Systematic review shows exercise reduces anxiety and depression in COPD patients, suggesting therapeutic benefits.
Background: Exercise therapies has been increasingly studied, but there is no consensus on their role in chronic obstructive pulmonary disease patients with psychological distress. Methods: We searched for relevant studies published in PubMed, Embase, Web of Science, and Cochrane Library, with a focus on randomized controlled trials that recorded the impact of exercise on psychological distress. Results: Twenty-one randomized controlled trials met the inclusion criteria. The meta-analysis indicated a significant improvement in anxiety (standardized mean difference [SMD]: −0.63, 95% confidence interval [CI]: −0.92 to −0.35; P < .001, I 2 = 83.6%), depression (SMD: −0.44, 95% CI: −0.63 to −0.26; P < .001, I 2 = 62.9%), emotion regulation (SMD: 0.32, 95% CI: 0.08–0.56; P = .010, I 2 = 0.0%), and self-efficacy (SMD = 0.61, 95% CI: 0.08–1.04, P < .001; I 2 = 74.8%) with exercise. Conclusion: Our meta-analysis supports the alleviation of psychological distress in chronic obstructive pulmonary disease patients by exercise.
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Liu et al. (2025) studied this question.
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