The Effects of Exercise on Mood in Older Adults: A Meta-Analytic Review

2000 ◽  
Vol 8 (4) ◽  
pp. 407-430 ◽  
Author(s):  
Shawn M. Arent ◽  
Daniel M. Landers ◽  
Jennifer L. Etnier
Keyword(s):  
Older Adults ◽  
Exercise Prescription ◽  
Meta Analysis ◽  
The Elderly ◽  
Exercise Group ◽  
Effect Sizes ◽  
Control Groups ◽  
Moderating Variables ◽  
Analytic Review ◽  
Experimental Versus

This meta-analysis examined the exercise-mood relationship in older adults. 158 effect sizes (ESs) from 32 studies were grouped intoexperimental-versus-control, gains, and correlational ESs. Each study was coded for moderator variables related to descriptive, design, participant, exercise, and mood-assessment characteristics. Experimental-versus-control ESs for negative (NA) and positive affect (PA) were 0.35 (p < .05) and 0.33 (p > .05), respectively, with an overall ES of 0.34, p < .05. The gains ESs for NA and PA in an exercise group were 0.39 (p < .05) and 0.35 (p < .05), respectively, with an overall ES of 0.38, p < .05. All effects were significantly greater than those for the control groups. Correlational ESs of 0.47 and 0.42 were found for NA and PA. respectively. It was concluded that chronic exercise is associated with improved mood in the elderly. Moderating variables and implications for exercise prescription to improve mood in the elderly are discussed.

Exercise and Depressive Symptoms in Older Adults: A Systematic Meta-Analytic Review

2016 ◽  
Vol 24 (2) ◽  
pp. 234-246 ◽  
Author(s):  
Kathleen T. Rhyner ◽  
Amber Watts
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Intervention Studies ◽  
Meta Analysis ◽  
Older Individuals ◽  
Control Groups ◽  
Effective Treatment Option ◽  
Exercise Interventions ◽  
Randomized Controlled ◽  
Analytic Review

Depressive symptoms are common in older adults, but antidepressant medications may be contraindicated or poorly tolerated in this population. Intervention studies demonstrate that exercise may be an effective alternative. This meta-analysis included 41 randomized controlled trials of aerobic and nonaerobic exercise interventions investigating the effect of exercise on depressive symptoms in adults aged 60 or older. A random effects model demonstrated that exercise was associated with significantly lower depression severity (SMD = 0.57, 95% CI 0.36–0.78). This effect was not significantly different for different ages of participants, types of control groups, or types of exercise interventions. Studies requiring a diagnosis of depression had significantly greater mean effect sizes than studies that did not require a depression diagnosis (Qbet = 6.843, df = 1, p = .009). These findings suggest that exercise is an effective treatment option for older individuals with depressive symptoms.

scholarly journals Acute Exercise-Induced Set Shifting Benefits in Healthy Adults and Its Moderators: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Max Oberste ◽  
Sophia Sharma ◽  
Wilhelm Bloch ◽  
Philipp Zimmer
Keyword(s):  
Older Adults ◽  
Acute Exercise ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Set Shifting ◽  
Average Effect ◽  
Control Groups ◽  
Younger Adults ◽  
Type Of Exercise ◽  
Exercise Induced

