Impact of different exercise types on depression and anxiety in individuals with cancer: A systematic review and network meta-analysis of randomized controlled trials

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-03-20 DOI:10.1016/j.jpsychores.2025.112107

Peidong Wu , Mengting Qian , Xiangxu Chen , Mingze Zhu , Jing Liu

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引用次数: 0

Abstract

Objective

Various exercise modalities have been demonstrated to be effective in alleviating anxiety and depression among individuals with cancer. However, it remains unclear which specific exercise intervention is the optimal choice. This study aimed to systematically evaluate the impact of different exercise intervention types on anxiety and depression in individuals with cancer.

Methods

Eligible randomized controlled trials were identified through searches of PubMed, Web of Science, and EBSCOHost, with the search period up to December 2024. Two researchers independently conducted the literature screening, data extraction, and assessment. Statistical analyses and visualizations were performed using Stata 15.0 software and RevMan5.4 software.

Results

A total of 26 randomized controlled trials (involving 2118 individuals with cancer) examining three types of exercise interventions were included. Compared to usual care, mind-body exercise (SMD = −0.58, 95 % CI (−0.99, −0.17)), followed by resistance training (SMD = −0.52, 95 % CI (−1.12, 0.09)), and aerobic exercise (SMD = −0.51, 95 % CI (−0.89, −0.13)) significantly decreased depression levels among individuals with cancer. Additionally, resistance training (SMD = −0.66, 95 % CI (−1.59, 0.27)), followed by aerobic exercise (SMD = −0.59, 95 % CI (−1.08, −0.10)), and mind-body exercise (SMD = −0.48, 95 % CI (−0.96, 0.00)) significantly decreased anxiety levels among individuals with cancer compared to usual care.

Conclusion

The findings of this network meta-analysis suggest that mind-body exercise, resistance training, and aerobic exercise are all effective interventions for reducing anxiety and depression among individuals with cancer.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.