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

Martinsen 1985.

Methods RCT (parallel group)
Participants Psychiatric hospital inpatients
 Mean age 40 (range 17 ‐ 60)
 Data on sex distribution not available
 N = 49
Interventions 1. Aerobic exercise with instructor for 1 hour 3 times a week for 9 weeks at 50 ‐ 70% of maximum aerobic capacity (n = 28 randomised)
 2. Control group attended occupational therapy whilst intervention group exercised (n = 21 randomised)
Outcomes Beck Depression Inventory
Notes Outcome assessment not blind
 Analysis not intention‐to‐treat
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Block randomisation with respect to age
Allocation concealment (selection bias) Low risk Categorised by Lawlor and Hopker as low risk
Blinding (performance bias and detection bias) 
 participants Unclear risk Participants not blind
Blinding (performance bias and detection bias) 
 those delivering intervention Unclear risk Those delivering the intervention were not blind
Blinding (performance bias and detection bias) 
 outcome assessors High risk Self report BDI
Incomplete outcome data (attrition bias) 
 All outcomes High risk 6 participants dropped out, leaving 43 who completed the study
Selective reporting (reporting bias) Unclear risk Prespecified outcome measures were reported, but no protocol
Other bias Unclear risk unclear