Physical Activity and Depression and Anxiety Disorders: A Systematic Review of Reviews and Assessment of Causality

Wanjau, Mary Njeri; Møller, Holger Jon; Haigh, Fiona; Milat, Andrew; Hayek, Rema; Lucas, Peta; Veerman, Lennert

doi:10.1016/j.focus.2023.100074

Cited by 15 publications

(12 citation statements)

References 42 publications

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“…In this study, we used the measures of association from our systematic review of reviews study whose findings are reported in a companion paper. 16 In summary, we found sufficient evidence to support an association between PA and incident cases of anxiety and depression. The association was graded as a probable causal relationship on the basis of the Bradford Hill criteria 34 , 35 and the World Cancer Research Fund grading system.…”

Section: Methodsmentioning

confidence: 56%

“…The Australian national mental health policy and the mental health plan emphasize the need for efforts that prevent the onset of mental ill health. 14 , 15 In a companion paper, 16 we systematically reviewed the available epidemiologic evidence to establish the relationship between PA and incident cases of anxiety and depression. We found that PA may reduce the incidence of anxiety and depression by up to 17% and 26%, respectively, and judged the relationship to be probably causal.…”

Section: Introductionmentioning

confidence: 99%

“…We developed the NSW Active Transport Health model and sought to include all relevant health outcomes that have sufficiently strong epidemiologic evidence of an association with active transport. On the basis of the findings in our companion paper, 16 anxiety and depression were included as health outcomes within the NSW Active Transport Health model. 27…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity and Depression and Anxiety Disorders in Australia: A Lifetable Analysis

Wanjau¹,

Møller²,

Haigh³

et al. 2023

AJPM Focus

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Section: Methodsmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physical Activity and Depression and Anxiety Disorders in Australia: A Lifetable Analysis

Wanjau¹,

Møller²,

Haigh³

et al. 2023

AJPM Focus

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“…Regular physical activity has consistently demonstrated a positive impact on individuals’ mental health in numerous studies [ 43 , 44 , 45 ], manifesting in significant reductions in symptoms of depression and anxiety [ 46 , 47 , 48 ]. However, in this study, the training did not yield a notable effect on the subjective perception of mental health or the assessment of depression in the patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Effects of an Enhanced Strength Training Program in Remote Cardiological Rehabilitation: A Shift from Aerobic Dominance—A Pilot Randomized Controlled Trial

Nabutovsky,

Sabah,

Moreno

et al. 2024

JCM

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(1) Background: Cardiac rehabilitation often emphasizes aerobic capacity while overlooking the importance of muscle strength. This study evaluated the impact of an enhanced remote strength training program (RCR-ST) on cardiac rehabilitation. (2) Methods: In this randomized prospective study (RCT registration number SMC-9080-22), 50 patients starting cardiac rehabilitation were assessed for muscle strength, aerobic capacity, and self-reported outcomes at baseline and after 16 weeks. Participants were divided into two groups: the RCR-ST group received a targeted resistance training program via a mobile app and smartwatch, while the control group received standard care with general resistance training advice. (3) Results: The RCR-ST group demonstrated significant improvements in muscle endurance, notably in leg extension and chest press exercises, with increases of 92% compared to 25% and 92% compared to 13% in the control group, respectively. Functional assessments (5-STS and TUG tests) also showed marked improvements in agility, coordination, and balance. Both groups improved in cardiorespiratory fitness, similarly. The RCR-ST group reported enhanced physical health and showed increased engagement, as evidenced by more frequent use of the mobile app and longer participation in the rehabilitation program (p < 0.05). (4) Conclusions: Incorporating a focused strength training regimen in remote cardiac rehabilitation significantly improves muscle endurance and patient engagement. The RCR-ST program presents a promising approach for optimizing patient outcomes by addressing a crucial gap in traditional rehabilitation protocols that primarily focus on aerobic training.

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“…Although the prevention programs aiming at increasing awareness about potential risk factors for depression, including physical inactivity [ 4 ] and unbalanced diet [ 5 , 6 ] have been proven effective, according to the Institute for Health Metrics and Evaluation (IHME), MDD affects about 3.28% of adults globally, with a peak of 4% among women, and about 4% of adults older than 60 years [ 7 ]. It has been estimated that worldwide approximately 280 million people develop depression [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

The dynamic interaction between symptoms and pharmacological treatment in patients with major depressive disorder: the role of network intervention analysis

Guerrera,

Platania,

Boccaccio

et al. 2023

BMC Psychiatry

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Introduction The Major Depressive Disorder (MDD) is a mental health disorder that affects millions of people worldwide. It is characterized by persistent feelings of sadness, hopelessness, and a loss of interest in activities that were once enjoyable. MDD is a major public health concern and is the leading cause of disability, morbidity, institutionalization, and excess mortality, conferring high suicide risk. Pharmacological treatment with Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin Noradrenaline Reuptake Inhibitors (SNRIs) is often the first choice for their efficacy and tolerability profile. However, a significant percentage of depressive individuals do not achieve remission even after an adequate trial of pharmacotherapy, a condition known as treatment-resistant depression (TRD). Methods To better understand the complexity of clinical phenotypes in MDD we propose Network Intervention Analysis (NIA) that can help health psychology in the detection of risky behaviors, in the primary and/or secondary prevention, as well as to monitor the treatment and verify its effectiveness. The paper aims to identify the interaction and changes in network nodes and connections of 14 continuous variables with nodes identified as "Treatment" in a cohort of MDD patients recruited for their recent history of partial response to antidepressant drugs. The study analyzed the network of MDD patients at baseline and after 12 weeks of drug treatment. Results At baseline, the network showed separate dimensions for cognitive and psychosocial-affective symptoms, with cognitive symptoms strongly affecting psychosocial functioning. The MoCA tool was identified as a potential psychometric tool for evaluating cognitive deficits and monitoring treatment response. After drug treatment, the network showed less interconnection between nodes, indicating greater stability, with antidepressants taking a central role in driving the network. Affective symptoms improved at follow-up, with the highest predictability for HDRS and BDI-II nodes being connected to the Antidepressants node. Conclusion NIA allows us to understand not only what symptoms enhance after pharmacological treatment, but especially the role it plays within the network and with which nodes it has stronger connections.

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Physical Activity and Depression and Anxiety Disorders: A Systematic Review of Reviews and Assessment of Causality

Cited by 15 publications

References 42 publications

Physical Activity and Depression and Anxiety Disorders in Australia: A Lifetable Analysis

Physical Activity and Depression and Anxiety Disorders in Australia: A Lifetable Analysis

Evaluating the Effects of an Enhanced Strength Training Program in Remote Cardiological Rehabilitation: A Shift from Aerobic Dominance—A Pilot Randomized Controlled Trial

The dynamic interaction between symptoms and pharmacological treatment in patients with major depressive disorder: the role of network intervention analysis

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