Exercise for depression and depressive symptoms in older adults: An umbrella review of systematic reviews and meta-analyses
Aging and Mental Health Aug 04, 2021
Bigarella LG, Ballotin VR, Mazurkiewicz LF, et al. - The results imply that in older patients, exercise produces a moderate improvement in depression and depressive symptoms. Physical activity for older adults was recommended. Researchers performed an umbrella review of meta-analyses of randomized controlled trials (RCTs) to evaluate the effects of an exercise intervention for depression in older adults (e.g. 60+).
The study enrolled 12 meta-analyses of 97 RCTs.
It was shown that AMSTAR 2 rating was considered critically low in five studies, low in six studies, and high in one study.
The study found variations in effect size expressed by the standardized mean difference (SMD) between studies from −0.90 (95% CI = −1.51; −0.28) to −0.14 (95% CI = −0.36; 0.07) in favor of the exercise intervention.
It has been reported that pooling of the effect sizes produced a statistically significant moderate effect in which exercise was correlated with lower levels of depression and depressive symptoms (OR = 2.24, 95% CI 1.77; 2.84)
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