The association between cardiorespiratory fitness and the incidence of common mental health disorders: A systematic review and meta-analysis

Autor: A, Kandola, G, Ashdown-Franks, B, Stubbs, D P J, Osborn, J F, Hayes
Rok vydání: 2019
Předmět:
Zdroj: Journal of Affective Disorders
ISSN: 1573-2517
Popis: Highlights • Low and medium CRF are associated with a greater risk of common mental health disorders. • CRF appears to have a dose-dependent relationship with common mental health disorders. • CRF could be useful for predicting and preventing common mental health disorders.
Background Physical activity is associated with a lower incidence of common mental health disorder, but less is known about the impact of cardiorespiratory fitness (CRF). Methods In this review, we systematically evaluated the relationship between CRF and the incidence of common mental health disorders in prospective cohort studies. We systematically searched six major electronic databases from inception to 23rd of May 2019. We assessed study quality using the Newcastle–Ottawa scale. Results We were able to pool the hazard ratios (HRs) and 95% confidence intervals (CIs) of four studies including at least 27,733,154 person-years of data. We found that low CRF (HR = 1.47, [95% CI 1.23 – 1.76] p < 0.001 I2 = 85.1) and medium CRF (HR = 1.23, [95% CI 1.09 – 1.38] p < 0.001 I2 = 87.20) CRF are associated with a 47% and 23% greater risk of a common mental health disorders respectively, compared with high CRF. We found evidence to suggest a dose-response relationship between CRF and the risk of common mental health disorders. Limitations We were only able to identify a small number of eligible studies from our search and heterogeneity was substantial in the subsequent meta-analysis. Conclusions Our findings indicate that there is a longitudinal association between CRF levels and the risk of a common mental health disorder. CRF levels could be useful for identifying and preventing common mental health disorders at a population-level.
Databáze: OpenAIRE
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