Exercise interventions improve depression and anxiety in chronic kidney disease patients: a systematic review and meta-analysis.

Autor: Ferreira TL; University Center ICESP, QS 05 Rua 300 Lote 01, Águas Claras, Brasília, DF, 71961-540, Brazil. thalitalauanna@gmail.com., Ribeiro HS; University Center ICESP, QS 05 Rua 300 Lote 01, Águas Claras, Brasília, DF, 71961-540, Brazil.; Faculty of Physical Education, University of Brasília, Brasília, Brazil., Ribeiro ALA; Faculty of Physical Education, University of Brasília, Brasília, Brazil., Bonini-Rocha AC; Department of Physiotherapy, University of Brasília, Brasília, Brazil., Lucena JMS; Department of Physiotherapy, University of Brasília, Brasília, Brazil., de Oliveira PA; Department of Physiotherapy, University of Brasília, Brasília, Brazil., Amorim FRS; Department of Physiotherapy, University of Brasília, Brasília, Brazil., Ferreira AP; University Center ICESP, QS 05 Rua 300 Lote 01, Águas Claras, Brasília, DF, 71961-540, Brazil., Magno LAV; Federal University of Minas Gerais, Belo Horizonte, Brazil., Martins WR; Faculty of Physical Education, University of Brasília, Brasília, Brazil.; Department of Physiotherapy, University of Brasília, Brasília, Brazil.
Jazyk: angličtina
Zdroj: International urology and nephrology [Int Urol Nephrol] 2021 May; Vol. 53 (5), pp. 925-933. Date of Electronic Publication: 2020 Aug 31.
DOI: 10.1007/s11255-020-02612-w
Abstrakt: Purpose: This systematic review examined the effects of exercise interventions on depression and anxiety in chronic kidney disease patients.
Methods: Electronic searches were conducted between August 2019 and February 2020 at PubMed, MEDLINE, Web of Science, EBSCO, Scopus, LILACS, EMBASE, Physiotherapy Evidence Database, and Cochrane Library databases. Original clinical trial studies that examined the effects of exercise on depression and anxiety in chronic kidney disease patients, stages 3-5, were included. A total of eight studies were included in the systematic review after applying the eligibility criteria, and six studies used for the meta-analysis procedures.
Results: The meta-analysis demonstrated statistical difference on depression in favour to exercise when compared to active control (SMD = - 0.66 [- 1.00, - 0.33], p < 0.0001) and passive control (MD = - 6.95 [- 8.76, - 5.14], p < 0.00001). Same results on anxiety demonstrated statistical difference between exercise and active control (SMD = - 0.78 [- 1.21, - 0.34], p = 0.0004).
Conclusion: From the current limited number and quality of published studies, exercise seems to be more effective than sedentary control and other active control groups for improving depression and anxiety symptoms in chronic kidney disease patients.
Databáze: MEDLINE
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