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Effect of exercise on depression severity in older people : systematic review and meta-analysis of randomised controlled trials
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Bridle, C., Spanjers, K., Patel, Shilpa, Atherton, N. M. and Lamb, S. E. (Sallie E.) (2012) Effect of exercise on depression severity in older people : systematic review and meta-analysis of randomised controlled trials. British Journal of Psychiatry, Vol.201 (No.3). pp. 180-185. doi:10.1192/bjp.bp.111.095174 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.bp.111.095174
Abstract
The prevelance of depression in older people is high, treatment is inadequate, it creates a substantial burden and is a public health priority for which exercise has been proposed as a therapeutic strategy.
Aims
To estimate the effect of exercise on depressive symptoms among older people, and assess whether treatment effect varies depending on the depression criteria used to determine participant eligibility.
Method
Systematic review and meta-analysis of randomised controlled trials of exercise for depression in older people.
Results
Nine trials met the inclusion criteria and seven were meta-analysed. Exercise was associated with significantly lower depression severity (standardised mean difference (SMD) = -0.34, 95% CI -0.52 to -0.17), irrespective of whether participant eligibility was determined by clinical diagnosis (SMD = -0.38, 95% CI -0.67 to -0.10) or symptom checklist (SMD = -0.34, 95% CI -0.62 to -0.06). Results remained significant in sensitivity analyses.
Conclusions
Our findings suggest that, for older people who present with clinically meaningful symptoms of depression, prescribing structured exercise tailored to individual ability will reduce depression severity.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | British Journal of Psychiatry | ||||
Publisher: | Royal College of Psychiatrists | ||||
ISSN: | 0007-1250 | ||||
Official Date: | September 2012 | ||||
Dates: |
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Volume: | Vol.201 | ||||
Number: | No.3 | ||||
Page Range: | pp. 180-185 | ||||
DOI: | 10.1192/bjp.bp.111.095174 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
Data sourced from Thomson Reuters' Web of Knowledge
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