Background: Positive effects of acute exercise on cognitive performances in general inspired research that investigated the effects of acute exercise on specific cognitive subdomains. Many existing studies examined beneficial effects of acute exercise on subsequent set shifting performance in healthy adults. Set shifting, a subdomain of executive function, is the ability to switch between different cognitive sets. The results of existing studies are inconsistent. Therefore, a meta-analysis was conducted that pooled available effect sizes. Additionally, moderator analyses were carried out to identify covariates that determine the magnitude of exercise-induced set shifting benefits.Methods: Medline, PsycINFO, and SPORTDiscus were searched for eligible studies. Hedges' g corrected standardized mean difference values were used for analyses. Random-effects weights were applied to pool effects. Potential moderation of the effect of acute exercise on subsequent set shifting performance by exercise intensity, type of exercise, participants' age, and type of control group were examined.Results: Twenty-two studies (N = 1,900) were included into analysis. All aggregated effect sizes ranged from small to moderate. Overall, a small significant beneficial effect was revealed (g = −0.32, 95 % CI −0.45 to −0.18). Heterogeneity of included effect sizes was moderate and significant (T2 = 0.0715, I2 = 46.4%, (p &lt; 0.0016). Moderator analyses revealed a larger average effect in older adults than for studies examining younger adults (−0.42 vs. −0.29). Light exercise (−0.51) led to larger effects than moderate (−0.24) or vigorous exercise (−0.29). Studies testing acute exercise against active control groups showed a noticeably smaller average effect (−0.13) than studies that used passive (−0.38) or cognitive engaging control groups (−0.34). Interestingly, application of resistance or aerobic exercise led to no different average effect sizes (−0.30 vs. −0.32). However, none of the tested covariates reached statistical significance.Conclusion: Acute exercise improves subsequent set shifting performance. However, effect sizes are small, making the relevance for everyday life questionable. The results indicate that older adults benefit more from acute exercise than younger adults do. Light intensity exercise seems most effective while the type of exercise does not seem to influence the magnitude of effects. Research designs with active control groups show the smallest average effect, raising concerns about placebo effects.PROSPERO registration number: CRD42019138799

scholarly journals Effect of mixed reality technologies for fall prevention among older adults: A systematic review and meta-analysis (Preprint)

2021 ◽  
Author(s):  
Anna Nishchyk ◽  
Weiqin Chen ◽  
Are Hugo Pripp ◽  
Astrid Bergland
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Mixed Reality ◽  
Meta Analysis ◽  
The Elderly ◽  
Berg Balance Scale ◽  
Qualitative Synthesis ◽  
Control Groups ◽  
And Control ◽  
Positive Effect

BACKGROUND Falling is one of the most common and serious age-related issues, and falls can significantly impair the quality of life of older adults. Approximately one-third of people over 65 experience a fall annually. Previous research has shown that physical exercise could help reduce falls among older adults and improve their health. However, the elderly often find it challenging to follow and adhere to physical exercise programs. Interventions using mixed reality technology could help to address these issues. Mixed reality is a combination of artificial augmented computer-generated elements with the real world. It have frequently been used for training and rehabilitation purposes. OBJECTIVE The aim of this systematic literature review and meta-analysis was to investigate the use of the full spectrum of mixed reality technologies for fall prevention intervention and summarize evidence of the effectiveness of this approach. METHODS In our qualitative synthesis, we analyzed a number of features of the selected studies, including aim, type of exercise, technology used for intervention, study sample size, participant demographics and history of falls, study design, involvement of health professionals or caregivers, duration and frequency of the intervention, study outcome measures, and results of the study. To systematically assess the results of the selected studies and identify the common effect of MR interventions, a meta-analysis was performed. RESULTS Seven databases were searched, and the initial search yielded 5838 results. With the considered inclusion and exclusion criteria, 21 studies were included in the qualitative synthesis, and 12 were included in meta-analysis. The majority of studies demonstrated a positive effect of a mixed reality intervention on fall risk factors among older participants. The meta-analysis demonstrated a statistically significant difference in Berg balance scale score between the intervention and control groups (ES: 0.564, 95% CI: 0.246–0.882; p < 0.001) with heterogeneity statistics of I2 = 54.9 % and Q = 17.74 (p = 0.023), and a statistical difference in Timed Up and Go test scores between the intervention and control groups (ES: 0.318, 95% CI: 0.025–0.662; p < 0.001) with heterogeneity statistics of I2 = 77.6% and Q = 44.63 (p = 0.000). The corresponding funnel plot and the Egger’s test for small-study effects (p = 0.763 and p = 0.110 for BBS and TUG, respectively) indicate that a minor publication bias in the studies might be present in the Berg balance scale results. CONCLUSIONS The literature review and meta-analysis demonstrate that the use of mixed reality interventions can have a positive effect on physical functions in the elderly. Mixed reality has the potential to help older users to perform physical exercises that could improve their health conditions. However, more research on the effect of MR fall prevention interventions should be conducted with special focus given to MR usability issues.

