Arsh, Aatik, Afaq, Saima, Carswell, Claire orcid.org/0000-0003-3781-3286 et al. (3 more authors) (2023) Effectiveness of physical activity in managing co-morbid depression in adults with type 2 diabetes mellitus:A systematic review and meta-analysis. Journal of affective disorders. pp. 448-459. ISSN 0165-0327
Abstract
BACKGROUND: Physical activity may be effective in alleviating depressive symptoms and improving glycaemic control; however, evidence to guide practice is limited. The current review was conducted to assess the effects of physical activity on depression and glycaemic control in people with type 2 diabetes mellitus. METHODS: Randomized controlled clinical trials, from the earliest record to October 2021, which recruited adults with the diagnosis of type 2 diabetes mellitus and compared physical activity with no interventions or usual care for the management of depression were included. The outcomes were change in depression severity and glycaemic control. RESULTS: In 17 trials, including 1362 participants, physical activity was effective in reducing the severity of depressive symptoms (SMD = -057; 95%CI = -0.80, -0.34). However, physical activity did not have a significant effect in improving markers of glycaemic control (SMD = -0.18; 95%CI = -0.46, 0.10). LIMITATIONS: There was substantial heterogeneity in the included studies. Furthermore, risk of bias assessment showed that most of the included studies were of low quality. CONCLUSIONS: Physical activity can effectively reduce the severity of depressive symptoms, nonetheless, it appears that physical activity is not significantly effective in improving glycaemic control in adults who have both type 2 diabetes mellitus and depressive symptoms. The latter finding is surprising, however, given the limited evidence on which this is based, future research on the effectiveness of physical activity for depression in this population should include high quality trials with glycaemic control as an outcome.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 The Author(s). |
Keywords: | Adult,Humans,Diabetes Mellitus, Type 2/complications,Depression/therapy,Comorbidity |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Depositing User: | Pure (York) |
Date Deposited: | 16 Mar 2023 11:50 |
Last Modified: | 29 Dec 2024 00:14 |
Published Version: | https://doi.org/10.1016/j.jad.2023.02.122 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.jad.2023.02.122 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:197415 |
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Description: Effectiveness of physical activity in managing co-morbid depression in adults with type 2 diabetes mellitus: A systematic review and meta-analysis
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