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Effects of exercise on obsessive-compulsive disorder symptoms: a systematic review and meta-analysis.

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Title: Effects of exercise on obsessive-compulsive disorder symptoms: a systematic review and meta-analysis.
Authors: Bottoms, Lindsay, Prat Pons, Montserrat, Fineberg, Naomi A., Pellegrini, Luca, Fox, Oliver, Wellsted, David, Drummond, Lynne M., Reid, Jemma, Baldwin, David S., Hou, Ruihua, Chamberlain, Samuel, Sireau, Nick, Grohmann, Dominique, Laws, Keith R.
Source: International Journal of Psychiatry in Clinical Practice. Sep2023, Vol. 27 Issue 3, p232-242. 11p.
Subjects: Prevention of mental depression, Anxiety prevention, Online information services, Medical databases, Meta-analysis, Confidence intervals, Systematic reviews, Treatment effectiveness, Pre-tests & post-tests, Physical activity, Descriptive statistics, Research funding, MEDLINE, Obsessive-compulsive disorder, Exercise therapy, Grey literature, Evaluation
Abstract: This systematic review and meta-analysis assessed the efficacy of exercise in reducing OCD symptoms. We searched PubMed, Cochrane Central Register of Controlled Trials, MEDLINE, Scopus and grey literature until March 2022. The study was preregistered at Prospero (CRD42021283931). We included randomised controlled and pre-post trials assessing physical activity as an intervention for OCD. Risk of bias was assessed using the Cochrane ROBINS-I tool and the RoB2 tool. The analysis included 6 trials (N = 92); 2 were RCTS and 4 were pre-post design studies. A random-effects meta-analysis of pre-post data identified a large reduction of OCD symptoms following exercise (g = 1.33 [95%CI 1.06–1.61]; k = 6). Exercise was also associated with significant pre-post reductions in anxiety (g = 0.71 [95%CI 0.37–1.05; k = 4) and depression (g = 0.57 [95%CI 0.26–0.89]; k = 2). Risk of bias was moderate-high in uncontrolled trials on the ROBINS-I and RCTs showed 'some concerns' on the RoB2. Exercise was associated with a large pre-post reduction of OCD symptoms; however, few trials were of robust quality and all were at risk of bias. Further well-powered and better quality RCTs are required to assess the role of exercise as an intervention for OCD. Studies exploring exercise as an adjunct therapy for OCD have small participant numbers, therefore a systematic review and meta-analysis is needed to estimate potential efficacy. Pre-post analysis shows that exercise was associated with a large reduction of OCD symptoms The current systematic review and meta-analysis points to the potential for exercise to be beneficial for the treatment for OCD symptoms. However, more well-powered and better controlled RCTs are required to fully assess the benefit of exercise for the treatment of OCD symptoms. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Effects of exercise on obsessive-compulsive disorder symptoms: a systematic review and meta-analysis.
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  Data: <searchLink fieldCode="AR" term="%22Bottoms%2C+Lindsay%22">Bottoms, Lindsay</searchLink><br /><searchLink fieldCode="AR" term="%22Prat+Pons%2C+Montserrat%22">Prat Pons, Montserrat</searchLink><br /><searchLink fieldCode="AR" term="%22Fineberg%2C+Naomi+A%2E%22">Fineberg, Naomi A.</searchLink><br /><searchLink fieldCode="AR" term="%22Pellegrini%2C+Luca%22">Pellegrini, Luca</searchLink><br /><searchLink fieldCode="AR" term="%22Fox%2C+Oliver%22">Fox, Oliver</searchLink><br /><searchLink fieldCode="AR" term="%22Wellsted%2C+David%22">Wellsted, David</searchLink><br /><searchLink fieldCode="AR" term="%22Drummond%2C+Lynne+M%2E%22">Drummond, Lynne M.</searchLink><br /><searchLink fieldCode="AR" term="%22Reid%2C+Jemma%22">Reid, Jemma</searchLink><br /><searchLink fieldCode="AR" term="%22Baldwin%2C+David+S%2E%22">Baldwin, David S.</searchLink><br /><searchLink fieldCode="AR" term="%22Hou%2C+Ruihua%22">Hou, Ruihua</searchLink><br /><searchLink fieldCode="AR" term="%22Chamberlain%2C+Samuel%22">Chamberlain, Samuel</searchLink><br /><searchLink fieldCode="AR" term="%22Sireau%2C+Nick%22">Sireau, Nick</searchLink><br /><searchLink fieldCode="AR" term="%22Grohmann%2C+Dominique%22">Grohmann, Dominique</searchLink><br /><searchLink fieldCode="AR" term="%22Laws%2C+Keith+R%2E%22">Laws, Keith R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Psychiatry+in+Clinical+Practice%22">International Journal of Psychiatry in Clinical Practice</searchLink>. Sep2023, Vol. 27 Issue 3, p232-242. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+mental+depression%22">Prevention of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+prevention%22">Anxiety prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise+therapy%22">Exercise therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Grey+literature%22">Grey literature</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This systematic review and meta-analysis assessed the efficacy of exercise in reducing OCD symptoms. We searched PubMed, Cochrane Central Register of Controlled Trials, MEDLINE, Scopus and grey literature until March 2022. The study was preregistered at Prospero (CRD42021283931). We included randomised controlled and pre-post trials assessing physical activity as an intervention for OCD. Risk of bias was assessed using the Cochrane ROBINS-I tool and the RoB2 tool. The analysis included 6 trials (N = 92); 2 were RCTS and 4 were pre-post design studies. A random-effects meta-analysis of pre-post data identified a large reduction of OCD symptoms following exercise (g = 1.33 [95%CI 1.06–1.61]; k = 6). Exercise was also associated with significant pre-post reductions in anxiety (g = 0.71 [95%CI 0.37–1.05; k = 4) and depression (g = 0.57 [95%CI 0.26–0.89]; k = 2). Risk of bias was moderate-high in uncontrolled trials on the ROBINS-I and RCTs showed 'some concerns' on the RoB2. Exercise was associated with a large pre-post reduction of OCD symptoms; however, few trials were of robust quality and all were at risk of bias. Further well-powered and better quality RCTs are required to assess the role of exercise as an intervention for OCD. Studies exploring exercise as an adjunct therapy for OCD have small participant numbers, therefore a systematic review and meta-analysis is needed to estimate potential efficacy. Pre-post analysis shows that exercise was associated with a large reduction of OCD symptoms The current systematic review and meta-analysis points to the potential for exercise to be beneficial for the treatment for OCD symptoms. However, more well-powered and better controlled RCTs are required to fully assess the benefit of exercise for the treatment of OCD symptoms. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=171338625
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13651501.2022.2151474
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 232
    Subjects:
      – SubjectFull: Prevention of mental depression
        Type: general
      – SubjectFull: Anxiety prevention
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      – SubjectFull: Online information services
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      – SubjectFull: Medical databases
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      – SubjectFull: Meta-analysis
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Obsessive-compulsive disorder
        Type: general
      – SubjectFull: Exercise therapy
        Type: general
      – SubjectFull: Grey literature
        Type: general
      – SubjectFull: Evaluation
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      – TitleFull: Effects of exercise on obsessive-compulsive disorder symptoms: a systematic review and meta-analysis.
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              M: 09
              Text: Sep2023
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