Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials

Objective: The number of people suffering from depression and/or anxiety has increased steadily due to the coronavirus disease 2019 (COVID-19) pandemic. In this context, web-based exercise interventions have emerged as a potential treatment strategy. The objective of this study was to synthetize evidence from randomized controlled trials regarding the effects of web-based exercise interventions on patients with depressive and/or anxiety disorders. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Six databases were searched (Cochrane Library, EBSCO, PubMed, SciELO, Scopus, and Web of Science), and eligible articles were identified according to a PICOS inclusion-exclusion approach (participants with depressive or anxiety disorders; web-based exercise interventions; active or passive control group; assessment of changes in depressive or anxiety disorders; randomized design). Primary outcomes were depressive and/or anxiety symptoms. The quality of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation. Results: Of 7,846 search results, three studies met the inclusion criteria (172 participants between 18 and 65 years of age, 95.9% women). The web-based exercise interventions lasted 8-12 weeks and involved endurance training, yoga, or combined endurance and strength training. The comparators involved non-exercise controls or active controls. Compliance rates were low. Web-based exercise interventions were not superior to controls regarding anxiety symptoms, and only one study found benefits for depressive symptoms (p ≤ 0.05). The quality of the cumulative evidence was low. Conclusion: The available data regarding the effects of web-based exercise interventions on depression and/or anxiety symptoms is scarce, the risk of bias is high, and the quality of the cumulative results is low. Currently, no clear recommendations can be provided. Registration number: PROSPERO CRD42021225938.

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Main Authors: Carneiro,Lara, Rosenbaum,Simon, Ward,Philip B., Clemente,Filipe M., Ramirez-Campillo,Rodrigo, Monteiro-Júnior,Renato S., Martins,Alexandre, Afonso,José
Format: Digital revista
Language:English
Published: Associação Brasileira de Psiquiatria 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022000300331
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spelling oai:scielo:S1516-444620220003003312022-05-23Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trialsCarneiro,LaraRosenbaum,SimonWard,Philip B.Clemente,Filipe M.Ramirez-Campillo,RodrigoMonteiro-Júnior,Renato S.Martins,AlexandreAfonso,José Telemedicine internet-based interventions exercise depression anxiety mental health Objective: The number of people suffering from depression and/or anxiety has increased steadily due to the coronavirus disease 2019 (COVID-19) pandemic. In this context, web-based exercise interventions have emerged as a potential treatment strategy. The objective of this study was to synthetize evidence from randomized controlled trials regarding the effects of web-based exercise interventions on patients with depressive and/or anxiety disorders. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Six databases were searched (Cochrane Library, EBSCO, PubMed, SciELO, Scopus, and Web of Science), and eligible articles were identified according to a PICOS inclusion-exclusion approach (participants with depressive or anxiety disorders; web-based exercise interventions; active or passive control group; assessment of changes in depressive or anxiety disorders; randomized design). Primary outcomes were depressive and/or anxiety symptoms. The quality of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation. Results: Of 7,846 search results, three studies met the inclusion criteria (172 participants between 18 and 65 years of age, 95.9% women). The web-based exercise interventions lasted 8-12 weeks and involved endurance training, yoga, or combined endurance and strength training. The comparators involved non-exercise controls or active controls. Compliance rates were low. Web-based exercise interventions were not superior to controls regarding anxiety symptoms, and only one study found benefits for depressive symptoms (p ≤ 0.05). The quality of the cumulative evidence was low. Conclusion: The available data regarding the effects of web-based exercise interventions on depression and/or anxiety symptoms is scarce, the risk of bias is high, and the quality of the cumulative results is low. Currently, no clear recommendations can be provided. Registration number: PROSPERO CRD42021225938.info:eu-repo/semantics/openAccessAssociação Brasileira de PsiquiatriaBrazilian Journal of Psychiatry v.44 n.3 20222022-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022000300331en10.1590/1516-4446-2021-2026
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language English
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author Carneiro,Lara
Rosenbaum,Simon
Ward,Philip B.
Clemente,Filipe M.
Ramirez-Campillo,Rodrigo
Monteiro-Júnior,Renato S.
Martins,Alexandre
Afonso,José
spellingShingle Carneiro,Lara
Rosenbaum,Simon
Ward,Philip B.
Clemente,Filipe M.
Ramirez-Campillo,Rodrigo
Monteiro-Júnior,Renato S.
Martins,Alexandre
Afonso,José
Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
author_facet Carneiro,Lara
Rosenbaum,Simon
Ward,Philip B.
Clemente,Filipe M.
Ramirez-Campillo,Rodrigo
Monteiro-Júnior,Renato S.
Martins,Alexandre
Afonso,José
author_sort Carneiro,Lara
title Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
title_short Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
title_full Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
title_fullStr Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
title_full_unstemmed Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
title_sort web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials
description Objective: The number of people suffering from depression and/or anxiety has increased steadily due to the coronavirus disease 2019 (COVID-19) pandemic. In this context, web-based exercise interventions have emerged as a potential treatment strategy. The objective of this study was to synthetize evidence from randomized controlled trials regarding the effects of web-based exercise interventions on patients with depressive and/or anxiety disorders. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Six databases were searched (Cochrane Library, EBSCO, PubMed, SciELO, Scopus, and Web of Science), and eligible articles were identified according to a PICOS inclusion-exclusion approach (participants with depressive or anxiety disorders; web-based exercise interventions; active or passive control group; assessment of changes in depressive or anxiety disorders; randomized design). Primary outcomes were depressive and/or anxiety symptoms. The quality of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation. Results: Of 7,846 search results, three studies met the inclusion criteria (172 participants between 18 and 65 years of age, 95.9% women). The web-based exercise interventions lasted 8-12 weeks and involved endurance training, yoga, or combined endurance and strength training. The comparators involved non-exercise controls or active controls. Compliance rates were low. Web-based exercise interventions were not superior to controls regarding anxiety symptoms, and only one study found benefits for depressive symptoms (p ≤ 0.05). The quality of the cumulative evidence was low. Conclusion: The available data regarding the effects of web-based exercise interventions on depression and/or anxiety symptoms is scarce, the risk of bias is high, and the quality of the cumulative results is low. Currently, no clear recommendations can be provided. Registration number: PROSPERO CRD42021225938.
publisher Associação Brasileira de Psiquiatria
publishDate 2022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022000300331
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