Evidence map›Paper›PMID 42675692›Full record

SynthesisMedicine2026

Effectiveness of different exercise therapies in patients with schizophrenia: A systematic review and network meta-analysis.

Qiqi Liu, Zheshuang Li, Hao Zhang, Ruze He, Ruqing Huang, Xin Wu, Jingying Zhang, Xiangdong Han

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Medicine, 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

8 authors.

Qiqi LiuSchool of Basic Medicine, Heilongjiang University of Chinese Medicine, Harbin, China.ORCID 0009-0002-8428-6300
Zheshuang LiSchool of Traditional Chinese Medicine, Ningxia Medical University, Yinchuan, China.
Hao ZhangSchool of Basic Medicine, Heilongjiang University of Chinese Medicine, Harbin, China.
Ruze HeDivision of Allied Health, Singapore General Hospital, Singapore, Singapore.
Ruqing HuangSchool of the First Clinical College, Guangxi University of Chinese Medicine, Nanning, China.
Xin WuSchool of the First Clinical College, Hunan University of Chinese Medicine, Changsha, China.
Jingying ZhangSchool of the First Clinical College, Chengdu University of Chinese Medicine, Chengdu, China.
Xiangdong HanSchool of Traditional Chinese Medicine, Ningxia Medical University, Yinchuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise therapy, commonly referred to as a "green prescription," is gaining recognition as a promising intervention for schizophrenia treatment. With the ongoing expansion of research in this domain, determining the relatively effective exercise therapy for patients with schizophrenia is important. To identify the most effective exercise intervention, we systematically reviewed Chinese and English databases to evaluate its effects on individuals with schizophrenia.

methodsWe conducted extensive searches of English and Chinese databases (PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, WanFang Academic Journal Full Text Database [Wanfang], VIP Chinese Science and Technology Periodicals Full-Text Database [VIP], and SinoMed) from the inception of each database until January 30, 2024 (complete search strategies see Table S1, Supplemental Digital Content 1). We assessed the risk of bias in the included studies using the updated Cochrane Risk-of-Bias Tool for randomized controlled trials, with detailed results presented in Table S1, Supplemental Digital Content 1. Furthermore, we ranked the treatment measures using surface under the cumulative ranking curve probability values, and reported effect sizes (standardized mean difference) with 95% confidence intervals for clinical significance judgment. The assessment measures included Positive and Negative Syndrome Scale, Scale for the Assessment of Negative Symptoms, Scale for the Assessment of Positive Symptoms, and Inpatient Psychiatric Rehabilitation Outcome Scale scores.

resultsThirty randomized controlled trials involving 2628 patients and 9 treatments were included. Network meta-analysis showed aerobic exercise (AE), yoga, and tai chi alleviated symptoms. surface under the cumulative ranking curve ranking: AE combined with tai chi may have a higher likelihood of reducing Positive and Negative Syndrome Scale scores (88.2%); yoga may have a higher probability in reducing Scale for the Assessment of Negative Symptoms (89.6%) and Scale for the Assessment of Positive Symptoms (86.7%) scores; tai chi may be more likely in lowering Inpatient Psychiatric Rehabilitation Outcome Scale scores (76.5%).

conclusionExercise therapy may exhibit potential efficacy in treating schizophrenia, with AE, yoga, and tai chi exhibiting superior effectiveness compared to control therapies in symptom reduction. However, the certainty of evidence is limited by small sample sizes, heterogeneity in exercise protocols, and moderate risk of bias in some studies. Further validation through rigorous, multicenter, and large-scale clinical trials with standardized exercise protocols is needed.

Indexed as

Exercise TherapySchizophreniaHumansRandomized Controlled Trials as TopicTreatment Outcomeexerciseexercise therapynetwork meta-analysisschizophrenia

Identifiers

PMID42675692
PMCPMC13529196

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.