Cited by 256Physical Activity and HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesCardiovascular and exercise physiology

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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Ensari, Ipek, Greenlee, Tina A., Motl, Robert W., Petruzzello, Steven J.·2015·Depression and Anxiety

Abstract

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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  1. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of ob- servational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA 2000;283(15):2008-2012.
  2. Focht BC, Koltyn KF, Bouchard LJ. State anxiety and blood pres- sure responses following different resistance exercise sessions. Int J Sport Psychol 2000;31:376-390
  3. VanLanduyt LM, Ekkekakis P, Hall EE, Petruzzello SJ. Exercise psychology. J Sport Exerc Psychol 2000;22:208-234.

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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
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
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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