Evidence map›Paper›PMID 41022903›Full record

ArticleScientific reports2025

Effect and acceptability of different exercise modes on adult patients with clinically diagnosed depression: a network meta-analysis.

Siqi Zhang, Jielin Yang, Jiawei Chen, Junli Wang, Gang Liu

Abstract readNetwork Meta-Analysis
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Siqi ZhangSchool of Public Policy and Management, China University of Mining and Technology, Xuzhou, 221116, China.
Jielin YangSchool of Physical Education, Yunnan Normal University, Kunming, 650500, China.
Jiawei ChenHunan Mechanical Elecrical Polytechnic, Changsha, 410000, China. karlhun@163.com.
Junli WangSchool of Physical Education, China University of Mining and Technology, Xuzhou, 221116, China.
Gang LiuSchool of Art, Anhui Xinhua University, Hefei, 230088, China.

Funding

2020 provincial first-class undergraduate construction site2020 provincial first-class undergraduate construction site 2020ylzy03
6 · The paper itself

Abstract

The global prevalence of depression continues to rise, making it a leading cause of suicide. Although evidence-based treatments for mental disorders exist, over 75% of affected individuals in low- and middle-income countries lack access to care. Consequently, cost-effective exercise interventions are increasingly recognized as viable therapeutic options. However, conclusive evidence comparing the relative efficacy and acceptability of different exercise modalities for alleviating depressive symptoms remains lacking. Therefore, this study employed a network meta-analysis to directly compare the relative efficacy and acceptability of various exercise interventions for individuals with depression. Adhering to PRISMA-NMA guidelines, a comprehensive literature search was conducted across seven electronic databases (PubMed, Cochrane Library, PsycINFO, Embase, CNKI, MEDLINE, and Web of Science) to identify randomized controlled trials (RCTs) examining exercise interventions for depression.Studies meeting the predefined inclusion criteria were selected for analysis.Methodological quality and risk of bias of the included studies were evaluated using the Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1).The quality of evidence derived from the network meta-analysis was assessed using the Confidence in Network Meta-Analysis (CINeMA) framework. Network meta-analysis was performed using Stata software (version 17.0). The final analysis included 58 articles (encompassing 62 RCTs) with a total of 3,751 participants, evaluating three exercise categories: aerobic exercise, mind-body exercise, and resistance training. All three exercise modalities showed significantly greater antidepressant efficacy than control conditions (routine control, control condition, waiting list), with statistical significance (P < 0.05). Notably, mind-body exercise (SMD: -0.43, 95% CI [-0.82, -0.04], P < 0.05) demonstrated superior efficacy in alleviating adult depression compared to aerobic exercise. The efficacy ranking for depression relief was: mind-body exercise (94.1%) > resistance training (81.0%) > aerobic exercise (63.9%). Regarding acceptability, the ranking was aerobic exercise (67.1%) > mind-body exercise (61.5%) > resistance training (39.3%). Subgroup analysis indicated that mind-body exercise consistently ranked highest in efficacy for depression intervention, regardless of intervention duration. Specifically, mind-body exercise ranked first across all durations: >4 to ≤ 8 weeks (86.9%), > 9 to ≤ 12 weeks (83.2%), and > 12 weeks (98.5%). Mind-body exercises demonstrated superior efficacy relative to other interventions for individuals with depression, yet its acceptability was marginally lower than that of aerobic exercise. Further rigorous studies are necessary to confirm this finding.

Indexed as

DepressionExerciseExercise TherapyAdultFemaleHumansMaleRandomized Controlled Trials as TopicTreatment OutcomeAcceptabilityAerobic exerciseCurative effectDepressionExercise therapyNetwork meta-analysisPsychosomatic exerciseResistance training

Identifiers

PMID41022903
PMCPMC12479949

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.