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Multicomponent exercise training does not alter depressive symptoms in older people: a systematic review with meta-analysis of current evidence

2025Research article Open access
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dc.contributor.authorConceição, Ariani Françaen_US
dc.contributor.authorFurtado, Guilherme Eustáquioen_US
dc.contributor.authorLourenço, Camilo Luis Monteiroen_US
dc.contributor.authorDias, Ana Luiza Regoen_US
dc.contributor.authorRodrigues, Franciscoen_US
dc.contributor.authorCosta, Sónia Britoen_US
dc.contributor.authorCezar, Natália Oiring de Castroen_US
dc.contributor.authorOliveira, Marcos Paulo Braz deen_US
dc.contributor.authorRocha, Saulo Vasconcelosen_US
dc.contributor.authorRodrigues, Francisco
dc.date.accessioned2025-09-15T10:36:45Z
dc.date.available2025-09-15T10:36:45Z
dc.date.issued2025en_US
dc.date.updated2025-09-14T10:48:08Z
dc.description.abstractBackground: Depression is a prevalent mental health condition among older adults, negatively impacting their quality of life and overall well-being. Physical exercise has been identifed as a potential intervention for improving mental health in this population. Multicomponent training (MCT), which combines exercises targeting multiple physical capacities, is widely prescribed to older adults; however, its efcacy in reducing depressive symptoms (DS) remains unclear. Objectives: This systematic review and meta-analysis aimed to evaluate the efects of MCT on DS in older adults, assess the overall efectiveness of such interventions, and identify methodological and contextual factors that might infuence outcomes. Methods: We conducted a systematic search across six databases—PubMed, LILACS, SciELO, Embase, Scopus, and Web of Science—for clinical trials evaluating MCT interventions in older adults with DS. Included studies used the Geriatric Depression Scale (GDS) to assess outcomes. MCT was defined as a training program incorporating at least three distinct physical capacities (e.g., strength, endurance, balance, fexibility). Meta-analyses were performed using a random-efects model (Hedges’ g), and study quality was assessed using the TESTEX scale. Results: Ten studies (n=781) were included in the systematic review, with fve studies (n=305) included in the meta-analysis. The pooled analysis revealed no signifcant overall efect of MCT on DS (g=−0.090; 95% CI=−0.448 to 0.269, p=0.624). Methodological inconsistencies, lack of load control, and high variability in MCT composition across studies were noted. The median methodological quality was moderate (median TESTEX score=7, IQR 7–8). Recent literature has emphasized the importance of protocol specifcity and suggested that current MCT designs may not efectively address mental health outcomes. Conclusion: MCT interventions did not show a signifcant efect on reducing DS in older adults. Given its frequent prescription in geriatric care, these fndings challenge current assumptions about MCT’s mental health benefts. This message is crucial for clinicians and researchers, as small variations in protocol design may hinder consistency in outcomes. Further high-quality trials are needed to clarify MCT's potential role in mental health management among older adults.en_US
dc.description.versionN/A
dc.identifier.citationCONCEIÇÃO, Ariani França [et al.] (2025) - Multicomponent exercise training does not alter depressive symptoms in older people: a systematic review with meta‑analysis of current evidence. Sport Sciences for Health. Vol. 21, p. 1391–1404. DOI: 10.1007/s11332-025-01420-y
dc.identifier.doi10.1007/s11332-025-01420-yen_US
dc.identifier.slugcv-prod-4564161
dc.identifier.urihttp://hdl.handle.net/10400.11/10292
dc.language.isoengeng
dc.subjectAged
dc.subjectDepressive disorder
dc.subjectExercise therapy
dc.subjectPhysical ftness
dc.subjectMotor activity
dc.subjectPhysical functionalperformance
dc.titleMulticomponent exercise training does not alter depressive symptoms in older people: a systematic review with meta-analysis of current evidenceen_US
dc.typeresearch articleen_US
dspace.entity.typePublication
oaire.citation.titleSport Sciences for Healthen_US
person.familyNameRodrigues
person.givenNameFrancisco
person.identifier2982790
person.identifier.ciencia-id7A18-045E-330C
person.identifier.orcid0000-0001-8405-4249
person.identifier.ridJTV-3288-2023
person.identifier.scopus-author-id57214122402
rcaap.cv.cienciaid7A18-045E-330C | Francisco José Barbas Rodrigues
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublicationd496c83f-3a6b-424e-ba10-452ce609d597
relation.isAuthorOfPublication.latestForDiscoveryd496c83f-3a6b-424e-ba10-452ce609d597

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