文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

老年人抑郁和抑郁症状的运动疗法:系统评价和 Meta 分析的伞式综述。

Exercise for depression and depressive symptoms in older adults: an umbrella review of systematic reviews and Meta-analyses.

机构信息

Faculty of Medicine, Universidade de Caxias do Sul (UCS), Caxias do Sul, Brazil.

School of Medicine, Universidade de Caxias do Sul (UCS), Caxias do Sul, Brazil.

出版信息

Aging Ment Health. 2022 Aug;26(8):1503-1513. doi: 10.1080/13607863.2021.1951660. Epub 2021 Jul 30.


DOI:10.1080/13607863.2021.1951660
PMID:34328049
Abstract

OBJECTIVES: We aimed to gather and update the evidence on the impact of exercise on late-life depression. METHOD: We conducted an umbrella review of meta-analyses of randomized controlled trials (RCTs) that assessed the effects of an exercise intervention for depression in older adults (e.g. 60+). Searches were conducted in Scopus, Web of Science, Embase, PubMed, BIREME, LILACS, SciELO, Cochrane Library for Systematic Reviews, and Opengray.eu. Methodological quality was assessed using A MeaSurement Tool to Assess Systematic Reviews (AMSTAR 2). Data analysis was performed with RStudio (version 4.0.2) and the generic inverse-variance method was used to pool the effect sizes from the included studies. RESULTS: Twelve meta-analyses of 97 RCTs were included. The AMSTAR 2 rating was considered critically low in five studies, low in six studies, and high in one study. The effect size expressed by the standardized mean difference (SMD) varied between studies from -0.90 (95% CI = -1.51; -0.28) to -0.14 (95% CI = -0.36; 0.07) in favor of the exercise intervention. Pooling of the effect sizes produced a statistically significant moderate effect in which exercise was associated with lower levels of depression and depressive symptoms (OR = 2.24, 95% CI 1.77; 2.84). CONCLUSION: Our findings suggest that exercise produces a moderate improvement in depression and depressive symptoms in older patients. We recommend providing physical activity for older adults. KEY-POINTS: We investigated the effects of exercise interventions for depression in older adults. UNLABELLED: Supplemental data for this article can be accessed online at https://doi.org/10.1080/13607863.2021.1951660.

摘要

目的:我们旨在收集和更新关于运动对老年期抑郁症影响的证据。

方法:我们对评估老年(如 60 岁以上)人群中运动干预对抑郁症影响的随机对照试验(RCT)的荟萃分析进行了伞式综述。在 Scopus、Web of Science、Embase、PubMed、BIREME、LILACS、SciELO、Cochrane 系统评价图书馆和 Opengray.eu 中进行了检索。使用评估系统评价的测量工具(AMSTAR 2)评估方法学质量。使用 RStudio(版本 4.0.2)进行数据分析,并使用通用倒数方差法对纳入研究的效应大小进行汇总。

结果:纳入了 12 项荟萃分析,共 97 项 RCT。其中 5 项研究的 AMSTAR 2 评级被认为是批判性低,6 项研究是低,1 项研究是高。用标准化均数差(SMD)表示的效应大小在研究之间的差异从 -0.90(95%CI=-1.51;-0.28)到 -0.14(95%CI=-0.36;0.07),有利于运动干预。对效应大小进行汇总后,结果显示运动与较低的抑郁水平和抑郁症状相关,具有统计学显著的中等效应(OR=2.24,95%CI=1.77;2.84)。

结论:我们的研究结果表明,运动可改善老年患者的抑郁和抑郁症状,达到中等程度的改善。我们建议为老年人提供身体活动。

关键点:我们调查了针对老年抑郁症的运动干预措施的效果。

未加说明:本文的补充数据可在 https://doi.org/10.1080/13607863.2021.1951660 在线获取。

相似文献

[1]
Exercise for depression and depressive symptoms in older adults: an umbrella review of systematic reviews and Meta-analyses.

Aging Ment Health. 2022-8

[2]
Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas.

Cochrane Database Syst Rev. 2022-2-1

[3]
Exercise improves depressive symptoms in older adults: An umbrella review of systematic reviews and meta-analyses.

Psychiatry Res. 2016-7-22

[4]
Exercise interventions on health-related quality of life for people with cancer during active treatment.

Cochrane Database Syst Rev. 2012-8-15

[5]
Chronic exercise effects on overall depression severity and distinct depressive symptoms in older adults: A protocol of a systematic and meta-analytic review.

PLoS One. 2024

[6]
Psychosocial interventions for preventing and treating depression in dialysis patients.

Cochrane Database Syst Rev. 2019-12-2

[7]
Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews.

Cochrane Database Syst Rev. 2017-4-24

[8]
Exercise-based cardiac rehabilitation for adults with atrial fibrillation.

Cochrane Database Syst Rev. 2017-2-9

[9]
Impact of exercise type, duration, and intensity on depressive symptoms in older adults: a systematic review and meta-analysis.

Front Psychol. 2024-9-13

[10]
Comparative efficacy of various exercise types and doses for depression in older adults: a systematic review of paired, network and dose-response meta-analyses.

Age Ageing. 2024-10-1

引用本文的文献

[1]
Social isolation, healthy lifestyle, and intrinsic capacity among older adults in China: A longitudinal study.

J Nutr Health Aging. 2025-5-22

[2]
The Effects of Various Types of Physical Exercise on Health Outcomes in Older Adults with Depression: A Systematic Review and Meta-Analysis of Controlled Trials.

Depress Anxiety. 2024-6-19

[3]
Among 69,178 UK Residents Ages 65+ Years, Frailty Associates Significantly With Lifestyle Behaviors and Depression: A Cross-Sectional Study.

Health Sci Rep. 2025-3-26

[4]
Effects of non-pharmacological interventions on the depressive outcomes in people with mild cognitive impairment: an overview of systematic reviews.

Front Psychiatry. 2025-1-15

[5]
Chronic exercise effects on overall depression severity and distinct depressive symptoms in older adults: A protocol of a systematic and meta-analytic review.

PLoS One. 2024

[6]
Research status and global trends of late-life depression from 2004 to 2023: bibliometric analysis.

Front Aging Neurosci. 2024-4-30

[7]
Effects of three-duration Tai-Chi exercises on depression and sleep quality in older women.

Eur Geriatr Med. 2024-8

[8]
Mediation of the Association Between Physical Exercise and Depressive/Anxiety Symptoms by Pain and Sleep Problems Among Older Adults.

Gerontol Geriatr Med. 2024-3-23

[9]
Comparison of Metabolic, Lifestyle and Mental Health Parameters in People with Diabetes and Relatives with and without Family Support.

Diabetes Metab Syndr Obes. 2024-1-18

[10]
Correlation between Physical Activity and Depression in Community-Dwelling Older Adult Palestinians.

Med Princ Pract. 2024

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索