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Effectiveness of physical activity interventions on reducing perceived fatigue among adults with chronic conditions: a systematic review and meta-analysis of randomised controlled trials

Lookup NU author(s): Dr Tracy Finch, Dr Katie Hackett

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2023, Springer Nature Limited. Fatigue is barrier of physical activity participation in adults with chronic conditions. However, physical activity alleviates fatigue symptoms. This systematic review and meta-analysis aimed to (1) synthesise evidence from randomised controlled trials (RCTs) exploring the effects of physical activity interventions on fatigue reduction and (2) evaluate their effectiveness. Medline/CINAHL/EMBASE/Web of Science and Scopus were searched up to June 24th, 2023. Two reviewers independently conducted study screening and selection (RCTs), extracted data and assessed risk of bias (RoB2). Outcome was the standardised mean difference (SMD) with 95% confidence intervals in fatigue between experimental and control groups. 38 articles met the inclusion criteria. Overall, physical activity interventions moderately reduced fatigue (SMD = 0.54, p < 0.0001). Interventions lasting 2–6 weeks demonstrated a larger effect on fatigue reduction (SMD = 0.86, p < 0.00001). Interventions with 18–24 sessions showed a large effect on fatigue reduction (SMD = 0.97, p < 0.00001). Aerobic cycling and combination training interventions had a large to moderate effect (SMD = 0.66, p = 0.0005; SMD = 0.60, p = 0.0010, respectively). No long-term effects were found during follow-up. Physical activity interventions moderately reduced fatigue among adults with chronic conditions. Duration, total sessions, and mode of physical activity were identified as key factors in intervention effectiveness. Further research is needed to explore the impact of physical activity interventions on fatigue.


Publication metadata

Author(s): Barakou I, Sakalidis KE, Abonie US, Finch T, Hackett KL, Hettinga FJ

Publication type: Article

Publication status: Published

Journal: Scientific Reports

Year: 2023

Volume: 13

Online publication date: 04/09/2023

Acceptance date: 21/08/2023

Date deposited: 18/02/2025

ISSN (electronic): 2045-2322

Publisher: Nature Research

URL: https://doi.org/10.1038/s41598-023-41075-8

DOI: 10.1038/s41598-023-41075-8

Data Access Statement: All data generated or analysed during this meta-analysis review are included in this published article. There was no patient and public involvement in this study. Dissemination to study participants is not applicable.

PubMed id: 37666869


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Funding

Funder referenceFunder name
ES/P000762/1ESRC
UK Research and Innovation

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