt; 0.001). One hour of moderate-to-vigorous physical activity (MVPA) per week was associated with decreased odds of anxiety of those with multimorbidity (0.86 [0.75, 0.99]). We also found a positive association between light intensity physical activity and a lower burden of depressive symptoms among those with one chronic condition (0.95 [0.93, 0.98]) or multimorbidity (0.97 [0.95, 1.00]), and lower odds of anxiety among those without chronic conditions (0.98 [0.95, 1.00]) or with only one chronic condition (0.95 [0.93, 0.98]).</div></div><div><h3>Conclusions</h3><div>Our study suggests that MVPA and light intensity physical activity may be associated with lower odds of elevated depressive and anxiety symptoms among those with and without multimorbidity. Further research is needed to identify populations, disease states, and condition clusters that may have the most potential benefit from light intensity activity and MVPA.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100673"},"PeriodicalIF":2.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interrupting sitting with moderate-intensity physical activity breaks improves inhibitory control in adults with overweight and obesity: Findings from the SITLess pilot randomized crossover trial","authors":"Jin Kuang ,&nbsp;Katherine M. Lloyd ,&nbsp;Tomasz S. Ligeza ,&nbsp;Neha Bashir ,&nbsp;Hannah Martin ,&nbsp;Ramiya Shanmugam ,&nbsp;Lauryn Pickerill ,&nbsp;Sharon Liang ,&nbsp;Talha Syed ,&nbsp;Paige Tewell ,&nbsp;Arushi Sharma ,&nbsp;Flor B. Quiroz ,&nbsp;Cole Stanfield ,&nbsp;Bryan Montero Herrera ,&nbsp;Qian Yu ,&nbsp;Corinne N. Cannavale ,&nbsp;Liye Zou ,&nbsp;Nicholas A. Burd ,&nbsp;Naiman A. Khan ,&nbsp;Arthur F. Kramer ,&nbsp;Dominika M. Pindus","doi":"10.1016/j.mhpa.2025.100671","DOIUrl":"10.1016/j.mhpa.2025.100671","url":null,"abstract":"<div><h3>Introduction</h3><div>Adults with overweight and obesity (OW/OB) show deficits in inhibitory control, which may be amplified by prolonged sitting. This study tested the acute effects of interrupting 3-h prolonged sitting every 30 min with 3.5-min moderate-intensity physical activity bouts (MPA + SIT) on inhibitory control relative to a sedentary social interaction condition (SOC + SIT) in young and middle-aged adults with OW/OB.</div></div><div><h3>Method</h3><div>Data from 19 adults (63% females; 29.9 ± 7.5 years; BMI = 30.0 ± 3.64 kg∗m⁻²) were analysed from the SITLess pilot randomized crossover trial. Inhibitory control was expressed as response accuracy and reaction time (RT) on incongruent trials of a flanker task. Choice RT was expressed as accuracy and RT on congruent trials. Attentional resource allocation and the speed of stimulus evaluation were measured using the amplitude and latency of the P3b component of event-related brain potentials, respectively. Intervention effects were tested using Generalized Linear Mixed Models with Time (pre, post) by Condition (MPA + SIT vs. SOC + SIT) interactions and simple effects within each time point.</div></div><div><h3>Results</h3><div>Participants were faster on incongruent trials after MPA + SIT than SOC + SIT (<em>F</em>(18.0, 54) = 5.59, <em>p</em> = 0.02; △M = 16.7 ms, 95% CI: 1.64, 31.7). A similar trend (<em>F</em>(18.0, 54) = 4.03, <em>p</em> = 0.05) emerged for congruent trials (△M = 17.3 ms, 95% CI: 5.66, 29.0). P3b amplitude and latency did not differ between conditions or time.</div></div><div><h3>Conclusion</h3><div>Interrupting sitting with short MPA bouts is a viable strategy to prevent a decline in cognitive performance following a continuous bout of sitting in adults with OW/OB. A definitive trial should test its efficacy in enhancing cognitive and brain health in obesity.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100671"},"PeriodicalIF":2.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of yoga in acute mental health inpatient settings: A systematic review","authors":"Chaston Wu ,&nbsp;Jana Waldmann ,&nbsp;Jacqueline McPherson ,&nbsp;Nicole Korman ,&nbsp;Stephen Parker","doi":"10.1016/j.mhpa.2024.100666","DOIUrl":"10.1016/j.mhpa.2024.100666","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;People with mental disorders accessing acute psychiatric inpatient care experience high levels of distress and acute symptoms. Yoga has been proposed as an intervention to support health and wellbeing in this context. This study aimed to synthesize the literature considering the effectiveness (including psychiatric, physical health, and service-level outcomes) and implementation (including participant experience, feasibility and safety data) of yoga in acute psychiatric inpatient settings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted a systematic review by searching Medline, CINAHL, PsycINFO, Embase, &lt;span&gt;&lt;span&gt;Clinicaltrials.gov&lt;/span&gt;&lt;svg&gt;&lt;path&gt;&lt;/path&gt;&lt;/svg&gt;&lt;/span&gt;, and PubMed Central as of April 2023. Any study