Anxiety
Lifestyle modifications
NUTRITION
Omega 3: Mixed results on prevention and treatment of anxiety (6, 4)
Vitamin B6: High dose vitamin B6 reduces anxiety symptoms (5)
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
EXPLANATION TO EVIDENCE PRESENTATION
Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD
Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE
Evidence based on randomized controlled trials is written in plain font
Evidence based on observational / cohort studies is written in CURSIVE
Figure: Evidence pyramid