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Physical activity and suicidal ideation: a systematic review and meta-analysis

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Physical activity and suicidal ideation: a systematic review and meta-analysis. / Vancampfort, Davy; Hallgren, Mats; Firth, Joseph; Rosenbaum, Simon; Schuch, Felipe B.; Mugisha, James; Probst, Michel; Van Damme, Tine; Carvalho, André F.; Stubbs, Brendon.

In: Journal of Affective Disorders, 24.08.2017.

Research output: Contribution to journalArticle

Harvard

Vancampfort, D, Hallgren, M, Firth, J, Rosenbaum, S, Schuch, FB, Mugisha, J, Probst, M, Van Damme, T, Carvalho, AF & Stubbs, B 2017, 'Physical activity and suicidal ideation: a systematic review and meta-analysis', Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2017.08.070

APA

Vancampfort, D., Hallgren, M., Firth, J., Rosenbaum, S., Schuch, F. B., Mugisha, J., ... Stubbs, B. (2017). Physical activity and suicidal ideation: a systematic review and meta-analysis. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2017.08.070

Vancouver

Vancampfort D, Hallgren M, Firth J, Rosenbaum S, Schuch FB, Mugisha J et al. Physical activity and suicidal ideation: a systematic review and meta-analysis. Journal of Affective Disorders. 2017 Aug 24. https://doi.org/10.1016/j.jad.2017.08.070

Author

Vancampfort, Davy ; Hallgren, Mats ; Firth, Joseph ; Rosenbaum, Simon ; Schuch, Felipe B. ; Mugisha, James ; Probst, Michel ; Van Damme, Tine ; Carvalho, André F. ; Stubbs, Brendon. / Physical activity and suicidal ideation: a systematic review and meta-analysis. In: Journal of Affective Disorders. 2017.

Bibtex Download

@article{6ce6be3fab0846728e6729b3a68814db,
title = "Physical activity and suicidal ideation: a systematic review and meta-analysis",
abstract = "Background A potential approach to suicide prevention that has not been closely examined, but which holds promise in terms of widespread dissemination without major side-effects, is physical activity (PA). This systematic review and meta-analysis set out to: (a) explore associations between PA and suicidal ideation (SI) levels, and (b) investigate the effect of PA interventions on SI. Methods Major electronic databases were searched from inception up to 05/2017 to identify quantitative studies reporting an association between PA and SI. A quantitative correlates synthesis and random effects meta-analysis were conducted. Results Fourteen of 21 studies in adults (67{\%}) (n=130,737), 7/14 (50{\%}) in adolescents (n=539,170) and 2/3 (67{\%}) in older adults (n=50,745) found a significant negative association between PA- and SI-levels. Pooled adjusted meta-analysis of 14 effect sizes over eight studies and 80,856 people found that those who were “active” versus those who were “inactive” were less likely to have SI (OR=0.87, 95{\%}CI=0.76–0.98). Additionally, meeting PA guidelines conferred a significant protective effect against SI (OR=0.91, 95{\%}CI=0.51–0.99, P=0.03; N studies=3, n people=122,395), while not meeting guidelines was associated with increased SI (OR=1.16, 95{\%}CI=1.09–1.24, P<0.001; N=4, n=78,860). Data from the intervention studies (N=3, n=121) was mixed and limited. Limitations Our findings are based mainly on cross-sectional studies, while the majority of studies did not include a rigorous physical activity assessment. Conclusions The current study suggests that higher PA levels are associated with lower SI. However, the associations observed need to be confirmed in prospective observational studies and controlled trials.",
keywords = "suicide, mortality, physical exercise",
author = "Davy Vancampfort and Mats Hallgren and Joseph Firth and Simon Rosenbaum and Schuch, {Felipe B.} and James Mugisha and Michel Probst and {Van Damme}, Tine and Carvalho, {Andr{\'e} F.} and Brendon Stubbs",
year = "2017",
month = "8",
day = "24",
doi = "10.1016/j.jad.2017.08.070",
language = "English",
journal = "Journal of affective disorders",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Physical activity and suicidal ideation: a systematic review and meta-analysis

AU - Vancampfort, Davy

AU - Hallgren, Mats

AU - Firth, Joseph

AU - Rosenbaum, Simon

AU - Schuch, Felipe B.

