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. 2013 Sep 12;2013(9):CD004366. doi: 10.1002/14651858.CD004366.pub6

Brenes 2007.

Methods RCT
Participants Community‐dwelling and nursing home people over 65 with mild depression, recruited through newsletters, newspaper advertisements, distributing flyers at local nursing homes and public presentations
Mean age 73.5 (SD 7.8) in exercise, 76.4 (6.4) in medication and 73.9 (5.8) in control group
62% women
N = 37
Interventions 1. Faculty‐based group aerobic and resistance training for 60 minutes 3 days a week for 16 weeks (n = 14)
2. Once daily sertraline titrated to response (evaluated at weeks 2, 6, 10 and 14) (n = 11)
3. Control group: contacted at weeks 2, 6, 10, 14 to discuss general health status (n = 12)
Outcomes HAM‐D
Notes Method of randomisation not stated, states intention‐to‐treat analysis, however data unclear on how many participants dropped out of each group
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated random allocation list
Allocation concealment (selection bias) Unclear risk Method not described in the paper
Blinding (performance bias and detection bias) 
 participants Unclear risk Participants were not blinded to treatment allocation
Blinding (performance bias and detection bias) 
 those delivering intervention Unclear risk Those delivering the intervention were not blind, but it is not clear what influence this had on bias
Blinding (performance bias and detection bias) 
 outcome assessors Low risk Used HDRS as an outcome, assessors were blind to treatment allocation
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk The authors of the trial state that it is intention‐to‐treat, but no data are provided on the number who dropped out of the trial
Selective reporting (reporting bias) Unclear risk It appears that all the prespecified outcomes are reported, but no protocol
Other bias Unclear risk unclear