@article{ref1,
title="Physical exercise for treating the anxiety and depression symptoms of Parkinson's disease: systematic review and meta-analysis",
journal="Journal of geriatric psychiatry and neurology",
year="2024",
author="Costa, Valton and Prati, José Mario and de Oliveira Barreto Suassuna, Alice and Souza Silva Brito, Thanielle and Frigo da Rocha, Thalita and Gianlorenço, Anna Carolyna",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Depression and anxiety are non-motor symptoms of Parkinson's disease (PD). Physical exercise is a promising approach to reducing neuropsychological burden. We aimed to comprehensively synthesize evidence regarding the use of exercise for treating depression and anxiety symptoms in PD. <br><br>METHODS: Systematic review and meta-analysis following PRISMA recommendations. Searches on PubMed, Cochrane Library, Scopus, Web of Science, Embase, and Physiotherapy Evidence Database (PEDro) was conducted. The random-effects model was employed for all analyses with the standardized mean difference as the effect estimate. <br><br>RESULTS: Fifty records were retrieved, but only 17 studies met the criteria for the meta-analyses. A moderate to large effect was observed for depression (-.71 [95% CI = -.96 to -.46], 11 studies, 728 individuals), and a small to moderate effect for anxiety (-.39 [95% CI = -.65 to -.14], 6 studies, 241 individuals), when comparing exercise to non-exercise controls. Subgroup analysis revealed significant effects from aerobic (-.95 [95% CI = -1.60, -.31]), mind-body (-1.85 [95% CI = -2.63, -1.07]), and resistance modalities (-1.61 [95% CI = -2.40, -.83]) for depression, and from mind-body (-.67 [95% CI = -1.19 to -.15]) and resistance exercises (-1.00 [95% CI = -1.70 to -.30]) for anxiety. <br><br>CONCLUSION: Physical exercise has a relevant clinical impact on depression and anxiety in PD. We discuss the level of the evidence, the methodological limitations of the studies, and give recommendations.<p /> <p>Language: en</p>",
language="en",
issn="0891-9887",
doi="10.1177/08919887241237223",
url="http://dx.doi.org/10.1177/08919887241237223"
}