Penninx Brenda W J H, Rejeski W Jack, Pandya Jasma, Miller Michael E, Di Bari Mauro, Applegate William B, Pahor Marco
Sticht Center on Aging, Department of Internal Medicine. Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
J Gerontol B Psychol Sci Soc Sci. 2002 Mar;57(2):P124-32. doi: 10.1093/geronb/57.2.p124.
This study examines and compares the effect of aerobic and resistance exercise on emotional and physical function among older persons with initially high or low depressive symptomatology. Data are from the Fitness, Arthritis and Seniors Trial, a trial among 439 persons 60 years or older with knee osteoarthritis randomized to health education (control), resistance exercise, or aerobic exercise groups. Depressive symptoms (assessed by the Center for Epidemiologic Studies--Depression scale) and physical function (disability, walking speed, and pain) were assessed at baseline and after 3, 9, and 18 months. Compared with results for the control group, aerobic exercise significantly lowered depressive symptoms over time. No such effect was observed for resistance exercise. The reduction in depressive symptoms with aerobic exercise was found both among the 98 participants with initially high depressive symptomatology and among the 340 participants with initially low depressive symptomatology and was the strongest for the most compliant persons. Aerobic and resistance exercise significantly reduced disability and pain and increased walking speed both, and to an equal extent, in persons with high depressive symptomatology and persons with low depressive symptomatology.
本研究调查并比较了有氧运动和抗阻运动对初始抑郁症状程度高或低的老年人情绪和身体功能的影响。数据来自“健身、关节炎与老年人试验”，该试验对439名60岁及以上患有膝关节骨关节炎的人进行了研究，他们被随机分配到健康教育组（对照组）、抗阻运动组或有氧运动组。在基线以及3个月、9个月和18个月后评估抑郁症状（通过流行病学研究中心抑郁量表进行评估）和身体功能（残疾情况、步行速度和疼痛程度）。与对照组的结果相比，随着时间的推移，有氧运动显著降低了抑郁症状。抗阻运动未观察到此类效果。在98名初始抑郁症状程度高的参与者以及340名初始抑郁症状程度低的参与者中，均发现有氧运动可减轻抑郁症状，且对依从性最高的人效果最为明显。有氧运动和抗阻运动均显著降低了高抑郁症状人群和低抑郁症状人群的残疾程度和疼痛程度，并同等程度地提高了他们的步行速度。
