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Comparative Efficacy of Exercise Interventions for Anxiety Disorders: A Bayesian Network Meta-Analysis
Jiahui Liu1, Hengchang Wang2, Yi Lan1
1Wushu College, Wuhan Sports University, Wuhan, Hubei, People's Republic of China.
Psychology Research and Behavior Management
|February 25, 2026
Summary
This study found that meditation, yoga, and tai chi/qigong significantly reduce anxiety symptoms. Dynamic exercises like resistance training and walking also show effectiveness in managing anxiety.
Area of Science:
- Behavioral Science
- Psychology
- Exercise Science
Background:
- Anxiety disorders represent a significant global health burden.
- Exercise is increasingly recognized as a viable non-pharmacological intervention for mental health.
- Understanding the comparative effectiveness of different exercise modalities for anxiety is crucial for clinical practice.
Purpose of the Study:
- To perform a Bayesian multilevel network meta-analysis comparing the efficacy of diverse exercise types for anxiety symptom reduction.
- To investigate how individual characteristics and exercise parameters moderate treatment effects.
Main Methods:
- A systematic literature search was conducted across major databases (Web of Science, PubMed, Embase, Cochrane).
- Randomized controlled trials (RCTs) examining exercise interventions for anxiety were included.
- Bayesian network meta-analysis and the CINeMA tool were employed for data synthesis and quality assessment.
Main Results:
- Meditation (Hedges' g = -0.72), yoga (Hedges' g = -0.59), and tai chi/qigong (Hedges' g = -0.52) demonstrated the most substantial reductions in anxiety symptoms compared to control.
- Resistance training (Hedges' g = -0.40), aerobic exercise (Hedges' g = -0.40), and walking/jogging (Hedges' g = -0.39) also yielded significant positive effects.
- Mixed aerobic exercise did not show statistically significant benefits for anxiety reduction in this analysis.
Conclusions:
- Both static, breath-focused exercises (meditation, yoga, tai chi/qigong) and dynamic exercises (resistance training, walking/jogging) are effective for anxiety reduction.
- These findings suggest broad applicability of exercise interventions across diverse populations for managing anxiety.
- Further research could explore moderators of exercise effects on anxiety.
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