scholarly journals Effective Components of School-Based Prevention Programs for Child Abuse: A Meta-Analytic Review

2021 ◽  
Author(s):  
Jeanne Gubbels ◽  
Claudia E. van der Put ◽  
Geert-Jan J. M. Stams ◽  
Mark Assink
Keyword(s):  
Child Abuse ◽  
Program Effectiveness ◽  
Meta Analysis ◽  
Prevention Programs ◽  
Effect Sizes ◽  
Positive Effects ◽  
School Based ◽  
Analytic Review ◽  
Program Components ◽  
Self Protection

AbstractSchool-based programs seem promising for child abuse prevention. However, research mainly focused on sexual child abuse and knowledge is lacking on how individual program components contribute to the effectiveness of school-based prevention programs for any form of child abuse. This study aimed to examine the overall effect of these school-based programs on (a) children’s child abuse-related knowledge and (b) self-protection skills by conducting two three-level meta-analyses. Furthermore, moderator analyses were performed to identify how program components and delivery techniques were associated with effectiveness. A literature search yielded 34 studies (158 effect sizes; N = 11,798) examining knowledge of child abuse and 22 studies (99 effect sizes; N = 7804) examining self-protection skills. A significant overall effect was found of school-based programs on both knowledge (d = 0.572, 95% CI [0.408, 0.737], p < 0.001) and self-protection skills (d = 0.528, 95% CI [0.262, 0.794], p < 0.001). The results of the first meta-analysis on children’s child abuse knowledge suggest that program effects were larger in programs addressing social–emotional skills of children (d = 0.909 for programs with this component versus d = 0.489 for programs without this component) and self-blame (d = 0.776 versus d = 0.412), and when puppets (d = 1.096 versus d = 0.500) and games or quizzes (d = 0.966 versus d = 0.494) were used. The second meta-analysis on children’s self-protections skills revealed that no individual components or techniques were associated with increased effectiveness. Several other study and program characteristics did moderate the overall effects and are discussed. In general, school-based prevention programs show positive effects on both knowledge and self-protection skills, and the results imply that program effectiveness can be improved by implementing specific components and techniques.

scholarly journals Malnutrition in older adults: screening and determinants

2018 ◽  
Vol 78 (3) ◽  
pp. 372-379 ◽  
Author(s):  
Clare A. Corish ◽  
Laura A. Bardon
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Nutritional Assessment ◽  
Short Form ◽  
Meta Analysis ◽  
Protein Energy Malnutrition ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Screening Tools ◽  
Climbing Stairs

Older adults are at risk of protein-energy malnutrition (PEM). PEM detrimentally impacts on health, cognitive and physical functioning and quality of life. Given these negative health outcomes in the context of an ageing global population, the Healthy Diet for a Healthy Life Joint Programming Initiative Malnutrition in the Elderly (MaNuEL) sought to create a knowledge hub on malnutrition in older adults. This review summarises the findings related to the screening and determinants of malnutrition. Based on a scoring system that incorporated validity, parameters used and practicability, recommendations on setting-specific screening tools for use with older adults were made. These are: DETERMINE your health checklist for the community, Nutritional Form for the Elderly for rehabilitation, Short Nutritional Assessment Questionnaire-Residential Care for residential care and Malnutrition Screening Tool or Mini Nutritional Assessment-Short Form for hospitals. A meta-analysis was conducted on six longitudinal studies from MaNuEL partner countries to identify the determinants of malnutrition. Increasing age, unmarried/separated/divorced status (vs.married but not widowed), difficulties walking 100 m or climbing stairs and hospitalisation in the year prior to baseline or during follow-up predicted malnutrition. The sex-specific predictors of malnutrition were explored within The Irish Longitudinal Study of Ageing dataset. For females, cognitive impairment or receiving social support predicted malnutrition. The predictors for males were falling in the previous 2 years, hospitalisation in the past year and self-reported difficulties in climbing stairs. Incorporation of these findings into public health policy and clinical practice would support the early identification and management of malnutrition.

