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Systematic Review

Effectiveness of Physical Activity in Primary Prevention of Anxiety: Systematic Review and Meta-Analysis of Randomized Controlled Trials

by
Patricia Moreno-Peral
1,2,
Alberto Pino-Postigo
3,
Sonia Conejo-Cerón
1,2,*,
Darío Bellón
4,
Beatriz Rodríguez-Martín
2,5,
Vicente Martínez-Vizcaíno
6 and
Juan Ángel Bellón
1,2,7,8
1
Biomedical Research Institute of Malaga (IBIMA), 29010 Málaga, Spain
2
Prevention and Health Promotion Research Network (redIAPP), 08007 Barcelona, Spain
3
Faculty of Medicine, University of Málaga (UMA), 29010 Málaga, Spain
4
PROFITH “PROmoting FITness and Health Through Physical Activity” Research Group, Department of Physical and Sports Education, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 18011 Granada, Spain
5
Faculty of Occupational Therapy, Speech Therapy and Nursing, Talavera de la Reina, Toledo, University of Castilla-La Mancha (UCLM), 13001 Ciudad Real, Spain
6
Social and Health Care Research Center, University of Castilla-La Mancha, 16002 Cuenca, Spain
7
‘El Palo’ Health Centre, Health District of Primary Care Málaga-Guadalhorce, Servicio Andaluz de Salud (SAS), 29018 Málaga, Spain
8
Department of Public Health and Psychiatry, University of Málaga, 29010 Málaga, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(3), 1813; https://doi.org/10.3390/ijerph19031813
Submission received: 31 December 2021 / Revised: 28 January 2022 / Accepted: 3 February 2022 / Published: 5 February 2022
(This article belongs to the Special Issue Advances in Anxiety and Depression Prevention)

Abstract

The aim of this study was to evaluate the effectiveness of physical activity in the primary prevention of anxiety. A systematic review of randomized controlled trials (RCTs) was performed. RCTs were searched in seven electronic databases. We included RCTs that assessed either the incidence of anxiety or the reduction of anxiety symptoms which excluded participants with baseline anxiety. Measurements were required to have been made using validated instruments. Objective or subjective (with validated questionnaires) verification of the performance of physical activity was required. Three reviewers carried out the search, selection, data extraction, and risk assessment of Cochrane Collaboration’s tool simultaneously and independently, reaching an agreement in their discrepancies by consensus. In addition, a meta-analysis of fixed-effects model was carried out. Three RCTs met inclusion criteria, comprising 350 patients from 3 different countries. A meta-analysis was performed using five comparisons extracted from the selected studies, and the pooled standardized mean difference (SMD) was −0.18 (95% CI: −0.44; 0.07), p = 0.158. The heterogeneity was irrelevant, I2 = 17.7% (p = 0.30). There is no evidence that anxiety can be prevented through physical activity, although the quality of evidence was very low.
Keywords: anxiety disorders; exercise; primary prevention; systematic review; meta-analysis anxiety disorders; exercise; primary prevention; systematic review; meta-analysis

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MDPI and ACS Style

Moreno-Peral, P.; Pino-Postigo, A.; Conejo-Cerón, S.; Bellón, D.; Rodríguez-Martín, B.; Martínez-Vizcaíno, V.; Bellón, J.Á. Effectiveness of Physical Activity in Primary Prevention of Anxiety: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int. J. Environ. Res. Public Health 2022, 19, 1813. https://doi.org/10.3390/ijerph19031813

AMA Style

Moreno-Peral P, Pino-Postigo A, Conejo-Cerón S, Bellón D, Rodríguez-Martín B, Martínez-Vizcaíno V, Bellón JÁ. Effectiveness of Physical Activity in Primary Prevention of Anxiety: Systematic Review and Meta-Analysis of Randomized Controlled Trials. International Journal of Environmental Research and Public Health. 2022; 19(3):1813. https://doi.org/10.3390/ijerph19031813

Chicago/Turabian Style

Moreno-Peral, Patricia, Alberto Pino-Postigo, Sonia Conejo-Cerón, Darío Bellón, Beatriz Rodríguez-Martín, Vicente Martínez-Vizcaíno, and Juan Ángel Bellón. 2022. "Effectiveness of Physical Activity in Primary Prevention of Anxiety: Systematic Review and Meta-Analysis of Randomized Controlled Trials" International Journal of Environmental Research and Public Health 19, no. 3: 1813. https://doi.org/10.3390/ijerph19031813

APA Style

Moreno-Peral, P., Pino-Postigo, A., Conejo-Cerón, S., Bellón, D., Rodríguez-Martín, B., Martínez-Vizcaíno, V., & Bellón, J. Á. (2022). Effectiveness of Physical Activity in Primary Prevention of Anxiety: Systematic Review and Meta-Analysis of Randomized Controlled Trials. International Journal of Environmental Research and Public Health, 19(3), 1813. https://doi.org/10.3390/ijerph19031813

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