AU - Mugisha, James

AU - Probst, Michel

AU - Van Damme, Tine

AU - Carvalho, André F.

AU - Stubbs, Brendon

PY - 2017/8/24

Y1 - 2017/8/24

N2 - Background A potential approach to suicide prevention that has not been closely examined, but which holds promise in terms of widespread dissemination without major side-effects, is physical activity (PA). This systematic review and meta-analysis set out to: (a) explore associations between PA and suicidal ideation (SI) levels, and (b) investigate the effect of PA interventions on SI. Methods Major electronic databases were searched from inception up to 05/2017 to identify quantitative studies reporting an association between PA and SI. A quantitative correlates synthesis and random effects meta-analysis were conducted. Results Fourteen of 21 studies in adults (67%) (n=130,737), 7/14 (50%) in adolescents (n=539,170) and 2/3 (67%) in older adults (n=50,745) found a significant negative association between PA- and SI-levels. Pooled adjusted meta-analysis of 14 effect sizes over eight studies and 80,856 people found that those who were “active” versus those who were “inactive” were less likely to have SI (OR=0.87, 95%CI=0.76–0.98). Additionally, meeting PA guidelines conferred a significant protective effect against SI (OR=0.91, 95%CI=0.51–0.99, P=0.03; N studies=3, n people=122,395), while not meeting guidelines was associated with increased SI (OR=1.16, 95%CI=1.09–1.24, P<0.001; N=4, n=78,860). Data from the intervention studies (N=3, n=121) was mixed and limited. Limitations Our findings are based mainly on cross-sectional studies, while the majority of studies did not include a rigorous physical activity assessment. Conclusions The current study suggests that higher PA levels are associated with lower SI. However, the associations observed need to be confirmed in prospective observational studies and controlled trials.

AB - Background A potential approach to suicide prevention that has not been closely examined, but which holds promise in terms of widespread dissemination without major side-effects, is physical activity (PA). This systematic review and meta-analysis set out to: (a) explore associations between PA and suicidal ideation (SI) levels, and (b) investigate the effect of PA interventions on SI. Methods Major electronic databases were searched from inception up to 05/2017 to identify quantitative studies reporting an association between PA and SI. A quantitative correlates synthesis and random effects meta-analysis were conducted. Results Fourteen of 21 studies in adults (67%) (n=130,737), 7/14 (50%) in adolescents (n=539,170) and 2/3 (67%) in older adults (n=50,745) found a significant negative association between PA- and SI-levels. Pooled adjusted meta-analysis of 14 effect sizes over eight studies and 80,856 people found that those who were “active” versus those who were “inactive” were less likely to have SI (OR=0.87, 95%CI=0.76–0.98). Additionally, meeting PA guidelines conferred a significant protective effect against SI (OR=0.91, 95%CI=0.51–0.99, P=0.03; N studies=3, n people=122,395), while not meeting guidelines was associated with increased SI (OR=1.16, 95%CI=1.09–1.24, P<0.001; N=4, n=78,860). Data from the intervention studies (N=3, n=121) was mixed and limited. Limitations Our findings are based mainly on cross-sectional studies, while the majority of studies did not include a rigorous physical activity assessment. Conclusions The current study suggests that higher PA levels are associated with lower SI. However, the associations observed need to be confirmed in prospective observational studies and controlled trials.

KW - suicide

KW - mortality

KW - physical exercise

U2 - 10.1016/j.jad.2017.08.070

DO - 10.1016/j.jad.2017.08.070

M3 - Article

JO - Journal of affective disorders

JF - Journal of affective disorders

SN - 0165-0327

ER -

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