scholarly journals Overgeneral and Specific Autobiographical Memory Predict the Course of Depression: An Updated Meta-Analysis

2020 ◽  
Author(s):  
David John Hallford ◽  
Danielle Rusanov ◽  
Joseph Yeow ◽  
Tom Joseph Barry
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Process ◽  
Depressive Disorders ◽  
Meta Analysis ◽  
Clinical Samples ◽  
Eligibility Criteria ◽  
Moderating Variables ◽  
Analytic Review ◽  
Course Of Depression

Impairments in retrieving event-level, specific autobiographical memories, termed overgeneral memory (OGM) are recognised as a feature of clinical depression. A previous meta-analytic review (Sumner, Griffith, &amp; Mineka, 2010) assessing how OGM predicts the course of subsequent depressive symptoms showed small, but robust effects for correlations and regression analyses when baseline depressive symptoms were controlled for. We aimed to update this study and examine whether their findings replicate given the decade of research that has been published since. A systematic literature review using the same eligibility criteria as the previous meta-analysis lead to a doubling of eligible studies (31 vs. 15). The results provided more precise estimates of effect sizes, and largely support the finding that OGM predicts the course of depressive symptoms. The effects were generally small, but significantly larger among clinical samples, compared to studies with non-clinical samples. Higher age was associated with stronger effects, while longer follow-up with associated with weaker effects. The findings on other moderating variables that were analysed were mixed. Continued research into this modifiable cognitive process may help to provide an avenue to better understand and treat highly prevalent and impactful depressive disorders.

Alliances in Couple and Family Therapy

2019 ◽  
pp. 117-166 ◽  
Author(s):  
Myrna L. Friedlander ◽  
Valentín Escudero ◽  
Marianne J. Welmers-van de Poll ◽  
Laurie Heatherington
Keyword(s):  
Older Adults ◽  
Family Therapy ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Couple And Family Therapy ◽  
Male Youth

This chapter reviews meta-analytic evidence for the alliance-outcome relation in couple and family therapy (CFT). The authors describe the unique features of CFT alliances and their measurement, followed by case descriptions. A meta-analysis of 48 studies (Ns = 2,568 families, 1,545 couples, and 491 effect sizes) found r = .297. In another analysis with 7 independent samples and 31 effect sizes, the split alliance–outcome association was also significant, r = .316, indicating that the more split or unbalanced the alliance, the poorer the outcome. Moderator analyses showed that alliance–outcome associations did not differ for couple versus family therapy, but correlations were significantly stronger in samples with younger problem children, older adults, proportionally more male youth and adults, and when the families voluntarily sought help (as compared to involuntary or mandated families). The chapter concludes with research-informed strategies for building and sustaining strong alliances in CFT.

scholarly journals The Effects of Foods Embedded in Entertainment Media on Children’s Food Choices and Food Intake: A Systematic Review and Meta-Analyses

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 964 ◽  
Author(s):  
Victoria Villegas-Navas ◽  
Maria-Jose Montero-Simo ◽  
Rafael A. Araque-Padilla
Keyword(s):  
Systematic Review ◽  
Food Choice ◽  
Eating Behaviors ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Entertainment Media ◽  
Nutritional Values ◽  
Moderating Variables ◽  
Potential Factor ◽  
Meta Analyses

While watching or playing with media, children are often confronted with food appearances. These food portrayals might be a potential factor that affects a child’s dietary behaviors. We aimed to comprehensively expound the effects of these types of food appearances on dietary outcomes of children. Our objectives were to synthetize the evidence of the experiments that study the effects of foods embedded in children’s entertainment media throughout a systematic review, to conduct two meta-analyses (food choice and intake) in order to quantify the effects, and to examine to what extent the effects of foods embedded in entertainment media varies across different moderating variables. We conducted a systematic search of five databases for studies published up to July 2018 regarding terms related to children and foods embedded in entertainment media. We identified 26 eligible articles, of which 13 (20 effect sizes) and 7 (13 effect sizes) were considered for a meta-analysis on food choice and intake, respectively. Most of the studies were assessed as having a middle risk of bias. Overall, food being embedded in entertainment media is a strategy that affects the eating behaviors of children. As most of the embedded foods in the included studies had low nutritional values, urgent measures are needed to address the problem of childhood obesity.

