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.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.