Is Strength Training as Effective as Aerobic Training for Depression in Older Adults? A Randomized Controlled Trial

被引：42

作者：

Moraes, Helena S. ^{[1
,2
]}

Silveira, Heitor S. ^{[1
]}

Oliveira, Natacha A. ^{[1
]}

Mello Portugal, Eduardo Matta ^{[1
]}

Araujo, Narahyana B. ^{[2
]}

Vasques, Paulo E. ^{[1
]}

Bergland, Astrid ^{[3
]}

Santos, Tony M. ^{[4
]}

Engedal, Knut ^{[5
,6
]}

Coutinho, Evandro S. ^{[7
]}

Schuch, Felipe B. ^{[8
]}

Laks, Jerson ^{[2
,9
]}

Deslandes, Andrea C. ^{[1
,2
]}

机构：

[1] Univ Fed Rio de Janeiro, Lab Neurociencia Exercicio, Rio De Janeiro, Brazil

[2] Univ Fed Rio de Janeiro, Inst Psiquiatria, Programa Posgrad Psiquiatria & Saude Mental, Rio De Janeiro, Brazil

[3] Oslo & Akershus Univ Coll Appl Sci, Dept Physiotherapy, Fac Hlth Sci, Oslo, Norway

[4] Univ Fed Pernambuco UFPE, Dept Educ Fis, Recife, PE, Brazil

[5] Vestfold Hlth Trust, Norwegian Ctr Aging & Hlth, Oslo, Norway

[6] Univ Oslo, Oslo, Norway

[7] Univ Estado Rio de Janeiro, Inst Social Med, Rio De Janeiro, Brazil

[8] Univ Fed Santa Maria, Dept Metodos & Tecn Desport, Santa Maria, RS, Brazil

[9] Univ Grande Rio Unigranrio, Programa Posgrad Biomed Translac, Duque De Caxias, RJ, Brazil

来源：

NEUROPSYCHOBIOLOGY | 2020年 / 79卷 / 02期

关键词：

Mental health; Physical exercise; Elderly patients; SEROTONIN REUPTAKE INHIBITORS; CLINICAL DEPRESSION; EXERCISE; METAANALYSIS; EFFICACY; PHARMACOTHERAPY; ANTIDEPRESSANT; INTERVENTION; SYMPTOMS; OUTCOMES;

D O I：

10.1159/000503750

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Background: This study aimed to compare the effects of aerobic training (AT), strength training (ST) and low-intensity exercise in a control group (CG) as adjunct treatments to pharmacotherapy for major depressive disorder (MDD) in older persons. Methods: Older persons clinically diagnosed with MDD (n = 27) and treated with antidepressants were blindly randomized into three groups: AT, ST and a CG. All patients were evaluated prior to and 12 weeks after the intervention. Results: Compared with the CG, the AT and ST groups showed significant reductions in depressive symptoms (treatment response = 50% decrease in the pre- to postintervention assessment) through the Hamilton Depression Rating Scale (AT group: chi(2), p = 0.044) and Beck Depression Inventory (ST group: chi(2), p = 0.044). Conclusion: Adding AT or ST with moderate intensity to the usual treatment promoted a greater reduction of MDD symptoms.

引用

页码：141 / 149

页数：9

共 42 条

[1] Selective serotonin reuptake inhibitors versus tricyclic antidepressants: a meta-analysis of efficacy and tolerability [J].

Anderson, IM .

JOURNAL OF AFFECTIVE DISORDERS, 2000, 58 (01) :19-36

[2]

[Anonymous], 2014, JAMA-J AM MED ASSOC

[3] AN INVENTORY FOR MEASURING DEPRESSION [J].

BECK, AT ;

ERBAUGH, J ;

WARD, CH ;

MOCK, J ;

MENDELSOHN, M .

ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&

[4] Exercise and pharmacotherapy in the treatment of major depressive disorder [J].

Blumenthal, James A. ;

Babyak, Michael A. ;

Doraiswamy, P. Murali ;

Watkins, Lana ;

Hoffman, Benson M. ;

Barbour, Krista A. ;

Herman, Steve ;

Craighead, W. Edward ;

Brosse, Alisha L. ;

Waugh, Robert ;

Hinderliter, Alan ;

Sherwood, Andrew .

PSYCHOSOMATIC MEDICINE, 2007, 69 (07) :587-596

[5]

Borg G., 1985, PSYCHOPHYSICAL BASES

[6] Twenty-Year Depressive Trajectories Among Older Women [J].

Byers, Amy L. ;

Vittinghoff, Eric ;

Lui, Li-Yung ;

Hoang, Tina ;

Blazer, Dan G. ;

Covinsky, Kenneth E. ;

Ensrud, Kristine E. ;

Cauley, Jane A. ;

Hillier, Teresa A. ;

Fredman, Lisa ;

Yaffe, Kristine .

ARCHIVES OF GENERAL PSYCHIATRY, 2012, 69 (10) :1073-1079

[7] Effects of structured exercise and pharmacotherapy vs. pharmacotherapy for adults with depressive symptoms: A randomized clinical trial [J].

Carneiro, Lara S. F. ;

Fonseca, Antonio Manuel ;

Vieira-Coelho, Maria Augusta ;

Mota, Maria Paula ;

Vasconcelos-Raposo, Jose .

JOURNAL OF PSYCHIATRIC RESEARCH, 2015, 71 :48-55

[8] The impact of resistance exercise on the cognitive function of the elderly [J].

Cassilhas, Ricardo C. ;

Viana, Valter A. R. ;

Grassmann, Viviane ;

Santos, Ronaldo T. ;

Santos, Ruth F. ;

Tufik, Sergio ;

Mello, Marco T. .

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2007, 39 (08) :1401-1407

[9] A pragmatic randomised controlled trial to evaluate the cost-effectiveness of a physical activity intervention as a treatment for depression: the treating depression with physical activity (TREAD) trial [J].

Chalder, M. ;

Wiles, N. J. ;

Campbell, J. ;

Hollinghurst, S. P. ;

Searle, A. ;

Haase, A. M. ;

Taylor, A. H. ;

Fox, K. R. ;

Baxter, H. ;

Davis, M. ;

Thorp, H. ;

Winder, R. ;

Wright, C. ;

Calnan, M. ;

Lawlor, D. A. ;

Peters, T. J. ;

Sharp, D. J. ;

Turner, K. M. ;

Montgomery, A. A. ;

Lewis, G. .

HEALTH TECHNOLOGY ASSESSMENT, 2012, 16 (10) :1-+

[10] Exercise and Physical Activity for Older Adults [J].

Chodzko-Zajko, Wojtek J. ;

Proctor, David N. ;

Singh, Maria A. Fiatarone ;

Minson, Christopher T. ;

Nigg, Claudio R. ;

Salem, George J. ;

Skinner, James S. .

MEDICINE & SCIENCE IN SPORTS & EXERCISE, 2009, 41 (07) :1510-1530

← 1 2 3 4 5 →