The anxiolytic effects of exercise for people with anxiety and related disorders: An update of the available meta-analytic evidence.

Journal: Psychiatry research

Volume: 302

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium. Electronic address: carlos.ramossanchez@kuleuven.be. Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil. Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South-Africa. Department of Health and rehabilitation Sciences, Physiotherapy Division, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South-Africa. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, United Kingdom; Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, United Kingdom. School of Psychiatry, University of New South Wales, Sydney, Australia. Division of Psychology and Mental Health, University of Manchester, Manchester, United Kingdom; NICM Health Research Institute, Western Sydney University, Sydney, Australia. University Psychiatric Center KU Leuven, Leuven, Belgium; Department of Neurosciences, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium. Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium; University Psychiatric Center KU Leuven, Leuven, Belgium.

Abstract summary 

Exercise as a treatment option for people with mental disorders is a field of growing interest. The increased number of published randomized controlled trials (RCTs) evaluating the effects of exercise in the treatment of anxiety and related disorders in recent years calls for an update of the available meta-analytic evidence. Electronic databases (PubMed, CINAHL, PSYCArticles, and Embase) were searched up to 17.2.2021, for RCTs evaluating the effects of exercise on anxiety and stress symptoms in adults with anxiety and related disorders. A random effects meta-analysis was conducted. A total of 13 RCTs comprising 731 adult participants (exercise n=376; control n=355) were included. Exercise had a small, bordering medium, but statistically significant effect on decreasing anxiety symptoms compared to control condition (standardized mean difference=-0.425, 95%CI -0.67 to -0.17; I = 47.9%) in people with anxiety and related disorders. Our meta-analysis updates the existing evidence supporting exercise as an efficacious intervention for anxiety and related disorders. Although the updated meta-analytic evidence is less heterogenous than previously reported, future research is still needed to explore the factors moderating the effects of exercise on outcome such as frequency, intensity, duration of the sessions, and type of exercise and qualification of the provider in more detail.

Authors & Co-authors:  Ramos-Sanchez Carlos Pelayo CP Schuch Felipe Barreto FB Seedat Soraya S Louw Quinette Abegail QA Stubbs Brendon B Rosenbaum Simon S Firth Joseph J van Winkel Ruud R Vancampfort Davy D

Study Outcome 

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Statistics
Citations : 
Authors :  9
Identifiers
Doi : 10.1016/j.psychres.2021.114046
SSN : 1872-7123
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Anxiety;Exercise;OCD;PTSD;Physical activity;Stress
Study Design
Randomized Control Trial,Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Ireland