运动训练对患有抑郁症的成年人执行功能的影响:随机对照试验的系统审查和元分析
Fei-Fei Ren1, Brandon L Alderman2, Wei-Guang Wang1
1Department of Physical Education, Beijing Language and Culture University, Beijing, China.
Sports medicine (Auckland, N.Z.)
|June 27, 2023
概括
在患有抑郁症的成年人中,运动显著改善执行功能 (EF),增强工作记忆,认知灵活性和推理能力. 这一元分析证实了运动是这个人群中认知健康的有价值的非药物治疗方法.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 运动科学 运动科学
背景情况:
- 执行功能 (EF) 对于日常运作至关重要.
- 运动是一种潜在的非药物干预措施,可以改善EF.
- 以前关于运动和抑郁症EF的研究已经产生了混合的结果.
研究的目的:
- 系统地审查和元分析运动干预措施对成年抑郁症患者EF的影响.
- 在这个人群中确定影响运动-EF关系的关键调节变量.
主要方法:
- 随机对照试验 (RCT) 的系统审查和三级元分析.
- 在多个数据库中进行的搜索截至2023年1月.
- 使用物理疗法证据数据库 (PEDro) 尺度评估研究质量.
主要成果:
- 运动显著改善了全球EF (g=0.180) 和其子域:工作记忆 (g=0.182),认知灵活性 (g=0.222),推理/计划 (g=0.889).
- 对于有氧运动,中度至强度的强度,每周运动≥3次,会议≤60分钟和计划≥13周的改善.
- 包括14项涉及1201名患有抑郁症的成年人RCT.
结论:
- 运动训练为改善成年抑郁症患者的EF和认知领域提供了显著的好处.
- 有氧运动,中等至强烈的强度和一致的坚持 (频率,持续时间) 似乎最有效.
- 建议进行进一步的RCT,以巩固运动在控制抑郁症认知症状中的治疗作用.
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