Anxiety

Lifestyle modification

NUTRITION

  • A high dose of vitamin B6 may reduce anxiety symptoms (5)
  • There are mixed findings on the effect of omega 3 fatty acids in the prevention and treatment of anxiety (6, 4)

PHYSICAL ACTIVITY

  • Regular physical activity may reduce symptoms. High intensity training may have the best effect (1)
  • Mind-body exercises are effective in reducing symptoms of anxiety (2)

STRESS

  • Apply relaxation training (1)

SLEEP

  • Improve sleep (1)

SUNLIGHT

  • 30 minutes of bright light exposure every morning for 3 weeks may reduce symptoms of anxiety (3)
  • Possible mechanism of action: Bright light affects amygdala-prefrontal reactivity and communication (3)

References

1) https://bestpractice.bmj.com/topics/en-gb/120/management-approach

2) https://bjsm.bmj.com/content/early/2023/03/02/bjsports-2022-106195

3) https://www.biologicalpsychiatryjournal.com/article/S0006-3223(13)01102-5/fulltext

4) https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/omega3-and-polyunsaturated-fat-for-prevention-of-depression-and-anxiety-symptoms-systematic-review-and-metaanalysis-of-randomised-trials/B074BDC1CF8D59D234E30B961E9EADF8

5) https://onlinelibrary.wiley.com/doi/10.1002/hup.2852

6) https://www.uptodate.com/contents/complementary-and-alternative-treatments-for-anxiety-symptoms-and-disorders-herbs-and-medications


Resources

  1. Anxiety test

EXPLANATION TO EVIDENCE PRESENTATION

Figure: Evidence pyramid

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD font

Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE font

​Evidence based on randomized controlled trials is written in PLAIN font

Evidence based on observational / cohort studies is written in CURSIVE font