Cochrane · systematic review · CD013557
Factors that influence participation in physical activity for people with bipolar disorder: a synthesis of qualitative evidence
McCartan, CJ, Yap, J, Best, P, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 9 · 100%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of qualitative findings
Population: s where they do not wish or feel the need to participate in physical activity.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Finding 12. Physical activity should form part of a treatment plan for both men and women with bipolar disorder. Messaging from professionals tended to concentrate on the benefits of weight loss but did not promote potential mental health benefits... | no estimate extracted | 12 participants | Moderate |
Finding 13. The enabling role of trained, multidisciplinary professionals was highlighted. Having the right health and social care professionals can deliver a holistic approach to care. Trained mental health professionals involved in physical acti... | no estimate extracted | 13 participants | Moderate |
Finding 14. Finding the right support could facilitate participation and encourage men and women to be active. Having support, whether from professionals or friends and family, was important. | no estimate extracted | 14 participants | Moderate |
Finding 15. Mood regulation is an important aspect of managing symptoms of bipolar disorder, and monitoring mood and physical activity, including the use of technology, may be helpful for men and women with bipolar disorder. This can be used to he... | no estimate extracted | 15 participants | Moderate |
Finding 16. Accessible, sustainable interventions and finding the right type of exercise were all identified as important. For many women and men with bipolar disorder, the right type of exercise was walking. | no estimate extracted | 16 participants | Moderate |
Finding 17. Finding balance, rhythm, structure, and establishing a regular physical activity routine was beneficial. Rhythm and routine brought balance and structure for men and women with bipolar disorder. Incorporating regular physical activity ... | no estimate extracted | 17 participants | Moderate |
Finding 18: Appropriate coping strategies may support engagement in physical activity and other health‐promoting behaviours. Negative coping mechanisms or a lack of coping strategies for men and women with bipolar disorder can affect engagement. P... | no estimate extracted | 18 participants | Moderate |
Finding 19: Connecting to nature when undertaking physical activity may convey additional benefits, including increasing the opportunity for social contact, engaging with nature, and reducing stress, that are often associated with spending time ou... | no estimate extracted | 19 participants | Moderate |
Finding 20. There are some considerations for designing interventions that promote physical activity for bipolar disorder. These include sequencing multicomponent lifestyle changes, technology, incentives, and health promotion strategies that are ... | no estimate extracted | 20 participants | Moderate |