不同运动方式影响大学生抑郁症的剂量效应关系:基于网状Meta分析  

Net Meta-Analysis of the Rehabilitation Effect of Physical Exercise on College Students with Depression

作　　者：黄家琦 Huang Jiaqi(College of Physical Education,Wuhan Institute of Technology,Wuhan 430070,China)

机构地区：[1]武汉理工大学体育学院,湖北武汉430070

出　　处：《体育科技文献通报》2023年第3期178-183,共6页Bulletin of Sport Science & Technology

摘　　要：目的:本研究通过Meta分析系统评价单一有氧运动(AE)、抗阻训练(RE)、AE与RE相结合的运动(CT)、居家运动(HE)及多形式运动(ME)等运动干预方式改善大学生抑郁症的效果。方法:检索Web of science等数据库,按照PRISMA声明筛选文献、提取数据及质量评估,通过Stata 16.0软件进行META分析和网状META分析。结果:共纳入32篇文献,包含2460名样本;META分析显示AE[g=0.79;95%Cl(0.44,1.13)]、CT[g=0.29;95%Cl(0.07,0.50)]、HE[g=0.87;95%Cl(0.57,1.17)]、ME[g=0.71;95%Cl(0.29,1.13)]及RE[g=1.30;95%Cl(0.76,1.83)]都能够有效改善大学生的抑郁症得分;亚组分析认为高(g=0.46)、中(g=0.78)、小(g=0.41)3个运动强度都能有效降低抑郁得分(P<0.05);以每周2次以内(g=0.51)、3~4次(g=0.78)及5次以上(g=0.44)的频率参与锻炼也都能显著改善抑郁(P<0.05);进行30~60min(g=0.72)和超过60min(g=0.51)的锻炼都能有效改善抑郁(P<0.05),小于30min的锻炼效果不明显(P>0.05);短期(g=0.54)和长期(g=0.63)锻炼对抑郁均有治疗效果(P<0.05);非参数剪补法分析后发现AE的g提高到0.83,每周锻炼2次以内的效果降为0.42;网状META分析将AE进一步细分后发现瑜伽(SMD=-0.95/SMD=-0.92 SMD=-0.82)、团体球类运动(SMD=-0.87/SMD=-0.84/SMD=-0.73)、中医传统运动(SMD=-0.79/SMD=-0.75/SMD=-0.65)、RE(SMD=-0.77/SMD=-0.74/SMD=-0.64)改善抑郁的效果都显著优于隔网对抗运动、CT及HIIT(P<0.05);瑜伽明显优于体育舞蹈(SMD=-0.50)和MICT(SMD=-0.62);通过SUCRA法结合效应量认为不同运动形式治疗抑郁的效果排序为瑜伽、团队球类运动、中医传统运动、RE、HE、ME、体育舞蹈、MICT、HIIT、CT和隔网对抗运动。结论:运动可作为独立干预大学生抑郁症的手段,长期坚持瑜伽、团队球类运动及中医传统运动等运动方式,每周3~4次,每次30~60min的中等强度运动改善大学生抑郁症的效果最好。OBJECTIVE:In recent years,the ffctiveness of exercise to improve unhealthy psychology such as depression has received increasing atention.This study evaluated the electiveness of exerise interventions such as single aerobic exercise(AE),resistance training(RE),exercise combining AE and RE(CT),home exercise(HE)and muliform exercise(ME)to improve depression in college students by Meta-analysis system.METHODS:Literature data were retrieved from databases such a Web of science and screened,and quality assessed acording to the PRISMA statement,and META analysis and reticulated META analysis were performed by Stata 16.0 software.RESULTS:A total of 32 papers containing 2460 samples were included;META analysis showed that AE[g=0.79;95%Al(0.44,1.13)],CT[g=0.29;95%a(0.07,0.50)],HE[g=0.87;95%Cl(0.57,1.17)],ME[g=0.71;95%Cl(0.29,1.13)]and RE[g=1.30;95%Cl(0.76,1.83)]were all ffective in improving depression scores among college students;subgroup analysis concluded that all three exercise intensities,high(g=0.46),moderate(g=0.78),and small(g=0.41),were ffective in reducing depression scores(p<0.05);with less than 2 times per week(g=0.51),3 to 4 times(g=0.78)and more than 5 times(g=0.44)also significantly improved depression(P<0.05);performing exerrise for 30-60 min(g=0.72)and more than 60 min(g=0.51)were efective in improving depression(P<0.05),and exercise for less than 30 min was not signifcant(P>0.05).Both short-term(g=0.54)and long-term(g=0.63)exercise had a therapeutic effect on depression(P<0.05);non-parametric cut-and-patch analysis revealed that g improved to 0.83 for AE and the effect decreased to 0.42 for exercise up to 2 times per week;reticulated META analysis further subdivided AE and found that yoga(SMD=-0.95/SMD=-0.92 SMD=-0.82),group ball games(SMD=-0.87/SMD=-0.84/SMD=-0.73),traditional Chinese medieine exercises(SMD=-0.79/SMD=-0.75/SMD=-0.65),and RE(SMD=-0.77/SMD=-0.74/SMD=-0.64)were all significantly more flective in improving depression than the spacer network.Yoga was significantly better than physical dance

关 键 词：抑郁症 大学生 运动处方 有氧运动 META分析 

分 类 号：G804.5[文化科学—运动人体科学]