presenting relevant empirical data was included. The population focus was people any age recruited in an inpatient psychiatric setting regardless of the primary psychiatric diagnosis, except for primary diagnoses of drug and alcohol disorders. Studies not focused on yoga as primary intervention, or not delivered in an inpatient psychiatric setting were excluded. No specific comparator or outcome focus was defined a priori. Quality appraisal was completed using the Cochrane Risk of Bias tool and Joanna Briggs Institute (JBI) checklists. Due to study heterogeneity, it was not appropriate to conduct a meta-analysis and a narrative synthesis was completed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;15 studies (n = 2016) met the inclusion criteria, including four Randomised Controlled Trials (RCTs), seven pre/post studies, and four qualitative studies. Six studies had a comparison group, with three of them comparing against treatment as usual and three comparing against alternative interventions. Based on the limited available data, yoga appears to be feasible and acceptable in inpatient psychiatric settings. The main findings were subjective improvements in anxiety and positive participant experiences (relaxation; increased awareness of mind and body; feelings of connectedness with others; and spiritual wellbeing). One RCT found improvements in physical health, global functioning, and quality of life, which were sustained post-discharge. There were mixed results considering depressive and psychotic symptoms, as well as biological markers of stress. No study examined service-related implementation outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;There is a limited evidence base for yoga conducted in inpatient mental health settings. The available evidence suggests that yoga is feasible and acceptable, without significant adverse events, with preliminary findings for anxiety reduction and positive qualitative experiences. Further research is required to determine the effectiveness on mental and physical health outcomes and what effect yoga program components have on outcomes (i.e., type, duration). Future research should also investigate the impact on service-related outcomes, such as length of stay and cost.&lt;/di","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100666"},"PeriodicalIF":2.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aquatic training and sleep quality, depressive symptoms and quality of life in patients with type 2 diabetes: Diabetes and Aquatic Training Study (DATS2)- A Randomized Controlled Trial","authors":"Rodrigo Sudatti Delevatti ,&nbsp;Larissa Leonel ,&nbsp;Felipe Barreto Schuch ,&nbsp;Elisa Côrrea Marson ,&nbsp;Salime Donida Chedid Lisboa ,&nbsp;Thais Reichert ,&nbsp;Ana Carolina Kanitz ,&nbsp;Vitória de Mello Bones ,&nbsp;Luiz Fernando Martins Kruel","doi":"10.1016/j.mhpa.2025.100670","DOIUrl":"10.1016/j.mhpa.2025.100670","url":null,"abstract":"<div><h3>Background</h3><div>Aquatic training is one type of exercise used for type 2 diabetes (T2D) management, but it has not been investigated in depth. <strong>Purpose</strong>: To verify the effects of both aerobic and combined (aerobic plus resistance) aquatic training on sleep quality, depressive symptoms, and quality of life in patients with T2D.</div></div><div><h3>Methods</h3><div>Patients with T2D were randomly assigned to the aerobic (AERO) training group, combined (COMB) training group, and control (CON) group. The intervention period lasted 15 weeks, consisting of three 50-min weekly sessions. The AERO and COMB groups were structured in three mesocycles with progressive increases in intensity. The CON group performed sessions of stretching and relaxation in the aquatic environment. Sleep quality, depressive symptoms, and quality of life (secondary outcomes of the Diabetes and Aquatic Training Study) were evaluated before and after the intervention period. Analysis was performed using generalized estimating equations, adopting ɑ = 0.05.</div></div><div><h3>Results</h3><div>The AERO, COMB, and CON groups showed significant improvements in sleep quality, depressive symptoms, and quality of life in the overall, psychological, and physical domains, with time effects being statistically significant (<em>p</em> &lt; 0.05). However, no significant changes were observed in their quality of life in the environmental and social domains (<em>p</em> &gt; 0.05). Effect sizes were small for both intervention and CON groups. The AERO group exhibited larger increases than the COMB group in overall quality of life.</div></div><div><h3>Conclusion</h3><div>Participation in an aquatic training program, regardless of the modality, is effective in reducing depressive symptoms and improving the sleep quality and overall quality of life of patients with T2D.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100670"},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}