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运动训练对中老年卒中后抑郁的治疗效果:一项荟萃分析。

Treatment effect of exercise training on post-stroke depression in middle-aged and older adults: A meta-analysis.

作者信息

Li Chuhan, Zhao Mengting, Sun Tengwei, Guo Jiajuan, Wu Mengrui, Li Yanlei, Luo Huiyang, Wang Xiaoyu, Li Junyi

机构信息

College of Psychology, Sichuan Normal University, Chengdu, China.

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Int J Geriatr Psychiatry. 2022 Sep;37(9). doi: 10.1002/gps.5798.

Abstract

OBJECTIVE

This meta-analytic study examined the effects of exercise training on depressive symptoms in mild stroke patients and the moderating effects of exercise type, therapeutic method, culture, sex, and gross domestic product (GDP) in the patient's country.

METHODS

The Metafor package in R was chosen to conduct the meta-analysis, and the quality of each empirical study was evaluated according to the grading system in Cochrane. We included 36 empirical studies and 1477 patients.

RESULTS

The results showed that the treatment effect of exercise training on depression in mild stroke patients was significant. The moderating effects of culture and therapeutic method were significant, but not for exercise type, sex, or GDP in the patient's country. The moderating effect of culture can be explained by the therapeutic method in different cultures.

CONCLUSION

Fitness exercise is an effective method for improving depressive symptoms in mild stroke patients. Its effectiveness is moderated by the therapeutic method but is not affected by demographics, exercise type, gender, or GDP level.

摘要

目的

本荟萃分析研究探讨了运动训练对轻度中风患者抑郁症状的影响,以及运动类型、治疗方法、文化、性别和患者所在国家国内生产总值(GDP)的调节作用。

方法

选用R语言中的Metafor软件包进行荟萃分析,并根据Cochrane分级系统评估每项实证研究的质量。我们纳入了36项实证研究和1477名患者。

结果

结果表明,运动训练对轻度中风患者抑郁的治疗效果显著。文化和治疗方法的调节作用显著,但运动类型、性别或患者所在国家的GDP的调节作用不显著。文化的调节作用可以用不同文化中的治疗方法来解释。

结论

健身运动是改善轻度中风患者抑郁症状的有效方法。其有效性受治疗方法调节,但不受人口统计学、运动类型、性别或GDP水平影响。

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