The effects of exercise interventions on quality of life in clinical and well populations: a meta-analysis

Fiona Bridget Gillison, Suzanne Skevington, Ayana Sato, Martyn Standage, Stella Evangelidou

Research output: Contribution to journalArticle

  • 95 Citations

Abstract

The aim of the study was to provide an overview of the effect of exercise interventions on subjective quality of life (QoL) across adult clinical populations and well people, and to systematically investigate the impact of the exercise setting, intensity and type on these outcomes. From a systematic search of six electronic databases, 56 original studies were extracted, reporting on 7937 sick and well people. A meta-analysis was conducted on change in QoL from pre- to post-intervention compared with outcomes from a no-exercise control group, using weighted (by the study’s sample size) pooled mean effect sizes and a fixed-effects model. Significant differences in outcome were found when treatment purpose was compared; prevention/promotion (well populations), rehabilitation, or disease management. Three to six months post-baseline, a moderate positive effect of exercise interventions was found for overall QoL in rehabilitation patients (effect size [ES] = 0.55), but no significant effect for well or disease management groups (ES = 0.11 and ES = -0.00 respectively). However, physical and psychological QoL domains improved significantly relative to controls in well participants (ES = 0.22 and ES = 0.21 respectively). Psychological QoL was significantly poorer relative to controls in the disease management group (ES = -0.26). This pattern of results persisted over one year. With some exceptions, better overall QoL was reported for light intensity exercise undertaken in group settings, with greater improvement in physical QoL following moderate intensity exercise. The implications for future practice and research are discussed.
LanguageEnglish
Pages1700-1710
Number of pages11
JournalSocial Science and Medicine
Volume68
Issue number9
Early online date18 Mar 2009
DOIs
StatusPublished - May 2009

Fingerprint

Meta-Analysis
quality of life
Quality of Life
Exercise
Population
Disease Management
Rehabilitation
Psychology
Disease
rehabilitation
Meta-analysis
Effect Size
Group
Sample Size
management
Databases
Light
Control Groups
promotion
Research

Cite this

The effects of exercise interventions on quality of life in clinical and well populations: a meta-analysis. / Gillison, Fiona Bridget; Skevington, Suzanne; Sato, Ayana; Standage, Martyn; Evangelidou, Stella.

In: Social Science and Medicine, Vol. 68, No. 9, 05.2009, p. 1700-1710.

Research output: Contribution to journalArticle

@article{ec7d679db64f424d9726b900e7e26e95,
title = "The effects of exercise interventions on quality of life in clinical and well populations: a meta-analysis",
abstract = "The aim of the study was to provide an overview of the effect of exercise interventions on subjective quality of life (QoL) across adult clinical populations and well people, and to systematically investigate the impact of the exercise setting, intensity and type on these outcomes. From a systematic search of six electronic databases, 56 original studies were extracted, reporting on 7937 sick and well people. A meta-analysis was conducted on change in QoL from pre- to post-intervention compared with outcomes from a no-exercise control group, using weighted (by the study’s sample size) pooled mean effect sizes and a fixed-effects model. Significant differences in outcome were found when treatment purpose was compared; prevention/promotion (well populations), rehabilitation, or disease management. Three to six months post-baseline, a moderate positive effect of exercise interventions was found for overall QoL in rehabilitation patients (effect size [ES] = 0.55), but no significant effect for well or disease management groups (ES = 0.11 and ES = -0.00 respectively). However, physical and psychological QoL domains improved significantly relative to controls in well participants (ES = 0.22 and ES = 0.21 respectively). Psychological QoL was significantly poorer relative to controls in the disease management group (ES = -0.26). This pattern of results persisted over one year. With some exceptions, better overall QoL was reported for light intensity exercise undertaken in group settings, with greater improvement in physical QoL following moderate intensity exercise. The implications for future practice and research are discussed.",
author = "Gillison, {Fiona Bridget} and Suzanne Skevington and Ayana Sato and Martyn Standage and Stella Evangelidou",
year = "2009",
month = "5",
doi = "10.1016/j.socscimed.2009.02.028",
language = "English",
volume = "68",
pages = "1700--1710",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier",
number = "9",

}

TY - JOUR

T1 - The effects of exercise interventions on quality of life in clinical and well populations: a meta-analysis

AU - Gillison,Fiona Bridget

AU - Skevington,Suzanne

AU - Sato,Ayana

AU - Standage,Martyn

AU - Evangelidou,Stella

PY - 2009/5

Y1 - 2009/5

N2 - The aim of the study was to provide an overview of the effect of exercise interventions on subjective quality of life (QoL) across adult clinical populations and well people, and to systematically investigate the impact of the exercise setting, intensity and type on these outcomes. From a systematic search of six electronic databases, 56 original studies were extracted, reporting on 7937 sick and well people. A meta-analysis was conducted on change in QoL from pre- to post-intervention compared with outcomes from a no-exercise control group, using weighted (by the study’s sample size) pooled mean effect sizes and a fixed-effects model. Significant differences in outcome were found when treatment purpose was compared; prevention/promotion (well populations), rehabilitation, or disease management. Three to six months post-baseline, a moderate positive effect of exercise interventions was found for overall QoL in rehabilitation patients (effect size [ES] = 0.55), but no significant effect for well or disease management groups (ES = 0.11 and ES = -0.00 respectively). However, physical and psychological QoL domains improved significantly relative to controls in well participants (ES = 0.22 and ES = 0.21 respectively). Psychological QoL was significantly poorer relative to controls in the disease management group (ES = -0.26). This pattern of results persisted over one year. With some exceptions, better overall QoL was reported for light intensity exercise undertaken in group settings, with greater improvement in physical QoL following moderate intensity exercise. The implications for future practice and research are discussed.

AB - The aim of the study was to provide an overview of the effect of exercise interventions on subjective quality of life (QoL) across adult clinical populations and well people, and to systematically investigate the impact of the exercise setting, intensity and type on these outcomes. From a systematic search of six electronic databases, 56 original studies were extracted, reporting on 7937 sick and well people. A meta-analysis was conducted on change in QoL from pre- to post-intervention compared with outcomes from a no-exercise control group, using weighted (by the study’s sample size) pooled mean effect sizes and a fixed-effects model. Significant differences in outcome were found when treatment purpose was compared; prevention/promotion (well populations), rehabilitation, or disease management. Three to six months post-baseline, a moderate positive effect of exercise interventions was found for overall QoL in rehabilitation patients (effect size [ES] = 0.55), but no significant effect for well or disease management groups (ES = 0.11 and ES = -0.00 respectively). However, physical and psychological QoL domains improved significantly relative to controls in well participants (ES = 0.22 and ES = 0.21 respectively). Psychological QoL was significantly poorer relative to controls in the disease management group (ES = -0.26). This pattern of results persisted over one year. With some exceptions, better overall QoL was reported for light intensity exercise undertaken in group settings, with greater improvement in physical QoL following moderate intensity exercise. The implications for future practice and research are discussed.

UR - http://www.scopus.com/inward/record.url?scp=65249112190&partnerID=8YFLogxK

UR - http://dx.doi.org/10.1016/j.socscimed.2009.02.028

U2 - 10.1016/j.socscimed.2009.02.028

DO - 10.1016/j.socscimed.2009.02.028

M3 - Article

VL - 68

SP - 1700

EP - 1710

JO - Social Science and Medicine

T2 - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

IS - 9

ER -