NPA-GP: Quality of Life and Anxiety/Depression (2021)

NPA-GP: Quality of Life and Anxiety/Depression (2021)

• Intervention
  In adults who are healthy or have cardiometabolic risk factors, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on quality of life?

  • Conclusion

    In adults who are healthy or have cardiometabolic risk factors, the evidence is very uncertain about the effect of nutrition and physical activity interventions provided by qualified practitioners on physical and mental quality of life, but suggests little-to-no effect.

  • Grade: Very Low (D)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults who are healthy or have cardiometabolic risk factors, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on quality of life?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Imayama I,Alfano C,Kong A,Foster-Schubert K,Bain C,Xiao L,Duggan C,Wang C,Campbell K,Blackburn G,McTiernan A. Dietary weight loss and exercise interventions effects on quality of life in overweight/obese postmenopausal women: a randomized controlled trial. The international journal of behavioral nutrition and physical activity 2011; 8:118
      • Kennedy B, Ryan D, Johnson W, Harsha D, Newton R, Champagne C, Allen H, Katzmarzyk P. Baton Rouge Healthy Eating and Lifestyle Program (BR-HELP): a pilot health promotion program. Journal of Prevention & Intervention in the Community 2015; 43:95-108
      • Krishnan A, Finkelstein E, Levine E, Foley P, Askew S, Steinberg D, Bennett G. A digital behavioral weight gain prevention intervention in primary care practice: cost and cost-effectiveness analysis. Journal of Medical Internet Research 2019; 21:e12201
      • Neale E, Tapsell L, Martin A, Batterham M, Wibisono C, Probst Y. Impact of providing walnut samples in a lifestyle intervention for weight loss: a secondary analysis of the HealthTrack trial. Food & Nutrition Research 2017; 61:1344522
      • Rollo ME, Baldwin JN, Hutchesson M, Aguiar E, Wynne K, Young A, Callister R, Haslam R, Collins C. The feasibility and preliminary efficacy of an eHealth lifestyle program in women with recent gestational diabetes miellitus: a pilot study. International Journal of Environmental Research and Public Health 2020; :
      • Rosas L, Nan Lv,, Xiao L, Lewis M, Venditti E, Zavella P, Azar K, Ma J. Effect of a culturally adapted behavioral intervention for Latino adults on weight loss over 2 years: a randomized clinical trial. JAMA Network Ppen 2020; 3:e2027744
      • Williams L, Hollis J, Collins C, Morgan P. Maintaining the outcomes of a successful weight gain prevention intervention in mid-age women: two year results from the 40-something randomized control trial. Nutrients 2019; :1100
  • Search Plan and Results: NPA-GP: Nutrition and Physical Activity 2021
     
  In adults who are healthy or have cardiometabolic risk factors, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on anxiety and depression?

  • Conclusion

    In adults who are healthy or have cardiometabolic risk factors, nutrition and physical activity interventions provided by qualified practitioners likely result in no effect on anxiety or depression.

  • Grade: Moderate (B)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults who are healthy or have cardiometabolic risk factors, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on anxiety and depression?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Fjeldsoe B, Goode A, Phongsavan P, Bauman A, Maher G, Winkler E, Eakin E. Evaluating the maintenance of lifestyle changes in a randomized controlled trial of the 'Get Healthy, Stay Healthy' program. JMIR mHealth and uHealth 2016; 4:e42
      • Forsyth A, Deane F, Williams P. A lifestyle intervention for primary care patients with depression and anxiety: A randomised controlled trial. Psychiatry Research 2015; 230:537-544
      • Imayama I,Alfano C,Kong A,Foster-Schubert K,Bain C,Xiao L,Duggan C,Wang C,Campbell K,Blackburn G,McTiernan A. Dietary weight loss and exercise interventions effects on quality of life in overweight/obese postmenopausal women: a randomized controlled trial. The international journal of behavioral nutrition and physical activity 2011; 8:118
      • Ma J, Rosas L, Lv N, Xiao L, Snowden M, Venditti E, Lewis M, Goldhaber-Fiebert J, Lavori P. Effect of integrated behavioral weight loss treatment and problem-solving therapy on body mass index and depressive symptoms among patients with obesity and depression: the RAINBOW randomized clinical trial. Journal of the American Medical Association 2019; 321:869-879
      • Nicklas J, Zera C, England L, Rosner B, Horton E, Levkoff S, Seely E. A web-based lifestyle intervention for women with recent gestational diabetes mellitus: a randomized controlled trial. Obstetrics and Gynecology 2014; 124:563-570
      • Rosas L, Nan Lv,, Xiao L, Lewis M, Venditti E, Zavella P, Azar K, Ma J. Effect of a culturally adapted behavioral intervention for Latino adults on weight loss over 2 years: a randomized clinical trial. JAMA Network Ppen 2020; 3:e2027744
      • Ruusunen A, Voutilainen S, Karhunen L, Lehto S, Tolmunen T, Keinänen-Kiukaanniemi S, Eriksson J, Tuomilehto J, Uusitupa M, Lindström J. How does lifestyle intervention affect depressive symptoms? Results from the Finnish Diabetes Prevention Study. Diabetic Medicine 2012; 29:e126-32
      • Siddiqui F, Lindblad U, Nilsson P, Bennet L. Effects of a randomized, culturally adapted, lifestyle intervention on mental health among Middle-Eastern immigrants. European Journal of Public Health 2019; 29:888-894
  • Search Plan and Results: NPA-GP: Nutrition and Physical Activity 2021