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走路对抑郁和焦虑症状的影响:系统审查和元分析
Zijun Xu1, Xiaoxiang Zheng1, Hanyue Ding1
1Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong).
JMIR public health and surveillance
|July 24, 2024
概括
步行有效地减少了各种形式的抑郁和焦虑症状. 这种基于证据的干预措施显示了与积极对照相比的显著心理健康益处,突出了其治疗潜力.
科学领域:
- 心理健康 心理健康
- 运动科学 运动科学
- 临床心理学 临床心理学
背景情况:
- 有限的总结数据存在于各种步行干预措施对心理健康的益处.
- 抑郁症和焦虑症是重要的公共卫生问题,需要可访问的干预措施.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT),评估不同步行形式在缓解抑郁和焦虑症状方面的有效性.
- 综合现有的关于散步对心理健康影响的证据.
主要方法:
- 一个系统的审查和75个RCT的元分析涉及8636名参与者.
- 在多个数据库中进行了搜索 (MEDLINE,CENTRAL,Embase,PsycINFO,AMED,CINAHL,科学网).
- 采用随机效应的元分析,并使用Cochrane风险偏差工具评估偏差风险.
主要成果:
- 与非活动对照组相比,步行显著减少了抑郁症状 (SMD -0.591) 和焦虑症状 (SMD -0.446).
- 在各种步行频率,持续时间,位置 (室内/室外) 和格式 (组/个人) 中观察到好处.
- 患有抑郁症的人比没有抑郁症的人 (SMD -0.442) 更能从行走中获得更大的好处 (SMD -1.863).
结论:
- 各种形式的步行作为有效的,以证据为基础的干预措施来减少抑郁和焦虑症状.
- 步行对心理健康的好处与积极对照者的好处相似.
- 进一步研究低强度行走的影响是有必要的.
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