Yang Qiushi, Wang Junli, Lu Yiyaochen
School of Physical Education, China University of Mining and Technology, Xuzhou, Jiangsu Province, 221116, China.
School of Physical Education, China University of Mining and Technology, Xuzhou, Jiangsu Province, 221116, China.
Psychol Sport Exerc. 2025 Mar;77:102803. doi: 10.1016/j.psychsport.2025.102803. Epub 2025 Jan 10.
This systematic review aimed to 1) update the existing evidence on the antidepressant effects of aerobic exercise (AE) in youth. 2) Investigate any potential dose‒response relationships between AE interventions and depressive symptom reduction. 3) Provide evidence-based insights to inform future research and clinical depression treatment.
Employing the PRISMA and PERSiST guidelines, a comprehensive search across nine databases (Web of Science, PubMed, Scopus, PsycINFO, SportDiscus, CINAHL, Medline, Embase, and CNKI) yielded a total of 782 relevant studies. Following rigorous selection criteria, 26 eligible studies (comprising 22 different samples) were included in the analysis, featuring a combined sample size of 1308 participants. The meta-analysis was conducted via R.
AE notably decreased depressive symptoms among youth [g = -0.92; 95% CI (-1.16, -0.69); p < 0.01]. Significant dose‒response relationships were observed across age groups [β = -0.06; 95% CI (-0.12, 0.00), p < 0.05], the intensity [β = -0.03; 95% CI (-0.06, 0.00); p < 0.05], and the duration ^ 2 [β = 0.001, 95% CI (0.001, 0.002), p < 0.05] of the AE intervention.
Aerobic exercise interventions can effectively alleviate depressive symptoms in youth. A moderate-intensity AE program, lasting 25-40 min and conducted three times a week for 9-15 weeks, can increase alleviation of depression.
本系统评价旨在:1)更新关于有氧运动(AE)对青少年抗抑郁作用的现有证据。2)研究AE干预与抑郁症状减轻之间的任何潜在剂量反应关系。3)提供基于证据的见解,为未来的研究和临床抑郁症治疗提供参考。
采用PRISMA和PERSiST指南,对九个数据库(科学网、PubMed、Scopus、PsycINFO、SportDiscus、CINAHL、Medline、Embase和中国知网)进行全面检索,共获得782项相关研究。按照严格的筛选标准,纳入分析的有26项符合条件的研究(包括22个不同样本),样本总量为1308名参与者。通过R软件进行荟萃分析。
AE显著降低了青少年的抑郁症状[g = -0.92;95%可信区间(-1.16,-0.69);p < 0.01]。在各年龄组[β = -0.06;95%可信区间(-0.12,0.00),p < 0.05]、运动强度[β = -0.03;95%可信区间(-0.06,0.00);p < 0.05]以及AE干预的持续时间平方[β = 0.001,95%可信区间(0.001,0.002),p < 0.05]方面均观察到显著的剂量反应关系。
有氧运动干预可有效缓解青少年的抑郁症状。一项中等强度的AE计划,持续25 - 40分钟,每周进行三次,共9 - 15周,可增强抑郁症状的缓解效果。