The Effects of Exercise Training on Anxiety in Fibromyalgia Patients: A Meta-analysis.

Purpose To evaluate the effects of exercise training on anxiety symptoms in patients with FM, and to examine whether variables of theoretical or practical importance moderate the estimated mean effect. Methods Twenty-five effects were derived from 10 articles published before June 2016 located using...

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Publicado en:Medicine & Science in Sports & Exercise Vol. 49; no. 9; pp. 1868 - 1877
Autores principales: MCDOWELL, CILLIAN P., COOK, DANE B., HERRING, MATTHEW P.
Formato: meta analysis research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Sep2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2017
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: The Effects of Exercise Training on Anxiety in Fibromyalgia Patients: A Meta-analysis.
      aug:
        au:
          MCDOWELL, CILLIAN P.
          COOK, DANE B.
          HERRING, MATTHEW P.
        affil: Department of Physical Education and Sport Sciences, University of Limerick, University of Limerick, Ireland, IRELAND
      sug:
        subj:
          Fibromyalgia
          Anxiety
          Exercise
          Meta Analysis
          Human
          Medline
          Psycinfo
          PubMed
          Female
          Middle Age
          Adult
          Effect Size
          Patient Compliance
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
      ab: Purpose To evaluate the effects of exercise training on anxiety symptoms in patients with FM, and to examine whether variables of theoretical or practical importance moderate the estimated mean effect. Methods Twenty-five effects were derived from 10 articles published before June 2016 located using Google Scholar, MEDLINE, PsycINFO, PubMed, and Web of Science. Trials involved 595 patients with FM (mean age: 47.6 years, 97.5% female) and included both randomization to exercise training (n=297) or a non-exercise control condition (n=298) and an anxiety outcome measured at baseline and during and/or after exercise training. Hedges' d effect sizes were computed, data for moderator variables were extracted, and random effects models were used to estimate sampling error and population variance for all analyses. Meta-regression quantified the extent to which patient and trial characteristics moderated the mean effect. Results Exercise training significantly reduced anxiety symptoms by a mean effect Δ of 0.28 (95%CI: 0.16-0.40). No significant heterogeneity was observed (Q24=30.79; p=0.16; I²=25.29%). Program duration (β=1.44; z=2.50; p≤0.01) was significantly related to the overall effect, with significantly larger anxiety improvements resulting from programs lasting greater than 26 weeks (Δ=0.35; 95%CI, 0.05-0.66) compared with those lasting less than 26 weeks (Δ=0.26; 95%CI, 0.13-0.39). Conclusion Exercise training improves anxiety symptoms among FM patients. The findings also suggest that larger anxiety symptom reductions will be achieved by focusing on longer exercise programs while promoting long-term adherence. Future well-designed investigations are required to examine the potential moderating effect of pain-related improvements in FM patients.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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