Opioid Use and the Risk of Falls, Fall Injuries and Fractures among Older Adults: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 75 (10) ◽  
pp. 1989-1995 ◽  
Author(s):  
Aya Yoshikawa ◽  
Gilbert Ramirez ◽  
Matthew Lee Smith ◽  
Margaret Foster ◽  
Anas K Nabil ◽  
...  
Keyword(s):  
Older Adults ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Opioid Use ◽  
Fall Injuries ◽  
Risk Of Death ◽  
Management Interventions ◽  
Risk Estimates ◽  
Increased Risk ◽  
Risk Of Falls

Abstract Background There is increasing concern about opioid use as a pain treatment option among older adults. Existing literature implies an association between opioid use and fracture, increasing the risk of death and disabilities; yet, this relationship with other fall-related outcomes has not been fully explored. We performed a meta-analysis to evaluate the associations between opioid use and adverse health outcomes of falls, fall injuries, and fractures among older adults. Methods A systematic literature search was conducted using nine databases: Medline, Embase, CINAHL, PsycInfo, Global Health, Northern Light Sciences Conference Abstracts, Cochrane CENTRAL, WHO International Clinical Trials Registry Platform, and ClinicalTrials.gov. We log-transformed effect sizes (relative risk [RR], odds ratio [OR], and hazard ratio [HR]) to compute pooled risk estimates comparable across the studies. The random-effects model was applied to calculate the pooled risk estimates due to heterogeneity. Meta-regressions explored differences in risk estimates by analysis method, study design, setting, and study quality. Results Thirty studies, providing 34 relevant effect sizes, met the inclusion criteria for this meta-analysis. Overall, opioid use was significantly associated with falls, fall injuries, and fractures, with effect sizes ranging from 0.15 to 0.71. In meta-regressions, no selected factors explained heterogeneity. Conclusion While heterogeneity is present, results suggest an increased risk of falls, fall injuries, and fractures among older adults who used opioids. Findings highlight the need for opioid education and nonopioid-related pain management interventions among older adults to decrease fall-related risk.

scholarly journals Is psychotherapy effective? A re-analysis of treatments for depression

2018 ◽  
Vol 28 (03) ◽  
pp. 268-274 ◽  
Author(s):  
T. Munder ◽  
C. Flückiger ◽  
F. Leichsenring ◽  
A. A. Abbass ◽  
M. J. Hilsenroth ◽  
...  
Keyword(s):  
Natural History ◽  
Publication Bias ◽  
Meta Analysis ◽  
Effect Sizes ◽  
Wait List ◽  
Control Groups ◽  
Data Set ◽  
A Value ◽  
History Of ◽  
History Of Depression

AbstractAimsThe aim of this study was to reanalyse the data from Cuijpers et al.'s (2018) meta-analysis, to examine Eysenck's claim that psychotherapy is not effective. Cuijpers et al., after correcting for bias, concluded that the effect of psychotherapy for depression was small (standardised mean difference, SMD, between 0.20 and 0.30), providing evidence that psychotherapy is not as effective as generally accepted.MethodsThe data for this study were the effect sizes included in Cuijpers et al. (2018). We removed outliers from the data set of effects, corrected for publication bias and segregated psychotherapy from other interventions. In our study, we considered wait-list (WL) controls as the most appropriate estimate of the natural history of depression without intervention.ResultsThe SMD for all interventions and for psychotherapy compared to WL controls was approximately 0.70, a value consistent with past estimates of the effectiveness of psychotherapy. Psychotherapy was also more effective than care-as-usual (SMD = 0.31) and other control groups (SMD = 0.43).ConclusionsThe re-analysis reveals that psychotherapy for adult patients diagnosed with depression is effective.

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