| Author | Simjanoski, Mario | |
| Author | Patel, Swara | |
| Author | De Boni, Raquel B. | |
| Author | Balanzá-Martínez, Vicent | |
| Author | Frey, Benicio N. | |
| Author | Minuzzi, Luciano | |
| Author | Kapczinski, Flavio | |
| Author | Cardoso, Taiane de Azevedo | |
| Access date | 2023-07-06T13:26:20Z | |
| Available date | 2023-07-06T13:26:20Z | |
| Document date | 2023 | |
| Citation | SIMJANOSKI, Mario et al. Lifestyle interventions for bipolar disorders: a systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews, v. 152, p. 1-13, Sept. 2023. | en_US |
| ISSN | 0149-7634 | |
| URI | https://www.arca.fiocruz.br/handle/icict/59434 | |
| Language | eng | en_US |
| Publisher | Elsevier | en_US |
| Rights | restricted access | |
| Title | Lifestyle interventions for bipolar disorders: a systematic review and meta-analysis | en_US |
| Type | Article | |
| DOI | 10.1016/j.neubiorev.2023.105257 | |
| Abstract | This review and meta-analysis aimed to describe the existing literature on interventions for bipolar disorder (BD) targeting the 6 pillars of Lifestyle Psychiatry: diet, physical activity (PA), substance use (SU), sleep, stress management, and social relationships (SR). Randomized Controlled Trials that examined the efficacy of lifestyle interventions targeting improvement in depressive/(hypo)manic symptom severity, lifestyle patterns, functioning, quality of life, and/or circadian rhythms were included. The systematic review included 18 studies, while the meta-analysis included studies targeting the same lifestyle domains and outcomes. Sleep (n = 10), PA (n = 9), and diet (n = 8) were the most targeted domains, while SU, SM and SR were least targeted (n = 4 each). Combined diet and PA interventions led to significant improvements in depressive symptoms (SMD: − 0.46; 95% CI: − 0.88, − 0.04; p = 0.03), and functioning (SMD: − 0.47; 95%CI: − 0.89, − 0.05; p = 0.03). Sleep interventions also led to significant improvements in depressive symptoms (SMD: − 0.80; 95%CI: − 1.21, − 0.39; p < 0.01). Future research should focus on developing more multidimensional lifestyle interventions for a potentially greater impact on clinical and functional outcomes of BD. | en_US |
| Affilliation | McMaster University. Neuroscience Graduate Program. Hamilton, ON, Canada / McMaster University. Department of Psychiatry and Behavioural Neurosciences. Hamilton, ON, Canada. | en_US |
| Affilliation | McMaster University. School of Interdisciplinary Science. Life Sciences Program. Hamilton, ON, Canada. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | University of Valencia. Teaching Unit of Psychiatry and Psychological Medicine. Department of Medicine. CIBERSAM. Valencia, Spain. | en_US |
| Affilliation | McMaster University. Neuroscience Graduate Program. Hamilton, ON, Canada / McMaster University. Department of Psychiatry and Behavioural Neurosciences. Hamilton, ON, Canada / Women’s Health Concerns Clinic and Mood Disorders Program. St. Joseph’s Healthcare. Hamilton, ON, Canada. | en_US |
| Affilliation | McMaster University. Neuroscience Graduate Program. Hamilton, ON, Canada / McMaster University. Department of Psychiatry and Behavioural Neurosciences. Hamilton, ON, Canada / University of Valencia. Teaching Unit of Psychiatry and Psychological Medicine. Department of Medicine. CIBERSAM. Valencia, Spain. | en_US |
| Affilliation | McMaster University. Neuroscience Graduate Program. Hamilton, ON, Canada / McMaster University. Department of Psychiatry and Behavioural Neurosciences. Hamilton, ON, Canada / Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Porto Alegre, RS, Brasil. | en_US |
| Affilliation | McMaster University. Department of Psychiatry and Behavioural Neurosciences. Hamilton, ON, Canada / McMaster University. School of Interdisciplinary Science. Life Sciences Program. Hamilton, ON, Canada. | en_US |
| Subject | Bipolar disorder | en_US |
| Subject | Lifestyle interventions | en_US |
| Subject | Systematic review | en_US |
| Subject | Meta-analysis | en_US |
| Subject | RCT | en_US |
| Subject | Lifestyle psychiatry | en_US |
| Subject | Lifestyle medicine | en_US |
| Subject | Diet | en_US |
| Subject | Exercise | en_US |
| Subject | Substance use | en_US |
| Subject | Stress | en_US |
| Subject | Sleep | en_US |
| Subject | Social relationships | en_US |
| Embargo date | 2030-12-31 | |
