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Exercise for depression

  1. Gary M Cooney1,
  2. Kerry Dwan2,
  3. Carolyn A Greig3,
  4. Debbie A Lawlor4,
  5. Jane Rimer5,
  6. Fiona R Waugh6,
  7. Marion McMurdo7,
  8. Gillian E Mead8,*

Editorial Group: Cochrane Common Mental Disorders Group

Published Online: 12 SEP 2013

Assessed as up-to-date: 13 JUL 2012

DOI: 10.1002/14651858.CD004366.pub6


How to Cite

Cooney GM, Dwan K, Greig CA, Lawlor DA, Rimer J, Waugh FR, McMurdo M, Mead GE. Exercise for depression. Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD004366. DOI: 10.1002/14651858.CD004366.pub6.

Author Information

  1. 1

    Royal Edinburgh Hospital, NHS Lothian, Division of Psychiatry, Edinburgh, Midlothian, UK

  2. 2

    University of Liverpool, Institute of Child Health, Liverpool, England, UK

  3. 3

    University of Birmingham, Birmingham, UK

  4. 4

    University of Bristol, MRC Centre for Causal Analyses in Translational Epidemiology, School of Social and Community Medicine, Bristol, Avon, UK

  5. 5

    NHS Lothian, University Hospitals Division, Edinburgh, Scotland, UK

  6. 6

    Victoria Hostpital Kirkcaldy, General Surgery, NHS Fife, Kirkcaldy, Fife, UK

  7. 7

    University of Dundee, Centre for Cardiovascular and Lung Biology, Division of Medical Sciences, Dundee, UK

  8. 8

    University of Edinburgh, Centre for Clinical Brain Sciences, Edinburgh, UK

*Gillian E Mead, Centre for Clinical Brain Sciences, University of Edinburgh, Room S1642, Royal Infirmary, Little France Crescent, Edinburgh, EH16 4SA, UK. gillian.e.mead@ed.ac.uk. gmead@staffmail.ed.ac.uk.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 12 SEP 2013

SEARCH

[Figure 1]
Figure 1. Study flow diagram, showing the results of the searches for this current update.
[Figure 2]
Figure 2. 'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Figure 3]
Figure 3. 'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
[Figure 4]
Figure 4. Funnel plot of comparison: 1 Exercise versus control, outcome: 1.1 Reduction in depression symptoms post-treatment.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Exercise versus 'control', Outcome 1 Reduction in depression symptoms post-treatment.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Exercise versus 'control', Outcome 2 Reduction in depression symptoms follow-up.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Exercise versus 'control', Outcome 3 Completed intervention or control.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Exercise versus 'control', Outcome 4 Quality of life.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Exercise versus psychological therapies, Outcome 1 Reduction in depression symptoms post-treatment.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Exercise versus psychological therapies, Outcome 2 Completed exercise or pyschological therapies.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Exercise versus psychological therapies, Outcome 3 Quality of life.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Exercise versus bright light therapy, Outcome 1 Reduction in depression symptoms post-treatment.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Exercise versus pharmacological treatments, Outcome 1 Reduction in depression symptoms post-treatment.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Exercise versus pharmacological treatments, Outcome 2 Completed exercise or antidepressants.
[Analysis 4.3]
Analysis 4.3. Comparison 4 Exercise versus pharmacological treatments, Outcome 3 Quality of Life.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Reduction in depression symptoms post-treatment: Subgroup analyses, Outcome 1 Exercise vs control subgroup analysis: type of exercise.
[Analysis 5.2]
Analysis 5.2. Comparison 5 Reduction in depression symptoms post-treatment: Subgroup analyses, Outcome 2 Exercise vs control subroup analysis: intensity.
[Analysis 5.3]
Analysis 5.3. Comparison 5 Reduction in depression symptoms post-treatment: Subgroup analyses, Outcome 3 Exercise vs control subroup analysis: number of sessions.
[Analysis 5.4]
Analysis 5.4. Comparison 5 Reduction in depression symptoms post-treatment: Subgroup analyses, Outcome 4 Exercise vs control subroup analysis: diagnosis of depression.
[Analysis 5.5]
Analysis 5.5. Comparison 5 Reduction in depression symptoms post-treatment: Subgroup analyses, Outcome 5 Exercise vs control subgroup analysis: type of control.
[Analysis 6.1]
Analysis 6.1. Comparison 6 Exercise versus control: sensitivity analyses, Outcome 1 Reduction in depression symptoms post-treatment: peer-reviewed journal publications and doctoral theses only.
[Analysis 6.2]
Analysis 6.2. Comparison 6 Exercise versus control: sensitivity analyses, Outcome 2 Reduction in depression symptoms post-treatment: studies published as abstracts or conference proceedings only.
[Analysis 6.3]
Analysis 6.3. Comparison 6 Exercise versus control: sensitivity analyses, Outcome 3 Reduction in depression symptoms post-treatment: studies with adequate allocation concealment.
[Analysis 6.4]
Analysis 6.4. Comparison 6 Exercise versus control: sensitivity analyses, Outcome 4 Reduction in depression symptoms post-treatment: studies using intention-to-treat analysis.
[Analysis 6.5]
Analysis 6.5. Comparison 6 Exercise versus control: sensitivity analyses, Outcome 5 Reduction in depression symptoms post-treatment: studies with blinded outcome assessment.
[Analysis 6.6]
Analysis 6.6. Comparison 6 Exercise versus control: sensitivity analyses, Outcome 6 Reduction in depression symptoms post-treatment: allocation concealment, intention-to-treat, blinded outcome.
[Analysis 6.7]
Analysis 6.7. Comparison 6 Exercise versus control: sensitivity analyses, Outcome 7 Reduction in depression symptoms post-treatment: Lowest dose of exercise.