Skip to main content
Top
Gepubliceerd in: Quality of Life Research 11/2022

06-05-2022 | Review

Effect of exercise as adjuvant to energy-restricted diets on quality of life and depression outcomes: a meta-analysis of randomized controlled trials

Auteurs: Seyede Hamide Rajaie, Sepideh Soltani, Zeinab Yazdanpanah, Tayebeh Zohrabi, Sara Beigrezaei, Sahar Mohseni-Takalloo, Mojtaba Kaviani, Scott C. Forbes, Julien S. Baker, Amin Salehi-Abargouei

Gepubliceerd in: Quality of Life Research | Uitgave 11/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background and aim

Obesity and related co-morbidities lead to a decrease in health-related quality of life (HRQOL) and mood. Lifestyle strategies may improve these outcomes. However, the efficacy of exercise in conjunction with a weight-loss diet on HRQOL and mood is unclear. The aim of this systematic review and meta-analysis of randomized controlled trials (RCTs) was to examine whether the addition of exercise to energy-restricted dietary programs improves HRQOL and mood status when compared with energy-restricted diets alone in overweight and obese adults.

Methods

Eligible RCTs were identified by searching PubMed/MEDLINE, EMBASE, ISI (Web of sciences), Scopus, and Google Scholar up to April 2021. Summary effects were derived using a random-effects model. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.

Results

The meta-analysis revealed that an energy-restricted diet plus exercise compared with an energy-restricted diet alone had no significant effects on depression (n = 6, hedges’g = − 0.04, 95% CI: − 0.28,0.20), MOS 36-Item Short-Form Health Survey (SF-36)-physical component summary scores (n = 8, weighted mean difference (WMD) = 1.51, 95% CI: − 0.16, 3.18), SF36-mental component summary scores (n = 7, WMD = 0.64, 95% CI: − 1.00, 2.28), and HRQOL disease-specific questionnaire scores (n = 5, hedges’g = 0.16, 95% CI: − 0.09, 0.40). The GRADE revealed that the quality of evidence was low for disease-specific HRQOL scores, and depression status; and high for physical and mental health assessed by SF-36.

