Evidence map›Paper›PMID 37096668›Full record

SynthesisEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Exercise to treat psychopathology and other clinical outcomes in schizophrenia: A systematic review and meta-analysis.

Daniel Gallardo-Gómez, Michael Noetel, Francisco Álvarez-Barbosa, Rosa María Alfonso-Rosa, Javier Ramos-Munell, Borja Del Pozo Cruz, Jesús Del Pozo-Cruz

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. The Australian and New Zealand journal of psychiatry · 2026
    Guideline
  3. EPA guidance on lifestyle interventions for adults with severe mental illness: A meta-review of the evidence.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Predictors of adherence to exercise interventions in people with schizophrenia.European archives of psychiatry and clinical neuroscience · 2024
    Trial
  9. Article
  10. Article
  11. International perspective on social cognition in schizophrenia: current stage and the next steps.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Review
  12. Review
  13. 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

7 authors.

Daniel Gallardo-GómezPhysical Education and Sports Department, Faculty of Education, University of Seville, Seville, Spain.ORCID 0000-0002-3029-026X
Michael NoetelInstitute for Positive Psychology & Education, Australian Catholic University, Sydney, NSW, Australia.ORCID 0000-0002-6563-8203
Francisco Álvarez-BarbosaPhysical Education and Sports Department, Faculty of Education, University of Seville, Seville, Spain.ORCID 0000-0001-9107-0618
Rosa María Alfonso-RosaEpidemiology of Physical Activity and Fitness Across the Lifespan (EPAFit) Research Group, Faculty of Education, University of Seville, Sevilla, Spain.ORCID 0000-0002-4447-0659
Javier Ramos-MunellPhysical Education and Sports Department, Faculty of Education, University of Seville, Seville, Spain.ORCID 0000-0002-2628-1184
Borja Del Pozo CruzEpidemiology of Physical Activity and Fitness Across the Lifespan (EPAFit) Research Group, Faculty of Education, University of Seville, Sevilla, Spain.
Jesús Del Pozo-CruzPhysical Education and Sports Department, Faculty of Education, University of Seville, Seville, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychopathology and side effects of antipsychotic drugs contribute to worsening physical health and long-term disability, and increasing the risk of mortality in these patients. The efficacy of exercise on these factors is not fully understood, and this lack of knowledge may hamper the routine application of physical activity as part of the clinical care of schizophrenia.

aimsTo determine the effect of exercise on psychopathology and other clinical markers in patients with schizophrenia. We also looked at several moderators.

methodMEDLINE, Web of Science, Scopus, CINAHL, SPORTDiscus, PsycINFO, and Cochrane Library databases were systematically searched from inception to October 2022. Randomized controlled trials of exercise interventions in patients 18-65 years old diagnosed with schizophrenia disorder were included. A multilevel random-effects meta-analysis was conducted to pool the data. Heterogeneity at each level of the meta-analysis was estimated via Cochran's

resultsPooled effect estimates from 28 included studies (1,460 patients) showed that exercise is effective to improve schizophrenia psychopathology (Hedges'

conclusionsOur meta-analysis demonstrated that exercise could be an important part in the management and treatment of schizophrenia. Considering the current evidence, aerobic and high-intensity interval training exercises may provide superior benefits over other modalities. However, more studies are warranted to determine the optimal type and dose of exercise to improve clinical outcomes in people with schizophrenia.

Indexed as

SchizophreniaAdolescentAdultAgedDepressionExerciseExercise TherapyHumansMiddle AgedPsychopathologyYoung AdultExercisemeta-analysispsychopathologyschizophrenia

Identifiers

PMID37096668
PMCPMC10305321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.