運動とマインドフルネスを組み合わせると、めっちゃウェルビーイング❗

Mental Health and Physical Activity 26 (2024) 100575 Contents lists available at ScienceDirect Mental Health and Physical Activity Journal homepage: www.elsevier.com/locate/menpa Effects of combining physical activity with mindfulness on mental health and wellbeing: Systematic review of complex interventions Masha Remskar a,b *, Max J. Western c, Emma L. Osborne c, Olivia M. Maynard c, Ben Ainsworth a,d a Bath Centre for Mindfulness and Community, Department of Psychology, University of Bath, UK b Centre for Mediation and Health Behaviour Change, Department for Health, University of Bath, UK c School of Psychological Science, University of Bristol, UK d School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, UK ARTICLE INFO Keywords: Physical activity Mindfulness Mental health Wellbeing Systematic Review ABSTRACT Background: Physical activity and mindfulness practice both have established psychological benefits, yet research into their interaction and combined use is sparse. This systematic review aimed to pool the evidence examining the impact of interventions that combined physical activity and mindfulness on mental health and wellbeing outcomes, and their potential mechanisms of action. Methods: Six databases (PubMed, Scopus, CINAHL, PsycINFO, Web of Science, Cochrane Library) were searched for trials reporting interventions that included 1) physical activity and mindfulness as primary treatments, 2) comparative control condition(s), 3) an adult sample, and 4) at least one mental health or wellbeing outcome. Screening, data extraction and quality assessment were conducted by two researchers. Findings are presented narratively due to clinical and methodological heterogeneity. Results: Seventeen eligible studies were identified (N = 1,154 participants), comprising mostly pilot or feasibility designs (n = 19, 54%) or small sample studies. Combined interventions were feasible to deliver and improved psychological health indices in samples containing chronic conditions (n=3) with outcome comparisons reported across trials. Effects on psychological health outcomes compared to active controls were mixed (12/38 comparisons favoured combination over physical activity only; 5/18 favoured combination over mindfulness only), as were results regarding physical activity engagement. Conclusion: Interventions combining physical activity and mindfulness are effective for improving mental health and wellbeing in some, but not other, populations and contexts. Further investigation using high-quality mixed controlled trials, is required to determine effectiveness and optimal intervention parameters. Exploring mechanism of change will clarify their effects on mental health, wellbeing, and potential for behaviour change. 1. Introduction A robust evidence base supports the use of physical activity (PA) for improving poor mental health and wellbeing (Pedersen & Saltin, 2015; Velie et al., 2022). Reviews consistently report medium-