Impact of exercise on patients with depression and anxiety
ABSTRACT Persons with common mental disorders are at risk of lowered physical activity.
To investigate if patients with depressive and/or anxiety disorders can achieve a level of physical activity meeting public health recommendations, increase their physical fitness and quality of life (QoL) through participation in a physical exercise programme.
In a non-blinded controlled study, 48 patients referred by private psychiatric clinics and private general practices were either treated in an intervention (n=27) or a control group (n=21). The intervention group took part in 20 weeks of group exercise consisting of aerobic training and non-aerobic weight-lifting. All participants were interviewed and tested at baseline, week 20 and at week 32.
The intervention group increased in physical activity (120 min/week) and VO(2)max (0.48 ml O(2)/min). The VO(2)max increase was maintained after a 12-week follow-up period. Findings should be conservatively interpreted because of high attrition rate.
Patients with anxiety and/or depressive disorders who participated in a structured, supervised exercise programme achieved in accordance with public health recommendations a higher level of physical activity and VO(2)max.
The clinical implications of the study may be a suggestion of offering physical exercise to milder and moderate severe cases of depression and anxiety.
- SourceAvailable from: Johannes Kornhuber
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- "It is well established that there is a substantial association between physical activity and mental state. Recent data suggest that physical exercise may reduce depressive symptoms and have a therapeutic benefit in patients with major depression, (Blumenthal et al., 2007; Carek et al., 2011; Dinas et al., 2011; Legrand and Heuze, 2007; Oeland et al., 2010; Strohle, 2009) although it is not clear which type and intensity of exercise is most effective (Cooney et al., 2013; Krogh et al., 2011; Stanton and Reaburn, 2014). Furthermore, most studies investigating the influence of physical exercise on mood showed a significant positive relationship between levels of physical activity and the absence of mood disorders like anxiety or depression (Galper et al., 2006; Goodwin, 2003; van Gool et al., 2007), but it seems doubtful to conclude causality from these cross-sectional analyses because depression symptoms are also characterized by fatigue and loss of energy which may themselves lead to a decrease in activity. "
ABSTRACT: Recent data suggest a substantial association between physical activity and depressive symptoms, but there is a lack of research evaluating the physical activity levels in patients suffering from unipolar depression across different stages of disease in an objective way. The aim of the present pilot study was to objectively examine physical activity levels of this patient group compared to healthy controls. Physical activity performance of 19 patients with major depressive episode and 19 healthy controls was assessed at three different time points using a multisensory armband device (SenseWear® Pro3 Armband) and was reported as total energy expenditure (TEE), active energy expenditure (EE), metabolic equivalents (METs), physical activity (PA) and time of lying down (LD), in each case over 24h. Over all measurements, depressive patients presented a significantly lower mean TEE and EE over 24h. Moreover, the patient group showed significantly shorter duration of PA and lower average MET over 24h. When depressive symptoms abated, physical activity parameters significantly increased in the patient group. Correlation analyses demonstrated a significant relation between depressive status/anhedonia and parameters of physical activity, especially in healthy subjects. Results represented valid data for inpatients only. Acute unipolar depression was associated with a significantly lower level of physical activity and showed a significant increase in parallel to clinical improvement. Electronic monitoring of physical activity may be an additional tool for evaluating and controlling therapeutic effects. Copyright © 2014. Published by Elsevier B.V.Journal of Affective Disorders 12/2014; 174C:310-316. DOI:10.1016/j.jad.2014.11.060 · 3.71 Impact Factor
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ABSTRACT: Orıgınal scıentıfıc artıcle The aim of this study was to investigate whether 8 weeks practiced physical activities affect Orphans' self-esteem and anxiety. 25 orphans whose age average was 11,04±084 years voluntarily participated to the research. Turkish forms of general anxiety scale and Piers-Harris children's self-concept scale was applied to the children before and after 8 weeks practiced physical activities. Data was tested in SSPS 13,0 program and level of significance were determined as 0,05. Descriptive statistics techniques, Mann-Whitney U, Wilcoxon and Spearman correlation test were used in the analysis of the data.The results revealed that there was a significant difference (P<0.05) between pre-test and post-test of anxiety and self-esteem points. There was a significant difference (P<0.05) between pre-test and post-test of anxiety and self-esteem points. Spearman's correlation test showed that there is significant correlation between pre-test anxiety and post-test anxiety (r = 0,974; p<0.05), pre-test anxiety and pre-test self-esteem (r = -0,705; p<0,05), pre-test anxiety and post test self-esteem (r = -0,674; p<0,05), post-test anxiety and pre-test self-esteem (r = -0,717; p< 0,05), post-test anxiety and post-test self-esteem (r = -0,697; p<0,05), pre-test self-esteem and post-test self-esteem (r = -0.969p<0.05). It can be concluded that physical activities is beneficial for children who live in orphanage. People living without their parents suffer from lack of love and care. Absence of satisfying such needs results in psychological depression and problems. Hence, participating in physical activities will help children living in an orphanage to be strong, happy healthy and successful in their future.
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ABSTRACT: The aim of the study was to evaluate the impact of a high-intensive exercise program containing high-intensive functional exercises implemented to real-life situations together with group discussions on falls and security aspects in stroke subjects with risk of falls. This was a pre-specified secondary outcome for this study. For evaluation, Short Form-36 (SF-36) health-related quality of life (HRQoL) and the Geriatric Depression Scale-15 (GDS-15) were used. This was a single-center, single-blinded, randomized, controlled trial. Consecutive >55 years old stroke patients with risk of falls at 3-6 months after first or recurrent stroke were randomized to the intervention group (IG, n = 15) or to the control group (CG, n = 19) who received group discussion with focus on hidden dysfunctions but no physical fitness training. The 5-week high-intensive exercise program was related to an improvement in the CG in the SF-36 Mental Component Scale and the Mental Health subscale at 3 months follow-up compared with baseline values while no improvement was seen in the IG at this time. For the SF-36 Physical Component Scale, there was an improvement in the whole study group at 3 and 6 months follow-up compared with baseline values without any significant changes between the IG and CG. The GDS-15 was unchanged throughout the follow-up period for both groups. Based on these data, it is concluded that high-intensive functional exercises implemented in real-life situations should also include education on hidden dysfunctions after stroke instead of solely focus on falls and safety aspects to have a favorable impact on HRQoL.Advances in Physiotherapy 09/2010; 12(3):125-133. DOI:10.3109/14038196.2010.488272