Evidence map›Paper›PMID 38781250›Full record

ArticlePloS one2024

Chronic exercise effects on overall depression severity and distinct depressive symptoms in older adults: A protocol of a systematic and meta-analytic review.

Melanie Mack, Andreea Badache, Arzu Erden, Christoforos D Giannaki, Sandra Haider, Antonia Kaltsatou, Burcu Kömürcü Akik, Yaël Netz, Iuliia Pavlova, Pinelopi S Stavrinou and 3 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Melanie MackCentre for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0000-0002-5512-0339
Andreea BadacheDepartment of Disability Research, National Research School on Ageing and Health, Örebro University, Örebro, Sweden.
Arzu ErdenDepartment of Physiotherapy and Rehabilitation, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey.
Christoforos D GiannakiDepartment of Life Sciences, University of Nicosia, Nicosia, Cyprus.
Sandra HaiderCenter for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Vienna, Austria.
Antonia KaltsatouFunctional Architecture of Mammals in their Environment (FAME) Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Volos, Greece.
Burcu Kömürcü AkikDepartment of Psychology, Faculty of Languages and History-Geography, Ankara University, Ankara, Turkey.ORCID https://orcid.org/0000-0001-6051-4941
Yaël NetzThe Levinsky-Wingate Academic Center, Tel Aviv, Israel.
Iuliia PavlovaDepartment of Theory and Methods of Physical Culture, Lviv State University of Physical Culture, Lviv, Ukraine.ORCID https://orcid.org/0000-0002-8111-4469
Pinelopi S StavrinouDepartment of Life Sciences, University of Nicosia, Nicosia, Cyprus.ORCID https://orcid.org/0000-0003-2904-3218
Claudia Voelcker-RehageDepartment of Neuromotor Behavior and Exercise, Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany.
Michel AudiffrenCognition and Learning Research Center, Maison des Sciences de l'Homme et de la Société, CNRS, University of Poitiers, Poitiers, France.
PhysAgeNet

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere 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.

methodsThis 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 of control group) and individual characteristics (age, sex, education, functional capacity, global cognition, population) on primary and secondary outcomes. Additionally, we plan to assess quality of evidence and publication bias, and to carry out sensitivity analysis.

conclusionThe results of the proposed review are anticipated to have a substantial impact on research and clinical practice. On the one hand, the review's conclusions could form the foundation for developing evidence-based recommendations for individualized exercise programs that alleviate depression in older adults. On the other hand, by revealing research gaps, the review results could encourage the formulation of research questions for further RCTs. PROTOCOL REGISTRATION NUMBER: This protocol has been published in the Prospero repository (PROSPERO 2022 CRD42022361418, available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022361418).

Indexed as

DepressionExerciseMeta-Analysis as TopicSystematic Reviews as TopicAgedExercise TherapyHumansMiddle AgedRandomized Controlled Trials as Topic

Identifiers

PMID38781250
PMCPMC11115242

What OpenQuestion holds

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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.