Document Detail

The effect of exercise training on anxiety symptoms among patients: a systematic review.
MedLine Citation:
PMID:  20177034     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Anxiety often remains unrecognized or untreated among patients with a chronic illness. Exercise training may help improve anxiety symptoms among patients. We estimated the population effect size for exercise training effects on anxiety and determined whether selected variables of theoretical or practical importance moderate the effect.
METHODS: Articles published from January 1995 to August 2007 were located using the Physical Activity Guidelines for Americans Scientific Database, supplemented by additional searches through December 2008 of the following databases: Google Scholar, MEDLINE, PsycINFO, PubMed, and Web of Science. Forty English-language articles in scholarly journals involving sedentary adults with a chronic illness were selected. They included both an anxiety outcome measured at baseline and after exercise training and random assignment to either an exercise intervention of 3 or more weeks or a comparison condition that lacked exercise. Two co-authors independently calculated the Hedges d effect sizes from studies of 2914 patients and extracted information regarding potential moderator variables. Random effects models were used to estimate sampling error and population variance for all analyses.
RESULTS: Compared with no treatment conditions, exercise training significantly reduced anxiety symptoms by a mean effect Delta of 0.29 (95% confidence interval, 0.23-0.36). Exercise training programs lasting no more than 12 weeks, using session durations of at least 30 minutes, and an anxiety report time frame greater than the past week resulted in the largest anxiety improvements.
CONCLUSION: Exercise training reduces anxiety symptoms among sedentary patients who have a chronic illness.
Matthew P Herring; Patrick J O'Connor; Rodney K Dishman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Archives of internal medicine     Volume:  170     ISSN:  1538-3679     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-23     Completed Date:  2010-03-23     Revised Date:  2011-04-05    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  321-31     Citation Subset:  AIM; IM    
Department of Kinesiology, Ramsey Center, The University of Georgia, 330 River Road, Athens, GA 30602-6554, USA.
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MeSH Terms
Anxiety Disorders / etiology,  prevention & control*
Chronic Disease / psychology*,  rehabilitation*
Exercise Tolerance
Middle Aged
Treatment Outcome
Comment In:
Clin J Sport Med. 2011 Mar;21(2):148   [PMID:  21358508 ]
Evid Based Ment Health. 2010 Aug;13(3):95   [PMID:  20682835 ]
Ann Intern Med. 2010 Jun 15;152(12):JC6-4   [PMID:  20547898 ]

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