The effect of programmed exercise over anxiety symptoms in midlife and older women: a meta-analysis of randomized controlled trials

Martínez-Domínguez, Samuel J; Lajusticia, Héctor; Chedraui, Peter; Pérez‐López, Faustino R.; Analyses, Systematic

doi:10.1080/13697137.2017.1415321

Cited by 22 publications

(33 citation statements)

References 56 publications

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“…Physical activity and PE are now considered as first-line interventions for the primary and secondary prevention and management of common chronic diseases [42][43][44][45]. Previous systematic reviews and meta-analyses of RCTs reported that PE might improve insulin sensitivity and reduce insomnia, depressive and anxiety symptoms in periand post-menopausal women [46][47][48][49]. However, the effect of PE on menopausal symptoms was insufficient to control for vasomotor symptoms in middle-aged women [50].…”

Section: Discussionmentioning

confidence: 99%

Effect of programmed exercise on perceived stress in middle-aged and old women: A meta-analysis of randomized trials

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Effect of programmed exercise on perceived stress in middle-aged and old women: A meta-analysis of randomized trials

et al. 2018

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“… 25 Another systematic review included a broader age range of mid-life and late-life (defined as 40 years and older) female participants, and identified 10 randomised controlled trials with 1463 participants for inclusion in meta-analysis. 24 The authors found that exercise interventions of 12–16 weeks’ duration were effective in reducing anxiety compared with control conditions with a similar effect size of −0.42; however, they found that interventions of 6–14 months’ duration were not effective. 24 …”

Section: Introductionmentioning

confidence: 97%

“…Two reviews addressed this question in relation to anxiety symptoms but specifically excluded those who had anxiety disorders. 24 , 25 One systematic review of exercise interventions for anxiety symptoms in older adults identified five randomised controlled trials, two cross-sectional studies and one cohort study, but the authors were unable to conduct a meta-analysis due to the methodological heterogeneity between studies. 25 Another systematic review included a broader age range of mid-life and late-life (defined as 40 years and older) female participants, and identified 10 randomised controlled trials with 1463 participants for inclusion in meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

Exercise interventions to reduce anxiety in mid-life and late-life anxiety disorders and subthreshold anxiety disorder: a systematic review

Chong

Kootar

Wilding

et al. 2022

Therapeutic Advances in Psychopharmacology

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Background: Anxiety disorders are highly prevalent and cause significant distress, disability, and cost. Medication adverse effects and interactions increase in mid-life and late-life, highlighting the need for effective non-pharmacological interventions. Objectives: We aimed to evaluate the extent of evidence supporting exercise interventions for anxiety and subthreshold anxiety disorders in mid-life and late-life. Design: Systematic review. Data Sources and Methods: We searched MEDLINE, PsycINFO, Embase, Emcare, Ovid Nursing, CINAHL Plus, Cochrane Library, Health Collection, Humanities & Social Sciences Collection, and https://clinicaltrials.gov databases for trials published January 1994–May 2019. Randomised controlled trials of exercise interventions involving aerobic exercise or resistance training for adults aged 40 years and above with anxiety or subthreshold anxiety disorders in residential or health settings were identified. The primary outcome was change in anxiety. We excluded trials including participants aged below 40 years, participants with diagnosis of separation anxiety, selective mutism, obsessive-compulsive disorder, acute stress disorder and post-traumatic stress disorder, and head-to-head comparisons of interventions. Trial quality was assessed using the Cochrane Risk of Bias Tool and evidence synthesised in narrative form. Results: Four trials totalling 132 participants met inclusion criteria, although some had methodological limitations. Interventions included a home-based resistance training intervention, supervised group-based aerobic intervention, Tai Chi intervention, and supervised group-based aerobic and strength intervention. Three trials included late-life participants and the fourth mid-life. Three trials demonstrated greater reductions in anxiety in the intervention group compared with control. The fourth trial showed pre–post reductions in anxiety in both groups, with between-group difference not reaching statistical significance. Conclusion: There is limited supportive evidence suggesting that exercise interventions have potential to be effective, feasible and safe non-pharmacological interventions for anxiety and subthreshold anxiety disorders in mid-life and late-life. The heterogeneity, limited number and high risk of bias of some trials meant that we were not able to conduct a meta-analysis. Tailoring of interventions may improve uptake and reduce dropout. The paucity of research in this area with only four included trials demonstrates the urgent need for future and larger trials to provide proof of concept, data about effective types and doses of exercise interventions, and guidance to community, clinical, and public health services.

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“…Several studies have been conducted about physical activity in people with severe mental ill-health. Systematic reviews suggest that physical activity is an effective treatment for depression [55,56], schizophrenia [57], and anxiety [58] and is associated with improved anthropometric measures, aerobic capacity, and quality of life among people with mental illness [56]. There is also good evidence that physical inactivity is predictive of a range of adverse health outcomes including obesity, diabetes and medical co-morbidity among people with severe mental disorders [59][60][61].…”

Section: Resultsmentioning

confidence: 99%

Co-production of “nature walks for wellbeing” public health intervention for people with severe mental illness: use of theory and practical know-how

et al. 2020

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Background: Interventions need to be developed in a timely and relatively low-cost manner in order to respond to, and quickly address, major public health concerns. We aimed to quickly develop an intervention to support people with severe mental ill-health, that is systematic, well founded both in theory and evidence, without the support of significant funding or resource. In this article we aim to open and elucidate the contents of the 'black box' of intervention development. Methods: A multidisciplinary team of seven academics and health practitioners, together with service user input, developed an intervention in 2018 by scoping the literature, face-to-face meetings, email and telephone. Researcher fieldnotes were analysed to describe how the intervention was developed in four iterative steps. Results: In step 1 and 2, scoping the literature showed that, a) people with severe mental illness have high mortality risk in part due to high levels of sedentary behaviour and low levels of exercise; b) barriers to being active include mood, stress, body weight, money, lack of programmes and facilities and stigma c) 'nature walks' has potential as an intervention to address the problem. In Step 3, the team agreed what needed to be included in the intervention so it addressed the "five ways to mental wellbeing" i.e., help people to connect, be active, take notice, keep learning and give. The intervention was mapped to key behavioural change concepts such as, personal relevance, relapse prevention, self-efficacy. In Step 4, the team worked out how best to implement the intervention. The intervention would be delivered over 12 weeks by members of the hospital team and community walk volunteers. Participants would receive a nature walks booklet and text messages. Conclusions: We developed a theoretically-informed, evidence-based nature walks programme in a timely and relatively low-cost manner relevant in an era of growing mental illness and funding austerity. Further research is required to test if the intervention is effective and if this approach to intervention development works.

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The effect of programmed exercise over anxiety symptoms in midlife and older women: a meta-analysis of randomized controlled trials

Cited by 22 publications

References 56 publications

Effect of programmed exercise on perceived stress in middle-aged and old women: A meta-analysis of randomized trials

Effect of programmed exercise on perceived stress in middle-aged and old women: A meta-analysis of randomized trials

Exercise interventions to reduce anxiety in mid-life and late-life anxiety disorders and subthreshold anxiety disorder: a systematic review

Co-production of “nature walks for wellbeing” public health intervention for people with severe mental illness: use of theory and practical know-how

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