@article {Kime377作者= {Ryul Kim Tae李·李和李Hanall Kyung Ko和Beomseok正本,Nyeonju康},title ={锻炼对患者抑郁症状的影响帕金森病},体积={100}={4},页面= {e377——e387} = {2023}, doi = {10.1212 / WNL。出版商0000000000201453}= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={背景和目的本研究的目的是提供明确的证据支持使用的运动来提高帕金森病(PD)患者首页的抑郁症状,探讨这种影响是否不同运动类型和强度。方法三个独立评论员搜索随机对照试验(相关的),应用运动干预与抑郁症状作为PD患者的测量结果在PubMed和网络科学到2月28日,2022年。随机进行荟萃分析,标准化意味着之间的差异(smd)运动的影响和控制干预对抑郁症状有95 \ % CIs计算。结果共有19个相关的包括1302例PD患者资格荟萃分析,我们得到23比较包括研究的数据合成。体育锻炼干预显示显著影响减少PD患者的抑郁症状(SMD = 0.829;95 \ % CI = 0.516 {\ textendash} 1.142;p < 0.001)。主持人分析运动类型揭示了重要的积极作用结合运动干预(SMD = 1.111;188金宝慱官网下载95 \ % CI = 0.635 {\ textendash} 1.587;p \ < 0.001),而有氧训练就没有显示显著影响(SMD = 0.202;95 \ % CI = -0.045 - 0.449; p = 0.108). Both light-to-moderate intensity exercises (SMD = 0.971; 95\% CI = 0.521{\textendash}1.421; p \< 0.001) and moderate-to-vigorous intensity exercises (SMD = 0.779; 95\% CI = 0.407{\textendash}1.152; p \< 0.001) significantly improved depressive symptoms with a small difference between the exercise intensities.Discussion Our results suggest that physical exercise has significant antidepressant effects in patients with PD. These effects seemed to be more closely associated with exercise type than intensity. Different types of exercise interventions may result in greater benefit and require further investigation.BDNF=brain-derived neurotrophic factor; BDI=Beck Depression Inventory; GDS=Geriatric Depression Scale; HADS=Hospital Anxiety and Depression Scale; HAM-D17=17-item Hamilton Depression Rating Scale; PD=Parkinson disease; RCT=randomized controlled trial; SDS=Self-rating Depression Scale; SMD=standardized mean difference; UPDRS=Unified Parkinson Disease Rating Scale}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/100/4/e377}, eprint = {//www.ez-admanager.com/content/100/4/e377.full.pdf}, journal = {Neurology} }