1. Chronic exercise effects on overall depression severity and distinct depressive symptoms in older adults : A protocol of a systematic and meta-analytic review
- Author
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Mack, Melanie, Badache, Andreea, Erden, Arzu, Giannaki, Christoforos D., Haider, Sandra, Kaltsatou, Antonia, Kömürcü Akik, Burcu, Netz, Yaël, Pavlova, Iuliia, Stavrinou, Pinelopi S., Voelcker-Rehage, Claudia, Audiffren, Michel, Mack, Melanie, Badache, Andreea, Erden, Arzu, Giannaki, Christoforos D., Haider, Sandra, Kaltsatou, Antonia, Kömürcü Akik, Burcu, Netz, Yaël, Pavlova, Iuliia, Stavrinou, Pinelopi S., Voelcker-Rehage, Claudia, and Audiffren, Michel
- Abstract
INTRODUCTION: There is high evidence that chronic exercise benefits overall depression severity in older adults. However, late-life depression is characterized by considerable heterogeneity in clinical manifestation emphasizing the need for more individualized exercise intervention programs. Therefore, the objective of the proposed review is to investigate the effects of chronic exercise on overall depression severity and on different symptoms of depression in randomized controlled trials (RCTs) including older adults with a mean age of at least 60 years, and by considering the moderating effects of intervention characteristics and individual characteristics. METHODS: This protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P). We will use the Population-Intervention-Comparator-Outcomes-Study design (PICOS) criteria for study inclusion and will search the following database sources for relevant RCTs: Web of Science, Academic Search Complete, CINAHL, APA Psycinfo, SPORTDiscuss, Cochrane. Two independent reviewers will conduct the study selection, data extraction, and quality assessment. Disagreement will be solved by a third reviewer. Primary outcome will be changes in overall depression severity and secondary outcomes will encompass changes in symptoms of depression as defined by the DSM-5, such as sleep quality, fatigue, anxiety, mood, apathy, changes in weight, information processing speed, and executive functions, from baseline until the end of the intervention and to any available intermediary measurement or follow up. Meta-analysis will be undertaken to synthesize the effects of chronic exercise on primary and secondary outcomes. Subgroup analysis will investigate the moderating effects of intervention characteristics (frequency, intensity, duration, type of exercise, cognitive demand, social interactions, exercise supervision, behavioral change techniques, compliance, study design, dropout-rate, type o, Study Protocol.
- Published
- 2024
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