Impact of physical exercise on depression and anxiety in adolescent inpatients: A randomized controlled trial

Philippot, Arnaud; Dubois, Vincent; Lambrechts, Kate; Grogna, Denis; Robert, Annie; Jonckheer, Ugo; Chakib, Wagdan; Beine, Alexandre; Bleyenheuft, Yannick; Volder, Anne De

doi:10.1016/j.jad.2022.01.011

Cited by 81 publications

(64 citation statements)

References 41 publications

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“…The robust reduction of depressive symptoms in the HIIT intervention group was in line with a previous systematic review and meta-analysis (42), and also in accordance with our recent RCT on the effect of physical activity in young people (aged 12-25 years) experiencing a present diagnosis or threshold symptoms of depression (43). Following the high and negative correlation (r = −0.734) between the severity of depression and its reduction in the HIIT group, this intervention may be considered as an efficient antidepressant for clinical symptoms.…”

Section: Discussionsupporting

confidence: 91%

Feasibility of Online High-Intensity Interval Training (HIIT) on Psychological Symptoms in Students in Lockdown During the COVID-19 Pandemic: A Randomized Controlled Trial

et al. 2022

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ObjectiveWe aimed to evaluate the feasibility of an online High-Intensity Interval Training (HIIT) program on clinical psychological symptoms in higher education students in the context of the COVID-19 pandemic lockdown.Materials and MethodsDuring the lockdown, 30 students aged 18–25 years, who had been screened previously with a cut-off score ≥5 in the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, were randomly assigned to either the 4-week HIIT program with three sessions per week conducted through online videos, or a no-intervention control group. The primary outcome was the feasibility assessment. The secondary outcome was a psychological self-report with the 21-items Depression, Anxiety, and Stress Scale (DASS-21). Assessment and intervention were performed in compliance with social distancing rules.ResultsTwo participants in the HIIT were lost to follow-up, leaving 13 participants vs. 15 in the control group. We observed high adherence (87%) and complete safety for mental and physical status with the HIIT intervention delivered by online videos. The Mann-Whitney test demonstrated a significant (group × time, P-Value = 0.046) reduction of clinical stress symptoms and a trend (group × time, P-Value = 0.08) toward reduction of clinical depression symptoms, both favoring the HIIT group. No significant (group × time, P-Value = 0.118) interaction was found for anxiety symptoms.ConclusionThe online HIIT program was found to be feasible and safe in a clinical sample of young adults, who were experiencing social and physical restrictions due to COVID-19. HIIT reduced stress and depressive symptoms and thus these preliminary results show promise for broader application among higher education students during the present lockdown necessitated by the global COVID-19 health crisis.

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Section: Discussionsupporting

confidence: 91%

Feasibility of Online High-Intensity Interval Training (HIIT) on Psychological Symptoms in Students in Lockdown During the COVID-19 Pandemic: A Randomized Controlled Trial

et al. 2022

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“…Research on exercise frequency is inconsistent. Some studies suggested that exercising once a month can produce psychological effects [ 38 ], while others recommended exercising 3~5 times a week [ 39 ]. However, most studies believe that 2~3 times a week of exercise is the most appropriate [ 18 , 24 , 25 , 26 , 29 , 30 , 32 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Exercise Intervention on Students’ Test Anxiety: A Systematic Review with a Meta-Analysis

Zhang

Wang

2022

IJERPH

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This paper aims to evaluate the effects of exercise intervention on students’ test anxiety with a meta-analysis to serve as a reference to further relevant research. CNKI, Wanfang Data, VIP, The Cochrane Library, PubMed, Web of Science, Scopus, Embase, and EBSCOhost databases were electronically searched from inception to August 2021 in order to identify randomized and non-randomized controlled trials on exercise for treating students’ test anxiety. Two researchers independently screened the study, extracted data, and evaluated the quality of the studies. Meta-analysis was carried out using Review Manager 5.4 software. Among the 4115 articles retrieved, 16 were qualitative analyses, 15 of which were included in the meta-analysis. The meta-analysis showed that exercise intervention effectively alleviated students’ test anxiety when compared with the blank control group. Subgroup analysis showed that a single exercise intervention lasting 10~15 min did not relieve students’ test anxiety. The different scales used in the study are the source of inter-study heterogeneity. In conclusion, twenty minutes of aerobic exercise at any intensity performed two to three times a week for at least four weeks can reduce test anxiety levels. However, this is the minimum level and students should not be limited to the minimum amount of exercise when reducing test anxiety. In addition, exercise combined with psychotherapy can reduce students’ test anxiety better than exercise intervention alone. Future studies should explore the minimum intervention period and whether the shorter intervention period can quickly and effectively reduce students’ test anxiety.

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“…We have found that students who exercise daily during school had lower anxiety and depression scores than students who do not exercise. Studies [46,47] have shown that exercise can increase the secretion of dopamine, serotonin, and brain-derived neurokines in the brain to improve brain function for emotional regulation. Therefore, exercise can not only strengthen the body, but also relax the mind and have a positive impact on mental health.…”

Section: Discussionmentioning

confidence: 99%

College students’ anxiety after returning to school during the COVID-19 epidemic: What should we care

Ding¹,

Zhu²,

Jing³

et al. 2022

Medicine

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The college students’ anxiety during the Coronavirus disease 2019 (COVID-19) epidemic remains unclear. We aimed to evaluate the college students’ anxiety after returning to school during the COVID-19 epidemic, to provide reference for the management and nursing care of college students. We conducted a survey from September 15, 2021 to September 30, 2021 investigate the anxiety level of college students. The Self-rating Anxiety Scale was used for anxiety assessment. The Spearman correlation analysis was conducted to evaluate the correlation between students’ anxiety and characteristics. Logistic regression analysis was used to explore the influencing factors of concurrent anxiety among college students. A total of 2168 college students were included, the incidence of anxiety was 30.07% in college students during the COVID-19 epidemic. Pearson correlation analyses showed that grade (R = 0.715), main use of computer and mobile phone (R = 0.622), daily exercise (R = 0.735), whether relatives or friends are infected with COVID-19 (R = 0.735) are associated with the anxiety level of college students (all P < .05). Logistic regression analysis indicated that senior year (Odds ratio [OR] = 2.064, 95% confidence interval [CI]: 1.355–3.001), online game (OR = 3.122, 95% CI: 2.562–3.899), relatives or friends are infected with COVID-19 (OR = 2.987, 95% CI: 1.901–3.451) are the independent risk factors of anxiety in college students (all P < .05). Daily exercise (OR = 0.514, 95% CI: 0.205–0.814) was the independent protective factors of anxiety in college students (P = .008). During the COVID-19 epidemic, college students have increased anxiety and there are many influencing factors. Administrators and educators should especially pay attention to the mental health of students with those risk factors to maintain students’ physical and mental health.

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Impact of physical exercise on depression and anxiety in adolescent inpatients: A randomized controlled trial

Cited by 81 publications

References 41 publications

Feasibility of Online High-Intensity Interval Training (HIIT) on Psychological Symptoms in Students in Lockdown During the COVID-19 Pandemic: A Randomized Controlled Trial

Feasibility of Online High-Intensity Interval Training (HIIT) on Psychological Symptoms in Students in Lockdown During the COVID-19 Pandemic: A Randomized Controlled Trial

Effects of Exercise Intervention on Students’ Test Anxiety: A Systematic Review with a Meta-Analysis

College students’ anxiety after returning to school during the COVID-19 epidemic: What should we care

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