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Exercise interventions for mental disorders in young people: a scoping review [with consumer summary]
Pascoe MC, Bailey AP, Craike M, Carter T, Patten R, Stepto NK, Parker AG
BMJ Open Sport & Exercise Medicine 2020;6(1):e000678
systematic review

AIMS: This scoping review determines the breadth and outcomes of controlled trials testing the effect of physical activity/exercise interventions across mental health outcomes in young people with a mental disorder. METHODS: The literature search was conducted using the open-access 'Evidence Finder', a comprehensive youth mental health-specific database that is systematically populated from Medline, Embase, PsycINFO and Cochrane CENTRAL databases. RESULTS: Sixteen publications were identified after meeting the following eligibility criteria: (1) participants were young people (mean age 12 to 25.9 years) with a mental disorder diagnosed by a trained clinician or by reaching a predefined cut score on a symptom measure, (2) interventions were exercise, (3) designs were randomised or non-randomised controlled trials, (4) outcomes were mental health related. Eight studies included young people with depression, three included people with psychosis/schizophrenia, three included people with eating disorders and two included people with anxiety. The available evidence suggests that moderate-to-vigorous-intensity exercise may be beneficial, particularly for reducing depression. The available evidence for other intervention intensities, and for other mental disorders, is mixed. CONCLUSIONS: Overall, the evidence regarding the impact of exercise interventions on a range of mental health outcomes in clinical populations of young people with various mental disorders looks promising but requires further development. Findings from this scoping review can inform the development of future exercise interventions in the youth mental health field.

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