The effects of mind body exercise on anxiety: A systematic review and meta-analysis of randomized controlled trials

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-03-01 DOI:10.1016/j.mhpa.2024.100587

Xuan Lin , Jiaxin Zheng , Qian Zhang , Youfa Li

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引用次数: 0

Abstract

Objective

To make a comprehensive evaluation of the anxiolytic effects of Mind body exercise (MBE) therapy and potential variations in demographic and intervention characteristics.

Methods

Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, the Web of Science, PsycINFO, PubMed, and Google Scholar databases were systematically searched for randomized controlled trials (RCTs) published before 1 May 2023. Pooled standardized mean differences (SMDs) and moderator analysis were used.

Results

A total of 61 studies (k = 76) were included in the meta-analysis. Compared with the control groups (n = 2972), the MBE intervention groups (n = 2984) had significantly reduced anxiety with a small effect (SMD = 0.454, 95% CI: 0.353 to 0.556, p < 0.001, I² = 73.949%). Moderator analysis showed that research area, sex, age, health status, session duration, and research quality played moderating roles. Interventions lasting over 60 min were most effective in reducing anxiety.

Conclusion

MBE is an effective alternative or adjuvant intervention for anxiety across participant characteristics and research area. Future research should improve the quality and design and compare the anxiolytic effects between different types of MBE interventions or between MBE interventions and other intervention types. It is also necessary to analyze the dose effects of MBE interventions.

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身心锻炼对焦虑的影响：随机对照试验的系统回顾和荟萃分析

全面评估心身锻炼（MBE）疗法的抗焦虑效果以及人口统计学和干预特征的潜在变化。根据系统综述和荟萃分析首选报告项目（PRISMA）指南，在Web of Science、PsycINFO、PubMed和Google Scholar数据库中系统检索了2023年5月1日前发表的随机对照试验（RCT）。采用了汇总标准化均值差异（SMDs）和调节因子分析。共有 61 项研究（k = 76）被纳入荟萃分析。与对照组（= 2972）相比，MBE 干预组（= 2984）的焦虑明显减少，但影响较小（SMD = 0.454，95% CI：0.353 至 0.556，< 0.001，= 73.949%）。调节因素分析表明，研究领域、性别、年龄、健康状况、疗程持续时间和研究质量起到了调节作用。持续时间超过 60 分钟的干预对减轻焦虑最有效。在不同的参与者特征和研究领域中，MBE 都是一种有效的焦虑替代或辅助干预方法。未来的研究应改进质量和设计，并比较不同类型的MBE干预或MBE干预与其他干预类型之间的抗焦虑效果。此外，还有必要分析MBE干预措施的剂量效应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;