BACKGROUND: Gender-based violence (GBV) is associated with high rates of psychopathology (ie, depression, anxiety, post-traumatic stress disorder) in victim-survivors. Existing research has demonstrated that physical activity is beneficial for mental health and wellbeing across various populations. However, it is currently unclear whether moderate-vigorous physical activity (MVPA) is efficacious for victim-survivors of GBV. Therefore, this systematic review aims to understand (1) the acceptability and feasibility of leisure-time MVPA interventions for victim-survivors of GBV, (2) the efficacy of leisure-time MVPA interventions for mental health and wellbeing in this cohort, and (3) the implementation strategies used in the development of such interventions. METHODS: Four databases were searched from inception to January 2024. Leisure-time MVPA intervention studies that reported on at least one measure of mental health or wellbeing for self-identified/biological women who had lived experience of GBV were eligible. RESULTS: Eleven studies met inclusion criteria, and analysis revealed a range of different types of MVPA (n = 5) and mental health/wellbeing outcomes measured (n = 9). The main findings include: (1) feasibility and acceptability of MVPA for victim-survivors was enhanced where trauma and violence-informed (TVI) practices were used in the development and delivery of interventions. (2) There was a lack of clarity and consistency around TVI practice in physical activity intervention research. (3) Leisure-time MVPA may be positively associated with mental health and wellbeing. CONCLUSIONS: Limited evidence exists regarding the impact of MVPA on mental health and wellbeing for this important population group. Future studies should embed TVI strategy within the design, delivery, and implementation of interventions.

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