META-ANALYSIS OF ACUTE EXERCISE EFFECTS ON STATE ANXIETY: AN UPDATE OF RANDOMIZED CONTROLLED TRIALS OVER THE PAST 25 YEARS: Review: A Meta-analysis on Acute Exercise and Anxiety
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BACKGROUND: One prominent and well-cited meta-analysis published nearly 25 years ago reported that an acute or single bout of exercise reduced state anxiety by approximately ¼ standard deviation. We conducted a meta-analysis of randomized controlled trials (RCTs) published after that meta-analysis for updating our understanding of the acute effects of exercise on state anxiety. METHODS: We searched PubMed, EBSCOHost, Medline, PsycINFO, ERIC, and ScienceDirect for RCTs of acute exercise and state anxiety as an outcome. There were 36 RCTs that met inclusion criteria and yielded data for effect size (ES) generation (Cohen's d). An overall ES was calculated using a random effects model and expressed as Hedge's g. RESULTS: The weighted mean ES was small (Hedge's g = 0.16, standard error (SE) = 0.06), but statistically significant (P < 0.05), and indicated that a single bout of exercise resulted in an improvement in state anxiety compared with control. The overall ES was heterogeneous and post hoc, exploratory analyses using both random- and fixed-effects models identified several variables as moderators including sample age, sex and health status, baseline activity levels, exercise intensity, modality and control condition, randomization, overall study quality, and the anxiety measure (P < 0.05). CONCLUSION: The cumulative evidence from high quality studies indicates that acute bouts of exercise can yield a small reduction in state anxiety. The research is still plagued by floor effects associated with recruiting persons with normal or lower levels of state anxiety, and this should be overcome in subsequent trials.
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Acute bouts of exercise have a small positive effect on reducing symptoms of state anxiety.
“Even acute bouts of exercise have been shown to have a small, positive effect on reducing symptoms of state anxiety [67].”
From Moving to Beat Anxiety: Epidemiology and Therapeutic Issues with Physical Activity for Anxiety (2018) · cites this paper as [67]
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PROMOTING PHYSICAL ACTIVITY FOR MENTAL WELL-BEING
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- Authors
- Ensari, I., Greenlee, T. A., Motl, R. W., & Petruzzello, S. J.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- Corresponding author
- Motl, Robert W.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2015-04-21
- Volume
- 32
- Issue
- 8
- Pages
- 624-634
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W1588846777
- Cited by
- 256
- References
- 57
- Citations by year
- 2026: 26 · 2025: 22 · 2024: 24 · 2023: 22 · 2022: 27 · 2021: 35 · 2020: 24 · 2019: 26 · 2018: 20 · 2017: 13 · 2016: 14 · 2015: 2
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- acute exercise, state anxiety, single bout exercise, exercise intensity, exercise modalities, floor effect
- MeSH terms
- Anxiety, Exercise Therapy, Humans, Randomized Controlled Trials as Topic, Treatment Outcome
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