Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Newcastle, New South Wales, Australia.
School of Education, Faculty of Education and Arts, University of Newcastle, Newcastle, New South Wales, Australia.
Obes Rev. 2020 Jul;21(7):e13014. doi: 10.1111/obr.13014. Epub 2020 Mar 17.
Despite rising mental health problems worldwide, engaging men to seek mental health support is challenging. Male-only lifestyle interventions have shown promise for improving men's physical health, but the overall impact of these programs on psychological outcomes is unclear. This review aimed to evaluate the impact of male-only lifestyle interventions on men's mental health and to identify if any study or intervention features were associated with effectiveness. A systematic literature search with no date restrictions was conducted across four databases and returned 15 946 citations. Nine studies were eligible for inclusion, representing 1427 participants. Risk of bias was generally low across studies, although none were specifically powered to detect changes in mental health. Overall, significant group-by-time effects were reported for 26% of mental health outcomes examined. In the fixed-effects meta-analyses, small-to-medium intervention effects were observed for mental health-related quality of life (SMD = 0.24), self-esteem (SMD = 0.51), and positive affect (SMD = 0.58). Insights into effective study or intervention features were limited because of the low number of heterogeneous studies. Although male-only lifestyle interventions have improved men's mental health in some circumstances, studies that are specifically powered to detect long-term changes are urgently required, particularly in groups with pre-existing mental health concerns.
尽管全球范围内的心理健康问题不断上升，但让男性寻求心理健康支持仍然具有挑战性。针对男性的单一生活方式干预措施已显示出改善男性身体健康的潜力，但这些项目对心理结果的总体影响尚不清楚。本综述旨在评估仅针对男性的生活方式干预对男性心理健康的影响，并确定任何研究或干预特征是否与有效性相关。对四个数据库进行了无日期限制的系统文献检索，共返回了 15946 条引用。有 9 项研究符合纳入标准，共纳入了 1427 名参与者。尽管没有一项研究专门针对心理健康变化进行了功效评估，但总体而言，大多数研究的偏倚风险都较低。总体而言，在研究中，26%的心理健康结果报告了显著的组间时间效应。在固定效应荟萃分析中，观察到与心理健康相关的生活质量（SMD=0.24）、自尊（SMD=0.51）和积极情绪（SMD=0.58）的干预效果为小到中等。由于研究数量较少且存在异质性，因此对有效研究或干预特征的深入了解受到限制。尽管仅针对男性的生活方式干预在某些情况下改善了男性的心理健康，但迫切需要进行专门针对长期变化的研究，特别是在已经存在心理健康问题的人群中。
