The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysis

BackgroundLimited research directly compares the clinical effects of different types of mind-body exercises on anxiety and depression in older adults. Therefore, we conducted a systematic review and network meta-analysis of randomized controlled trials that meet the inclusion criteria to explore the...

Full description

Bibliographic Details
Main Authors: Yangjian Dong, Xinxin Zhang, Rongting Zhao, Lan Cao, Xiaoqin Kuang, Jiwei Yao
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1305295/full
_version_ 1797322428571975680
author Yangjian Dong
Yangjian Dong
Xinxin Zhang
Rongting Zhao
Lan Cao
Xiaoqin Kuang
Jiwei Yao
author_facet Yangjian Dong
Yangjian Dong
Xinxin Zhang
Rongting Zhao
Lan Cao
Xiaoqin Kuang
Jiwei Yao
author_sort Yangjian Dong
collection DOAJ
description BackgroundLimited research directly compares the clinical effects of different types of mind-body exercises on anxiety and depression in older adults. Therefore, we conducted a systematic review and network meta-analysis of randomized controlled trials that meet the inclusion criteria to explore the intervention effects of five different types of mind-body exercises in improving anxiety and depression in older adults.MethodsWe followed the PRISMA-NMA guidelines and conducted searches in the Web of Science, PubMed, the Cochrane Library, and Embase databases up to July 28, 2023. The language was limited to English. Two independent reviewers conducted literature screening and data extraction. Review Manager 5.4 was used to perform Pairwise meta-analysis and risk assessment, while STATA version 15 software was used for network meta-analysis.ResultA total of 42 studies, involving 2974 participants, were included. The results of the traditional meta-analysis showed that mind-body exercises were superior to the control group in alleviating anxiety (SMD: -0.87, 95% CI: -1.43, -0.31, p<0.05, I2 = 95%) and depressive (SMD: -0.52, 95% CI: -0.71, -0.34, p<0.05, I2 = 80%). In the network meta-analysis, the ranking of treatment effects for anxiety showed that Tai Chi > Qigong > Yoga > Dance > control group, while for depression, the ranking showed Tai Chi > Pilates > Yoga > Qigong > Dance > control group.ConclusionThis study found that mind-body exercises have positive effects on improving anxiety and depression in older adults. Among the five different types of mind-body exercise interventions, Tai Chi was considered an effective approach for improving anxiety and depression. However, we encourage older adults to choose exercise modalities that suit their interests to enhance adherence.Systematic review registrationhttp://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023464296.
first_indexed 2024-03-08T05:13:13Z
format Article
id doaj.art-753b9d867e0e4a23909092b0a1c4d7ce
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-03-08T05:13:13Z
publishDate 2024-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-753b9d867e0e4a23909092b0a1c4d7ce2024-02-07T05:17:52ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-02-011510.3389/fpsyt.2024.13052951305295The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysisYangjian Dong0Yangjian Dong1Xinxin Zhang2Rongting Zhao3Lan Cao4Xiaoqin Kuang5Jiwei Yao6College of Physical Education and Health, Guangxi Normal University, Guilin, ChinaCollege of Physical Education, China Three Gorges University, Yichang, ChinaCollege of Physical Education and Health, Guangxi Normal University, Guilin, ChinaCollege of Physical Education and Health, Guangxi Normal University, Guilin, ChinaCollege of Physical Education and Health, Guangxi Normal University, Guilin, ChinaCollege of Physical Education and Health, Guilin University, Guilin, ChinaCollege of Physical Education and Health, Guangxi Normal University, Guilin, ChinaBackgroundLimited research directly compares the clinical effects of different types of mind-body exercises on anxiety and depression in older adults. Therefore, we conducted a systematic review and network meta-analysis of randomized controlled trials that meet the inclusion criteria to explore the intervention effects of five different types of mind-body exercises in improving anxiety and depression in older adults.MethodsWe followed the PRISMA-NMA guidelines and conducted searches in the Web of Science, PubMed, the Cochrane Library, and Embase databases up to July 28, 2023. The language was limited to English. Two independent reviewers conducted literature screening and data extraction. Review Manager 5.4 was used to perform Pairwise meta-analysis and risk assessment, while STATA version 15 software was used for network meta-analysis.ResultA total of 42 studies, involving 2974 participants, were included. The results of the traditional meta-analysis showed that mind-body exercises were superior to the control group in alleviating anxiety (SMD: -0.87, 95% CI: -1.43, -0.31, p<0.05, I2 = 95%) and depressive (SMD: -0.52, 95% CI: -0.71, -0.34, p<0.05, I2 = 80%). In the network meta-analysis, the ranking of treatment effects for anxiety showed that Tai Chi > Qigong > Yoga > Dance > control group, while for depression, the ranking showed Tai Chi > Pilates > Yoga > Qigong > Dance > control group.ConclusionThis study found that mind-body exercises have positive effects on improving anxiety and depression in older adults. Among the five different types of mind-body exercise interventions, Tai Chi was considered an effective approach for improving anxiety and depression. However, we encourage older adults to choose exercise modalities that suit their interests to enhance adherence.Systematic review registrationhttp://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023464296.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1305295/fullmind-body exerciseanxietydepressionolder adultsnetwork meta-analysis
spellingShingle Yangjian Dong
Yangjian Dong
Xinxin Zhang
Rongting Zhao
Lan Cao
Xiaoqin Kuang
Jiwei Yao
The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysis
Frontiers in Psychiatry
mind-body exercise
anxiety
depression
older adults
network meta-analysis
title The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysis
title_full The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysis
title_fullStr The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysis
title_full_unstemmed The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysis
title_short The effects of mind-body exercise on anxiety and depression in older adults: a systematic review and network meta-analysis
title_sort effects of mind body exercise on anxiety and depression in older adults a systematic review and network meta analysis
topic mind-body exercise
anxiety
depression
older adults
network meta-analysis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1305295/full
work_keys_str_mv AT yangjiandong theeffectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT yangjiandong theeffectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT xinxinzhang theeffectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT rongtingzhao theeffectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT lancao theeffectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT xiaoqinkuang theeffectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT jiweiyao theeffectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT yangjiandong effectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT yangjiandong effectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT xinxinzhang effectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT rongtingzhao effectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT lancao effectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT xiaoqinkuang effectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis
AT jiweiyao effectsofmindbodyexerciseonanxietyanddepressioninolderadultsasystematicreviewandnetworkmetaanalysis