网络实施的运动干预对神经疾病患者抑郁和焦虑的影响：一项系统评价和荟萃分析。
Effect of web-implemented exercise interventions on depression and anxiety in patients with neurological disorders: a systematic review and meta-analysis.
作者信息
Zhang Hanyue, Wang Rong, Kong Zhenxing, Yu Jingjing, Hou Xiao, Zhang Shouwei
机构信息
School of Physical Education, Northeast Normal University, Changchun, China.
Key Laboratory of Sports and Physical Health Ministry of Education, Beijing Sport University, Beijing, China.
出版信息
Front Neurol. 2023 Jul 18;14:1225356. doi: 10.3389/fneur.2023.1225356. eCollection 2023.
INTRODUCTION
Web-implemented exercise intervention is the latest and innovative method to improve people's mental health. Currently, many studies have proven that web-implemented interventions are effective to improve depression and anxiety in adults. However, the influence of different web-implemented exercise interventions on depression and anxiety in patients with neurological disorders is still unclear.
OBJECTIVE
The study aims to systematically summarize the type and content of web-implemented exercise interventions and quantify the effect of different web-implemented exercise interventions on depression and anxiety in patients with neurological disorders.
METHODS
Four literature databases (PubMed, Web of Science, China National Knowledge Infrastructure, and WanFang data) were searched. The literature search considered studies published in English or Chinese before October 13, 2022. Randomized controlled trials (RCTs) that participants accepted web-implemented interventions were included. Two authors independently extracted data and assessed the risk of bias for included studies. Standardized mean differences (SMD) with 95% CI were used to integrate the effect size.
RESULTS
16 RCTs (a total of 963 participants) were included. The results showed that web-implemented exercise intervention had a significant effect on depression (SMD = -0.80; 95% CI, -1.09 to -0.52; = 75%; < 0.00001) and anxiety (SMD = -0.80; 95% CI, -1.23 to -0.36; = 75%; = 0.0003) in patients with a neurological disorder. The subgroup analysis showed that the effectiveness of the web-implemented exercise intervention was influenced by several factors, such as web-implemented exercise intervention type, component, and intervention duration.
CONCLUSION
Web-implemented exercise intervention has a relieving effect on depression and anxiety symptoms in patients with neurological disorders. Additionally, the intervention type, intervention duration, and component can influence the effect size.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/PROSPERO/#recordDetails, identifier: CRD42023409538.
引言
基于网络的运动干预是改善人们心理健康的最新创新方法。目前，许多研究已证明基于网络的干预措施对改善成年人的抑郁和焦虑有效。然而，不同的基于网络的运动干预对神经疾病患者抑郁和焦虑的影响仍不明确。
目的
本研究旨在系统总结基于网络的运动干预的类型和内容，并量化不同的基于网络的运动干预对神经疾病患者抑郁和焦虑的影响。
方法
检索了四个文献数据库（PubMed、科学网、中国知网和万方数据）。文献检索考虑了2022年10月13日前发表的英文或中文研究。纳入参与者接受基于网络干预的随机对照试验（RCT）。两位作者独立提取数据并评估纳入研究的偏倚风险。采用95%置信区间的标准化均数差（SMD）来综合效应量。
结果
纳入16项RCT（共963名参与者）。结果显示，基于网络的运动干预对神经疾病患者的抑郁（SMD = -0.80；95% CI，-1.09至-0.52；I² = 75%；P < 0.00001）和焦虑（SMD = -0.80；95% CI，-1.23至-0.36；I² = 75%；P = 0.0003）有显著影响。亚组分析表明，基于网络的运动干预的有效性受多种因素影响，如基于网络的运动干预类型、组成部分和干预持续时间。
结论
基于网络的运动干预对神经疾病患者的抑郁和焦虑症状有缓解作用。此外，干预类型、干预持续时间和组成部分可影响效应量大小。
系统评价注册
https://www.crd.york.ac.uk/PROSPERO/#recordDetails，标识符：CRD42023409538。
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