The effects of exercise on sleep in unipolar depression
العنوان: | The effects of exercise on sleep in unipolar depression |
---|---|
المؤلفون: | Markus Gerber, Heike Gerger, Doris Straus, Hildburg Porschke, Gavin Brupbacher, Arno Schmidt-Trucksäss, Thea Zander-Schellenberg, Roland von Känel |
المساهمون: | University of Zurich, Brupbacher, Gavin, General Practice |
المصدر: | Sleep Medicine Reviews, 59:101452. Elsevier |
بيانات النشر: | Elsevier, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, medicine.medical_specialty, Network Meta-Analysis, 610 Medicine & health, Passive control, 03 medical and health sciences, 2737 Physiology (medical), 0302 clinical medicine, Physiology (medical), Insomnia, medicine, Humans, Aerobic exercise, Exercise, Depression (differential diagnoses), Randomized Controlled Trials as Topic, Depressive Disorder, Sleep quality, Depression, business.industry, Exercise Therapy, 10057 Klinik für Konsiliarpsychiatrie und Psychosomatik, 2728 Neurology (clinical), Systematic review, 030228 respiratory system, Neurology, 2740 Pulmonary and Respiratory Medicine, 2808 Neurology, Meta-analysis, Quality of Life, Physical therapy, Neurology (clinical), Sleep (system call), medicine.symptom, Sleep, business, 030217 neurology & neurosurgery |
الوصف: | Summary Insomnia predicts the onset, course, and reoccurrence of unipolar depression. However, systematic reviews of treatment options for insomnia in unipolar depression are lacking. After screening 7725 records, 17 trials comprising 1645 patients randomized to 13 treatments were included for quantitative synthesis. Network meta-analysis showed that compared to a passive control condition, all exercise interventions except moderate aerobic exercise alone resulted in significantly better sleep outcomes. Compared with treatment as usual, mind-body exercise plus treatment as usual (SMD: −0.46; 95% CI: −0.80, −0.12) and vigorous strength exercise (SMD: −0.61; 95% CI: −1.12, −0.10) were significantly more effective. Pairwise meta-analyses showed that mind-body exercise (SMD: −0.54; 95% CI: −0.85, −0.23) had beneficial effects compared to passive control. The network meta-analysis is statistically very robust with low heterogeneity, incoherence, and indirectness. However, confidence in the findings was moderate to very low, primarily due to within-study bias. This is the first network meta-analysis to assess exercise's efficacy to improve sleep quality in patients with depression. The findings confirm the benefits of exercise as an add-on treatment for depression. This consolidation of the current state of evidence can help clinicians make evidence-based decisions. |
وصف الملف: | 1-s2.0-S108707922100037X-main.pdf - application/pdf |
اللغة: | English |
تدمد: | 1532-2955 1087-0792 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::691e2f2b0c873048e0201f3640a8276f https://pure.eur.nl/en/publications/9fae6530-31bd-408d-9c3e-5b3c8e12dd8a |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....691e2f2b0c873048e0201f3640a8276f |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15322955 10870792 |
---|