Conclusion

In our sample of overweight and obese adults, no beneficial effect of adding exercise to an energy-restricted diet was found in terms of HRQOL and Depression.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., et al. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: A systematic analysis for the global burden of disease study 2013. The Lancet, 384(9945), 766–781. https://doi.org/10.1016/S0140-6736(14)60460-8GetCrossRef Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., et al. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: A systematic analysis for the global burden of disease study 2013. The Lancet, 384(9945), 766–781. https://​doi.​org/​10.​1016/​S0140-6736(14)60460-8GetCrossRef
2.
go back to reference NCD Risk Factor Collaboration, Az, L., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., et al. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population-based measurement studies in 128· 9 million children, adolescents, and adults. The Lancet, 390, 2627–42. https://doi.org/10.1016/S0140-6736(17)32129-3CrossRef NCD Risk Factor Collaboration, Az, L., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., et al. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population-based measurement studies in 128· 9 million children, adolescents, and adults. The Lancet, 390, 2627–42. https://​doi.​org/​10.​1016/​S0140-6736(17)32129-3CrossRef
6.
go back to reference Bloom, D. E., Cafiero, E., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, LR., Fathima, S., et al.(2012). The global economic burden of noncommunicable diseases. Program on the Global Demography of Aging. Bloom, D. E., Cafiero, E., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, LR., Fathima, S., et al.(2012). The global economic burden of noncommunicable diseases. Program on the Global Demography of Aging.
14.
go back to reference Fabricatore, A. N., Wadden, T. A., Higginbotham, A. J., Faulconbridge, L. F., Nguyen, A. M., Heymsfield, S. B., et al. (2011). Intentional weight loss and changes in symptoms of depression: A systematic review and meta-analysis. International Journal of Obesity, 35(11), 1363–76. https://doi.org/10.1038/ijo.2011.2CrossRefPubMed Fabricatore, A. N., Wadden, T. A., Higginbotham, A. J., Faulconbridge, L. F., Nguyen, A. M., Heymsfield, S. B., et al. (2011). Intentional weight loss and changes in symptoms of depression: A systematic review and meta-analysis. International Journal of Obesity, 35(11), 1363–76. https://​doi.​org/​10.​1038/​ijo.​2011.​2CrossRefPubMed
21.
24.
go back to reference Garrow, J., & Summerbell, C. (1995). Meta-analysis: Effect of exercise, with or without dieting, on the body composition of overweight subjects. European Journal of Clinical Nutrition, 49(1), 1–10.CrossRef Garrow, J., & Summerbell, C. (1995). Meta-analysis: Effect of exercise, with or without dieting, on the body composition of overweight subjects. European Journal of Clinical Nutrition, 49(1), 1–10.CrossRef
27.
29.
go back to reference Nikroo, H., Mohammadian, M., Nematy, M., Sima, H., & Attarzadeh Hosseini, S. R. (2015). The effect of diet and exercise on improvement of quality of life in patients with nonalcoholic steatohepatitis. Journal of Kerman University of Medical Sciences, 22, 61–72. Nikroo, H., Mohammadian, M., Nematy, M., Sima, H., & Attarzadeh Hosseini, S. R. (2015). The effect of diet and exercise on improvement of quality of life in patients with nonalcoholic steatohepatitis. Journal of Kerman University of Medical Sciences, 22, 61–72.
36.
37.
40.
go back to reference Beigrezaei, S., Yazdanpanah, Z., Soltani, S., Rajaie, S. H., Mohseni-Takalloo, S., Zohrabi, T., et al. (2021). The effects of exercise and low-calorie diets compared with low-calorie diets alone on health: A protocol for systematic reviews and meta-analyses of controlled clinical trials. Systematic Reviews, 10(1), 1–6. https://doi.org/10.1186/2046-4053-4-1CrossRef Beigrezaei, S., Yazdanpanah, Z., Soltani, S., Rajaie, S. H., Mohseni-Takalloo, S., Zohrabi, T., et al. (2021). The effects of exercise and low-calorie diets compared with low-calorie diets alone on health: A protocol for systematic reviews and meta-analyses of controlled clinical trials. Systematic Reviews, 10(1), 1–6. https://​doi.​org/​10.​1186/​2046-4053-4-1CrossRef
41.
go back to reference Higgins, J. P., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., et al. (2019). Cochrane handbook for systematic reviews of interventions. Wiley.CrossRef Higgins, J. P., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., et al. (2019). Cochrane handbook for systematic reviews of interventions. Wiley.CrossRef
46.
go back to reference Geliebter, A., Maher, M. M., Gerace, L., Gutin, B., Heymsfield, S. B., & Hashim, S. A. (1997). Effects of strength or aerobic training on body composition, resting metabolic rate, and peak oxygen consumption in obese dieting subjects. The American Journal of Clinical Nutrition, 66(3), 557–563. https://doi.org/10.1093/ajcn/66.3.557CrossRefPubMed Geliebter, A., Maher, M. M., Gerace, L., Gutin, B., Heymsfield, S. B., & Hashim, S. A. (1997). Effects of strength or aerobic training on body composition, resting metabolic rate, and peak oxygen consumption in obese dieting subjects. The American Journal of Clinical Nutrition, 66(3), 557–563. https://​doi.​org/​10.​1093/​ajcn/​66.​3.​557CrossRefPubMed
48.
go back to reference Doi, S. A., Barendregt, J. J., Khan, S., Thalib, L., & Williams, G. M. (2015). Advances in the meta-analysis of heterogeneous clinical trials I: The inverse variance heterogeneity model. Contemporary Clinical Trials, 45, 130–8.CrossRef Doi, S. A., Barendregt, J. J., Khan, S., Thalib, L., & Williams, G. M. (2015). Advances in the meta-analysis of heterogeneous clinical trials I: The inverse variance heterogeneity model. Contemporary Clinical Trials, 45, 130–8.CrossRef
52.
go back to reference Egger, M., Davey-Smith, G., & Altman, D. (2008). Systematic reviews in health care: meta-analysis in context. Wiley. Egger, M., Davey-Smith, G., & Altman, D. (2008). Systematic reviews in health care: meta-analysis in context. Wiley.
53.
go back to reference Messier, V., Rabasa-Lhoret, R., Doucet, E., Brochu, M., Lavoie, J.-M., Karelis, A., et al. (2010). Effects of the addition of a resistance training programme to a caloric restriction weight loss intervention on psychosocial factors in overweight and obese post-menopausal women: A montreal Ottawa new emerging team study. Journal of Sports Sciences, 28(1), 83–92. https://doi.org/10.1080/02640410903390105CrossRefPubMed Messier, V., Rabasa-Lhoret, R., Doucet, E., Brochu, M., Lavoie, J.-M., Karelis, A., et al. (2010). Effects of the addition of a resistance training programme to a caloric restriction weight loss intervention on psychosocial factors in overweight and obese post-menopausal women: A montreal Ottawa new emerging team study. Journal of Sports Sciences, 28(1), 83–92. https://​doi.​org/​10.​1080/​0264041090339010​5CrossRefPubMed
54.
go back to reference Scott, H., Gibson, P., Garg, M., Pretto, J., Morgan, P., Callister, R., et al. (2013). Dietary restriction and exercise improve airway inflammation and clinical outcomes in overweight and obese asthma: A randomized trial. Clinical Experimental Allergy, 43(1), 36–49. https://doi.org/10.1111/cea.12004CrossRefPubMed Scott, H., Gibson, P., Garg, M., Pretto, J., Morgan, P., Callister, R., et al. (2013). Dietary restriction and exercise improve airway inflammation and clinical outcomes in overweight and obese asthma: A randomized trial. Clinical Experimental Allergy, 43(1), 36–49. https://​doi.​org/​10.​1111/​cea.​12004CrossRefPubMed
58.
59.
go back to reference Blissmer, B., Riebe, D., Dye, G., Ruggiero, L., Greene, G., & Caldwell, M. (2006). Health-related quality of life following a clinical weight loss intervention among overweight and obese adults: Intervention and 24 month follow-up effects. Health Quality of Life Outcomes, 4(1), 1–8. https://doi.org/10.1186/1477-7525-4-43CrossRef Blissmer, B., Riebe, D., Dye, G., Ruggiero, L., Greene, G., & Caldwell, M. (2006). Health-related quality of life following a clinical weight loss intervention among overweight and obese adults: Intervention and 24 month follow-up effects. Health Quality of Life Outcomes, 4(1), 1–8. https://​doi.​org/​10.​1186/​1477-7525-4-43CrossRef
Metagegevens
Titel
Effect of exercise as adjuvant to energy-restricted diets on quality of life and depression outcomes: a meta-analysis of randomized controlled trials
Auteurs
Seyede Hamide Rajaie
Sepideh Soltani
Zeinab Yazdanpanah
Tayebeh Zohrabi
Sara Beigrezaei
Sahar Mohseni-Takalloo
Mojtaba Kaviani
Scott C. Forbes
Julien S. Baker
Amin Salehi-Abargouei
Publicatiedatum
06-05-2022
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2022
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-022-03146-7

Andere artikelen Uitgave 11/2022

Quality of Life Research 11/2022 Naar de uitgave