School of Chinese Medicine, Ningxia Medical University, Yinchuan, 750004, China.
Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, China.
J Bodyw Mov Ther. 2024 Oct;40:2161-2172. doi: 10.1016/j.jbmt.2024.10.068. Epub 2024 Oct 28.
This review aims to determine whether aerobic exercise is beneficial in treating depression in adults in general.
Review of systematic reviews and meta-analyses related to RCTs. PubMed, MEDLINE, PsycINFO, Embase, and Cochrane databases of systematic reviews were searched extensively between September 2009 and September 2023. An extensive search was conducted using MeSH terms, including ''depression'', ''depressive disorder'', ''depressive symptoms'', ''exercise'', ''aerobic exercise'', ''aerobic training'', ''walking'', ''running'', ''jogging'', ''bicycling'', ''physical activity'', ''adult (limiters 18-65 years)'', ''meta-analyses'' and ''systematic reviews''.
In the initial search of the titles and abstracts of reviews, 2345 articles were found. 46 full-text reviews were selected for carefully scrutinized. A total of seven reviews were included in the analysis, and two of them were meta-analyses, which included 42 RCTs. The results of four reviews evaluated the effectiveness of aerobic exercise on depression. Moreover, two reviews examined the efficacy of aerobic exercise as an add-on intervention for depression treatment, one of which was a subgroup analysis. According to two reviews, aerobic exercise improved CRF in people with depression and affected people with MDD from a neurobiological standpoint.
This umbrella review systematically evaluated the efficacy of aerobic exercise in treating adult depression, revealing substantial evidence that supports its potential to alleviate depressive symptoms. The positive synthesis of findings advocates for integrating aerobic exercise as a non-pharmacological treatment option. Nevertheless, additional research is essential to confirm these benefits and optimize exercise protocols for depression management.
本综述旨在确定有氧运动是否对治疗成年人的抑郁症有益。
对与 RCT 相关的系统评价和荟萃分析进行综述。2009 年 9 月至 2023 年 9 月期间，广泛检索了 PubMed、MEDLINE、PsycINFO、Embase 和 Cochrane 系统评价数据库。使用包括“抑郁”、“抑郁障碍”、“抑郁症状”、“运动”、“有氧运动”、“有氧训练”、“散步”、“跑步”、“慢跑”、“骑自行车”、“体力活动”、“成人（限制器 18-65 岁）”、“荟萃分析”和“系统评价”在内的 MeSH 术语进行了广泛的搜索。
在对综述标题和摘要的初步搜索中，发现了 2345 篇文章。选择了 46 篇全文综述进行仔细审查。共纳入 7 篇综述进行分析，其中 2 篇为荟萃分析，共纳入 42 项 RCT。四项综述的结果评估了有氧运动对抑郁症的疗效。此外，两项综述评估了有氧运动作为抑郁症治疗附加干预的疗效，其中一项为亚组分析。根据两项综述，有氧运动改善了抑郁症患者的 CRF，并从神经生物学角度影响了 MDD 患者。
本伞状综述系统地评估了有氧运动治疗成人抑郁症的疗效，为其缓解抑郁症状的潜力提供了大量证据。研究结果的综合分析提倡将有氧运动作为一种非药物治疗选择。然而，需要进一步的研究来确认这些益处，并优化针对抑郁症管理的运动方案。
