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基于运动的干预措施对老年人抑郁症状的有效性:系统性审查和网络元分析

Kexin Huang¹, Guangwei Zhan², Hayley Gains³

¹School of Nursing, Jilin University, Changchun, China.

Journal of the American Medical Directors Association

|April 6, 2025

概括

运动干预有效地减少了老年人的抑郁症状. 弹性训练显示出最有希望的,其次是抵抗和有氧运动,尽管由于研究的局限性,结果需要谨慎解释.

科学领域:

老年学是一门学科.
临床心理学临床心理学
运动医学运动医学

背景情况:

抑郁症状对老年人来说是一个重大问题,影响生活质量.
基于运动的干预措施越来越多地被探索为抑郁症的非药物治疗方法.

研究的目的:

系统地审查和排名各种运动干预措施的有效性,以改善老年人群中抑郁症状.

主要方法:

一个系统的审查和66个随机对照试验的随机效应网络元分析,涉及5632名老年人.
从创立到2024年3月,搜索了11个数据库,数据提取和偏差风险评估独立进行.
主要分析使用了频率的框架,有一个注册的协议 (PROSPERO No. 其他国家 (CRD42024542830).

主要成果:

与等待名单和主动对照相比,运动干预措施对抑郁症状产生了显著的积极影响 (SMD = -0.66).
灵活性运动显示最有效的可能性最高 (SUCRA = 81.7%),其次是阻力运动 (72.5%) 和有氧运动 (66.6%).
结果通常是强大的,但对研究结果的信心从非常低到中等,有些研究具有偏差的高风险.

结论:

运动干预措施是有效的管理老年人的抑郁症状.
灵活性,抵抗和有氧运动似乎是最有益的,但结论应该谨慎解释.
较高的消耗率和研究的局限性需要进一步的研究来证实研究结果.

关键词:

运动运动运动.抑郁症症状抑郁症症状网络元分析网络元分析年龄较大的成年人.系统性审查系统性审查

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