The Effects of Resistance Exercise Training on Anxiety: A Meta-Analysis and Meta-Regression Analysis of Randomized Controlled Trials.

Background: The salutary effects of resistance exercise training (RET) are well established, including increased strength and function; however, less is known regarding the effects of RET on mental health outcomes. Aerobic exercise has well-documented positive effects on anxiety, but a quantitative...

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Publicado en:Sports Medicine Vol. 47; no. 12; pp. 2521 - 2533
Autores principales: Gordon, Brett, McDowell, Cillian, Lyons, Mark, Herring, Matthew
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Dec2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2017
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      pub: Springer Nature
      place: New York, New York
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        atl: The Effects of Resistance Exercise Training on Anxiety: A Meta-Analysis and Meta-Regression Analysis of Randomized Controlled Trials.
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          Gordon, Brett
          McDowell, Cillian
          Lyons, Mark
          Herring, Matthew
        affil: Department of Physical Education and Sport Sciences , University of Limerick , Limerick Ireland
      sug:
        subj:
          Resistance Training Psychosocial Factors
          Anxiety Symptoms
          Symptoms Prevention and Control
          Systematic Review
          Human
          Descriptive Statistics
          Data Analysis Software
          P-Value
          Confidence Intervals
          Odds Ratio
          Medline
          Psycinfo
          PubMed
          Regression
          Male
          Female
          Effect Size
          Intraclass Correlation Coefficient
          Adult
          Middle Age
          Aged
          Adolescence
          Aged, 80 and Over
          Scales
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adolescent: 13-18 years
          Aged, 80 & over
          Male
          Female
      ab: Background: The salutary effects of resistance exercise training (RET) are well established, including increased strength and function; however, less is known regarding the effects of RET on mental health outcomes. Aerobic exercise has well-documented positive effects on anxiety, but a quantitative synthesis of RET effects on anxiety is needed. Objectives: To estimate the population effect size for resistance exercise training (RET) effects on anxiety and to determine whether variables of logical, theoretical, and/or prior empirical relation to anxiety moderate the overall effect. Methods: Thirty-one effects were derived from 16 articles published before February 2017, located using Google Scholar, MEDLINE, PsycINFO, PubMed, and Web of Science. Trials involved 922 participants (mean age = 43 ± 21 years, 68% female/32% male) and included both randomization to RET ( n = 486) or a non-active control condition ( n = 436), and a validated anxiety outcome measured at baseline, mid-, and/or post-intervention. Hedges' d effect sizes were computed and random effects models were used for all analyses. Meta-regression quantified the extent to which participant and trial characteristics moderated the mean effect. Results: RET significantly reduced anxiety symptoms (Δ = 0.31, 95% CI 0.17-0.44; z = 4.43; p < 0.001). Significant heterogeneity was not indicated ( Q (30) = 40.5, p > 0.09; I = 28.3%, 95% CI 10.17-42.81); sampling error accounted for 77.7% of observed variance. Larger effects were found among healthy participants (Δ = 0.50, 95% CI 0.22-0.78) compared to participants with a physical or mental illness (Δ = 0.19, 95% CI 0.06-0.31, z = 2.16, p < 0.04). Effect sizes did not significantly vary according to sex ( β = −0.31), age ( β = −0.10), control condition ( β = 0.08), program length ( β = 0.07), session duration ( β = 0.08), frequency ( β = −0.10), intensity ( β = −0.18), anxiety recall time frame ( β = 0.21), or whether strength significantly improved ( β = 0.19) (all p ≥ 0.06). Conclusions: RET significantly improves anxiety symptoms among both healthy participants and participants with a physical or mental illness. Improvements were not moderated by sex, or based on features of RET. Future trials should compare RET to other empirically-supported therapies for anxiety.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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