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
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Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD
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Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE
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Evidence based on randomized controlled trials is written in plain font
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Evidence based on observational / cohort studies is written in CURSIVE
Figure: Evidence pyramid