Sato Kazunari, Kawamura Toshihiko, Yamagiwa Satoshi
Division of Internal Medicine, Aoyama Clinic, Niigata, Japan.
Biomed Res. 2011 Apr;32(2):175-80. doi: 10.2220/biomedres.32.175.
Obese individuals have an increased risk of developing depression. This study aimed to determine whether the "Senobi" breathing exercise (SBE), a stretching-breathing exercise that we have established, could relieve depression, especially in obese women. Forty premenopausal women, aged 40 to 49 years, participated in the present study. Twenty were healthy, and the other 20 were obese (body mass index > 25 and body fat > 30%) and in a depressive state (OWD). Sympathetic nerve activity determined by analyzing heart rate variability, and the hormone levels in the urine were investigated before and 30 min after one minute of SBE. The relative proportion of sympathetic nerve activity among healthy women in the daytime was 79.2 ± 2.3%, whereas that in OWD group was 30.4 ± 1.9%. After one minute of SBE, significant up-regulation of sympathetic nerve activity and increased concentrations of catecholamines, estradiol, and growth hormone (all P values < 0.001) were observed in OWD group. After 30 days of SBE, the sympathetic nerve activity and hormone levels had recovered in OWD group, and the depressive state, as evaluated by the Hamilton Depression Scale, had ameliorated. The "Senobi" breathing exercise was found to be effective for amelioration of depression in obese women possibly through up-regulation of sympathetic nerve activity and hormone secretion.
肥胖个体患抑郁症的风险增加。本研究旨在确定我们所创立的一种伸展呼吸练习“Senobi”呼吸练习(SBE)是否能缓解抑郁症,尤其是在肥胖女性中。40名年龄在40至49岁的绝经前女性参与了本研究。其中20名健康,另外20名肥胖(体重指数>25且体脂>30%)且处于抑郁状态(肥胖伴抑郁)。在进行1分钟SBE之前和之后30分钟,通过分析心率变异性来确定交感神经活动,并检测尿液中的激素水平。健康女性白天交感神经活动的相对比例为79.2±2.3%,而肥胖伴抑郁组为30.4±1.9%。在肥胖伴抑郁组中,进行1分钟SBE后,观察到交感神经活动显著上调,儿茶酚胺、雌二醇和生长激素浓度增加(所有P值<0.001)。进行30天SBE后,肥胖伴抑郁组的交感神经活动和激素水平恢复,根据汉密尔顿抑郁量表评估,抑郁状态有所改善。发现“Senobi”呼吸练习可能通过上调交感神经活动和激素分泌,对改善肥胖女性的抑郁症有效。