Evidence map›Paper›PMID 42593223›Full record

SynthesisThe Gerontologist2026

A systematic review and meta-analysis of lifestyle interventions for informal caregivers of older adults: effects on behavioral change, mental health, and physical health.

Dara Kiu Yi Leung, Lucy Xi Lu, Yun-Han Wang, Yun-Lin Wang, Artemis Sze Kok Fung, Tingan Jin

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The Gerontologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Dara Kiu Yi LeungDepartment of Social Work, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0002-7255-2790
Lucy Xi LuDepartment of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, China.ORCID 0009-0003-1853-9645
Yun-Han WangDepartment of Psychology, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0001-9721-0941
Yun-Lin WangDepartment of Counselling, Clinical and Industrial/Organizational Psychology, Ming Chuan University, Taipei, Taiwan.ORCID 0000-0002-4772-6154
Artemis Sze Kok FungTeaching and Learning Innovation Centre, The University of Hong Kong, Hong Kong SAR, China.ORCID 0009-0009-5435-1790
Tingan JinDepartment of Sociology, Purdue University, West Lafayette, Indiana, United States.ORCID 0009-0007-4258-5501

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesInformal caregivers of older adults often experience poorer lifestyle behaviors and elevated risks of physical and mental health problems. This systematic review and meta-analysis evaluated the effects of lifestyle interventions on behavioral, mental, and physical health outcomes among caregivers of older adults, and explored whether intervention characteristics influenced outcomes. RESEARCH DESIGN AND

methodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO CRD42023439797), a systematic search was conducted using PsycINFO, MEDLINE, and EMBASE up to July 11, 2025. Randomized controlled trials were included. Pooled estimates were calculated using random-effects meta-analysis. Risk of bias was assessed using the Revised Cochrane Risk of Bias tool.

results21 studies (N = 2,099) were identified, with 17 included in the meta-analysis. Most interventions focused on physical activity, few addressed sleep or nutrition and none targeted smoking or alcohol use. Pooled estimates derived mainly from physical activity interventions suggested a small reduction in depressive symptoms (SMD = -0.34, 95% CI -0.47 to -0.20). Subgroup analyses suggested that depressive symptom reductions reached statistical significance only in hybrid physical activity interventions combining in-person sessions with technology-supported monitoring, but not in telephone-based or in-person formats. Most studies were rated as high risk of bias. DISCUSSION AND IMPLICATIONS: Preliminary findings, largely derived from physical activity interventions, suggest a small reduction in depressive symptoms, with no consistent effects for physical activity, sleep quality, caregiving burden, stress, or self-rated health. The evidence is limited in scope and rigor. Future research may target a broader range of lifestyle behaviors.

Indexed as

CaregiversHealth StatusLife StyleMental HealthAgedDepressionExerciseHealth BehaviorHumansInformal caregiversLifestyleMeta-analysisOlder adultsWell-being

Identifiers

PMID42593223
PMCPMC13604839

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.