Exergame-based exercise training for depressive symptoms in adults: A systematic review and meta-analysis |
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| Affiliation: | 1. School of Nursing, Jilin University, 965 Xinjiang Street, Changchun, Jilin, 130012, China;2. Department of Pharmacology, Nanomedicine Engineering Laboratory of Jilin Province, College of Basic Medical Sciences, Jilin University, Changchun, 130021, China;1. Faculty of Sport and Health Sciences, University of Jyväskylä, P.O. Box 35, Jyväskylä, 40014, Finland;2. College of Education, Physical Education Department, United Arab Emirates University, P.O. Box 15551, Al Ain, United Arab Emirates;1. Faculty of Physical Education and Sport (ULHT), Lusófona University, Lisbon, Portugal;2. Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal;3. Department of Kinesiology, Iowa State University, United States;4. Research Center in Sport Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal;5. ESECS - Polytechnic of Leiria, Leiria, Portugal;6. Research Center in Quality of Life (CIEQV), Santarém, Portugal;7. Sport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), Rio Maior, Portugal;1. Department of Exercise and Health, Paderborn University, Germany;2. Physical Education Research Group, Zurich University of Teacher Education, Switzerland;1. Hartpury Sport, Hartpury University, UK;2. Faculty of Health and Wellbeing, University of Winchester, UK;3. Department of Community Studies, Sport and Physical Activity Leadership (Coaching), Cape Breton University, Canada;1. School of Health Sciences, Liverpool Hope University, Taggart Avenue, Liverpool, L16 9JD, UK;2. Research Centre for Musculoskeletal Science and Sports Medicine, Department of Sport and Exercise Science, Manchester Metropolitan University, UK |
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| Abstract: | ObjectiveThe aim of this study was to pool existing data to investigate the overall effectiveness of exergame-based exercise training in improving depressive symptoms in adults.DesignA systematic review and meta-analysis.MethodsTen databases were systematically searched from inception to August 18, 2021, and the search was last updated on November 6, 2021. Standardized mean differences (SMDs) were calculated using random effects models. The Risk of Bias 2 (RoB 2) tool was used to assess the methodological quality of the studies, and GRADEpro software was used to assess confidence in the cumulative evidence. Funnel plots, Egger's test, and Begg's test were used to analyse publication bias. Sensitivity, subgroup and meta-regression analyses were performed to explore potential sources of heterogeneity.ResultsTwenty-one studies were included, and the results showed exergame-based exercise training had a significant effect on depressive symptoms in adults (SMD = −0.69; 95% CI, −1.01 to −0.36; P < 0.001; 19 RCTs, 924 participants; low-quality evidence). The predictive interval was not significant (95% PI, −3.45, 2.07). Subgroup analysis showed that in the intervention with the general adult population, game devices with Kinect and long-term interventions appeared to be more effective. Sensitivity analysis found the results to be robust.ConclusionExergame-based exercise training has the potential to reduce depressive symptoms. Additionally, different populations, devices and durations of intervention could influence the effect. In the future, high-quality studies with large samples, multiple centres and long follow-up durations should be performed to further explore the efficacy of exergame-based exercise training. |
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| Keywords: | Depression Exergame Adult Systematic review Meta-analysis |
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