改善老年人的抑郁症状的最佳剂量和运动类型:系统性审查和网络元分析
Lili Tang1, Lin Zhang2, Yanbo Liu3
1Department of Epidemiology, School of Public Health, Beihua University, No. 3999 Binjiang Road, Jilin, 132000, Jilin Province, China.
BMC geriatrics
|June 7, 2024
概括
运动有效地减轻了老年人的抑郁症,有氧运动在1000METs-min/week时最有益. 散步在较低剂量时显示有好处,但在81岁后的疗效会降低.
科学领域:
- 老年学是指老年学的学科.
- 运动科学 运动科学
- 心理健康 心理健康
背景情况:
- 抑郁症显著影响老年人的生活质量.
- 运动是减轻这一群体抑郁症状的经过验证方法.
- 不同类型的最佳运动剂量仍然不清楚.
研究的目的:
- 进行元分析,检查老年人运动和抑郁症之间的剂量反应关系.
- 识别有效的运动类型及其最佳剂量,以缓解抑郁症状.
- 为了确定运动干预的临床意义值.
主要方法:
- 随机对照试验的系统审查和网络元分析.
- 搜索了主要的数据库 (PubMed,Medline,Embase,PsycINFO,Cochrane,Web of Science) 在2023年7月之前.
- 提取了运动剂量 (METs-min/week),疗程,人口统计和持续时间的数据,并对最小临床重要差异 (MCID) 进行分析.
主要成果:
- 47项研究,包括2895名参与者,分析了7种运动类型.
- 步行和有氧运动 (AE) 是最有效的,AE在1000METs-min/week时是最佳的.
- 总有效剂量:每周600970 METs-min. 在81岁以后,疗效会降低.
结论:
- 步行,AE,,齐功,抵抗训练 (RT) 和太极拳 (TC) 有效地减少老年人的抑郁症.
- 建立了各种运动类型的统计和临床显著的值剂量.
- 运动在较早开始时最有效;在81岁以上的个体中,有效性显著下降.
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