Evidence map›Paper›PMID 31182060›Full record

Trial reportBMC psychiatry2019

EFFORT-D: results of a randomised controlled trial testing the EFFect of running therapy on depression.

Frank Kruisdijk, Marijke Hopman-Rock, Aartjan T F Beekman, Ingrid Hendriksen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A Scoping Review of the Relationship between Running and Mental Health.International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Frank KruisdijkGGz Centraal Innova, Amersfoort, the Netherlands. F.Kruisdijk@vumc.nl.ORCID 0000-0002-7244-9179
Marijke Hopman-RockBody@Work, TNO-VU University Amsterdam Medical Center, Amsterdam, the Netherlands.
Aartjan T F BeekmanAmsterdam University Medical Center, location VUmc, Department of Psychiatry, Amsterdam, the Netherlands.
Ingrid HendriksenBody@Work, TNO-VU University Amsterdam Medical Center, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Results of a randomised controlled trial testing the EFFect Of Running Therapy on Depression.

backgroundThis randomised controlled trial explored the anti-depressive and health effects of add-on exercise (running therapy or Nordic walking) in patients with Major Depressive Disorder (MDD).

methodsPatients were recruited at three specialised mental health care institutions. In the intervention group exercise was planned two times a week during 6 months, the control group received care as usual. Observer-blinded measurements included Hamilton-17 depression scores and several health and fitness parameters. Submaximal bicycle-tests were performed at inclusion, 3, 6 and 12 months. The effects of exercise were assessed by effect size, intention-to-treat and analysis per protocol using General Linear Models (GLM) with time x group interactions.

resultsIn total, 183 patients were assessed for eligibility and 135 were excluded (40% of the potential participants declined to participate mainly due to a lack of time and motivation). Together with a drop-out of 55% at 6 months, this reduced the power of the study severely. As a result, statistical analysis was performed only on the first 3 months of the study. Data were ultimately analysed from 46 patients, of which 24 were in the intervention group. Significantly more women were in the intervention group, and depression and fitness were higher in the control group. Participants showed 2-3 points less depression on average after 3 months. However, the GLM showed no effect on depression (Cohen's d < 0.2, F = .13, p = .73) in both the intention-to-treat and per protocol analyses. However, large effect sizes (Cohen's d > 0.8) were found for aerobic capacity (VO

conclusionsIn this selective and relative small clinical population with MDD, an anti-depressive effect of the exercise intervention could not be measured and is also unlikely due to the very low effect size. An integrated lifestyle intervention will probably be more effective than a single add-on exercise intervention. However, significantly increased fitness levels may contribute to the alleviation of current cardio-metabolic risk factors or prevention of these in the future.

trial registrationNetherlands Trial Register (NTR): NTR1894 on July 2nd 2009.

Indexed as

AdultBody Mass IndexExercise TherapyFemaleHumansLife StyleMajor Depressive DisorderMaleMiddle AgedNetherlandsRisk FactorsRunningTreatment OutcomeWalkingCardio-metabolic riskExerciseMajor depressive disorderSpecialized mental health careSubmaximal bicycle test

Identifiers

PMID31182060
PMCPMC6558800

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.