Evidence map›Paper›PMID 41459285›Full record

SynthesisFrontiers in psychology2025

Optimal exercise modality and dose for alleviating depressive symptoms in postmenopausal women: a systematic review and network meta-analysis of randomized controlled trials.

Peiming Xu, Rui Guo, Lei Yang, Junkai Ding

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Peiming XuSchool of Physical Education, Shandong University, Jinan, China.
Rui GuoSchool of Physical Education, Shandong University of Finance and Economics, Jinan, China.
Lei YangSchool of Physical Education, University of Jinan, Jinan, China.
Junkai DingSchool of Physical Education, Shandong University of Finance and Economics, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Although physical exercise is widely recognized as an effective non-pharmacological intervention for depressive symptoms, the relative efficacy of different exercise modalities and the optimal dose for postmenopausal women remain unclear. This study aimed to determine the optimal exercise modality and dose for alleviating depressive symptoms in postmenopausal women through a systematic review and network meta-analysis (NMA), incorporating a model-based network meta-analysis (MBNMA) for dose-response relationships. Methods: Five major electronic databases (Web of Science, Cochrane Library, PubMed, EBSCO, and Embase) were searched for randomized controlled trials (RCTs) investigating the effects of exercise interventions on depressive symptoms in postmenopausal women. The risk of bias in included studies was assessed using the Cochrane Risk of Bias 2 (RoB 2) tool. The NMA and dose-response MBNMA were conducted using R software. Results: A total of 33 RCTs involving 2,607 participants were included. The NMA results showed that all four exercise modalities-resistance exercise (RE), mind-body exercise (MBE), aerobic exercise (AE), and combined exercise (CBE)-significantly alleviated depressive symptoms compared to the control group: RE (SMD = -0.90, 95% CI: -1.61 to -0.20), MBE (SMD = -0.75, 95% CI: -1.07 to -0.43), AE (SMD = -0.67, 95% CI: -0.93 to -0.42), and CBE (SMD = -0.63, 95% CI: -1.19 to -0.06). P-score rankings suggested that RE ( Conclusion: Physical exercise is a highly effective intervention for alleviating depressive symptoms in postmenopausal women, with resistance and mind-body exercises demonstrating the greatest therapeutic potential. The antidepressant effect of exercise follows a U-shaped dose-response relationship, with an optimal dose of approximately 750 METs-min/week. These findings provide robust evidence for clinicians to move beyond generic recommendations and to develop precise, individualized exercise prescriptions tailored to the specific needs and conditions of their patients. Systematic review registration: PROSPERO, identifier (CRD420251208430).

Indexed as

depressiondose–responseexercisemodel-based network meta-analysispostmenopausal womenRCT

Identifiers

PMID41459285
PMCPMC12739755

What OpenQuestion holds

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LicenceCC BY
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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.