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COVID-19 Pandemic and Exercise (COPE) trial: a multigroup pragmatic randomised controlled trial examining effects of app-based at-home exercise programs on depressive symptoms.

British journal of sports medicine
May 1, 2022
Eli Puterman et al. (9 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether at-home HIIT, alone or combined with yoga, could reduce depressive symptoms in adults during the COVID-19 pandemic.

Results Summary

HIIT significantly reduced depressive symptoms compared to the waitlist control, with small effect sizes in the general sample and very large effects in participants with high baseline depressive symptoms. No significant differences were found between HIIT, yoga, or their combination.

Population

Low-active, English-speaking, non-retired Canadians aged 18-64.

Effective Dosage

Not specified

Duration

6 weeks

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
exercise
decrease
depressive symptoms
clinical and non-clinical populations
-
significantly reduce
#1
at-home exercise, including high intensity interval training (HIIT) and/or yoga
decrease
depressive symptoms
the general population in the early months of the pandemic
-
was completed to reduce
#2
HIIT
decrease
depressive symptoms
community-based sample of participants
small effect sizes
showed significant treatment effects
#3
Yoga
decrease
depressive symptoms
community-based sample of participants
small effect sizes
showed significant treatment effects
#4
HIIT+yoga
decrease
depressive symptoms
community-based sample of participants
small effect sizes
showed significant treatment effects
#5
HIIT
decrease
depressive symptoms
participants with high depressive symptoms at baseline
week 6 ES range=-2.34 to -2.52
effect sizes were very large
#6
Yoga
decrease
depressive symptoms
participants with high depressive symptoms at baseline
week 6 ES range=-2.34 to -2.52
effect sizes were very large
#7
HIIT+yoga
decrease
depressive symptoms
participants with high depressive symptoms at baseline
week 6 ES range=-2.34 to -2.52
effect sizes were very large
#8
at-home exercise
increase
mental health
adults during the pandemic
-
is a potent behaviour to improve
#9
at-home exercise
increase
mental health
those with increased levels of depressive symptoms
-
is a potent behaviour to improve
#10
Abstract

BACKGROUND: The number of adults across the globe with significant depressive symptoms has grown substantially during the COVID-19 pandemic. The extant literature supports exercise as a potent behaviour that can significantly reduce depressive symptoms in clinical and non-clinical populations. OBJECTIVE: Using a suite of mobile applications, at-home exercise, including high intensity interval training (HIIT) and/or yoga, was completed to reduce depressive symptoms in the general population in the early months of the pandemic. METHODS: A 6-week, parallel, multiarm, pragmatic randomised controlled trial was completed with four groups: (1) HIIT, (2) Yoga, (3) HIIT+yoga, and (4) waitlist control (WLC). Low active, English-speaking, non-retired Canadians aged 18-64 years were included. Depressive symptoms were measured at baseline and weekly following randomisation. RESULTS: A total of 334 participants were randomised to one of four groups. No differences in depressive symptoms were evident at baseline. The results of latent growth modelling showed significant treatment effects in depressive symptoms for each active group compared with the WLC, with small effect sizes (ESs) in the community-based sample of participants. Treatment groups were not significantly different from each other. Effect sizes were very large (eg, week 6 ES range=-2.34 to -2.52) when restricting the analysis only to participants with high depressive symptoms at baseline. CONCLUSIONS: At-home exercise is a potent behaviour to improve mental health in adults during the pandemic, especially in those with increased levels of depressive symptoms. Promotion of at-home exercise may be a global public health target with important personal, social and economic implications as the world emerges scathed by the pandemic. TRIAL REGISTRATION NUMBER: NCT04400279.

Medical Subject Headings (MeSH)
AdultCOVID-19CanadaDepressionExercise TherapyHumansMobile ApplicationsPandemics
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations8
Citations/Year2.7
Relative Citation Ratio1.32
NIH Percentile60.4%
Research Impact Scores
APT Score0.50
Weight Score2.80
Normalized Score0.72
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