Can physical activity be used as a tool to reduce depression in patients after a cardiac event? What is the evidence? A systematic literature study

A reduction in the incidence of cardiovascular diseases (CVD) has been reported in the Western world, but post‐infarction depression often occurs and is related to poor medical outcomes. The aim of this study was to examine the scientific literature by a systematic review, in order to find evidence for whether physical activity can be a tool to reduce depression in patients who have suffered a cardiac event. Three databases were systematically searched (PubMed, CINAHL, and Cochrane), and the GRADE protocol was used in combination with a revised Amstar‐protocol for the systematic review. Scientific reports fitting the area were scarce. Finally, ten studies were included in this study: one meta‐analysis, five randomized controlled trials, and four clinical trials. The results showed low to moderate evidence for the use of low to moderate levels of exercise as a tool to reduce depression in post‐coronary artery event patients. This study concluded positive effects of physical activity as a tool to reduce depression in post‐coronary artery event patients. Physiotherapists could be further involved in increasing physical activity after cardiac events. More studies are needed in the area.