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