Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE5 8AZ, United Kingdom; Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, United Kingdom.
Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, United Kingdom; KU Leuven - University of Leuven Department of Rehabilitation Sciences, Leuven, Belgium.
Psychiatry Res. 2017 Mar;249:102-108. doi: 10.1016/j.psychres.2016.12.020. Epub 2017 Jan 6.
The literature regarding exercise for people with established anxiety disorders is equivocal. To address this issue, we conducted a systematic review and meta-analysis investigating the benefits of exercise compared to usual treatment or control conditions in people with an anxiety and/or stress-related disorders. Major electronic databases were searched from inception until December/2015 and a random effect meta-analysis conducted. Altogether, six randomized control trials (RCTs) including 262 adults (exercise n=132, 34.74 [9.6] years; control n=130, 37.34 [10.0] years) were included. Exercise significantly decreased anxiety symptoms more than control conditions, with a moderate effect size (Standardized Mean Difference=-0.582, 95%CI -1.0 to -0.76, p=0.02). Our data suggest that exercise is effective in improving anxiety symptoms in people with a current diagnosis of anxiety and/ or stress-related disorders. Taken together with the wider benefits of exercise on wellbeing and cardiovascular health, these findings reinforce exercise as an important treatment option in people with anxiety/stress disorders.
关于已确诊焦虑障碍患者进行运动锻炼的文献尚无定论。为解决这一问题，我们进行了系统综述和荟萃分析，旨在调查与常规治疗或对照条件相比，运动对伴有焦虑和/或应激相关障碍患者的益处。主要电子数据库从建立之初至 2015 年 12 月进行了检索，并开展了随机效应荟萃分析。共有六项随机对照试验（RCT）纳入了 262 名成年人（运动组 n=132，34.74[9.6]岁；对照组 n=130，37.34[10.0]岁）。运动组比对照组更能显著降低焦虑症状，其效果中等（标准化均数差=-0.582，95%置信区间-1.0 至-0.76，p=0.02）。我们的数据表明，运动对伴有当前焦虑和/或应激相关障碍的人群的焦虑症状具有改善作用。鉴于运动对幸福感和心血管健康的广泛益处，这些发现进一步强调了运动是焦虑/应激障碍患者的重要治疗选择。
