Department of Psychiatry, University of California, 3333 California Street, Suite 465, San Francisco, CA 94118, USA.
Psychosom Med. 2011 Sep;73(7):604-11. doi: 10.1097/PSY.0b013e318229e1e0. Epub 2011 Aug 26.
Physically active individuals have lower rates of morbidity and mortality, and recent evidence indicates that physical activity may be particularly beneficial to those experiencing chronic stress. The tendency to ruminate increases and prolongs physiological stress responses, including hypothalamic-pituitary-adrenal (HPA) axis responses as indexed by cortisol reactivity to stressful experiences. We examined the association between ruminating in response to a laboratory stressor task and HPA axis reactivity and recovery and examined whether a physically active life-style moderates the associations between rumination and cortisol output trajectories.
Forty-six postmenopausal women underwent the Trier Social Stress Test, whereas salivary cortisol was repeatedly measured. Twenty-five minutes after the end of the stressor, participants reported level of rumination in response to the stress.
Findings indicate that physical activity moderated the initial rate (B = -0.10, standard error = 0.04, p < .05) and curvature (B = -0.03, standard error = 0.01, p = .06) of the relationship between rumination and log-transformed cortisol trajectory. Among sedentary participants, those who responded to the stressor with higher levels of rumination had a more rapid initial increase in cortisol level (0.26 versus 0.21, p < .001), a later peak in cortisol reactivity (56 versus 39 minutes), and a delayed recovery from stress (curvature: -0.07 versus -0.08, p < .001) compared with those with lower levels of rumination. In active participants, cortisol trajectories were equivalent, regardless of the level of rumination.
In sum, individuals who maintain a physically active life-style may be protected against the effects of rumination on HPA axis reactivity to and recovery from acute stress.
积极锻炼的个体罹患疾病和死亡的风险较低,最近的证据表明,身体活动可能对那些长期承受压力的人特别有益。反复思考的倾向会增加和延长生理压力反应,包括皮质醇对压力体验的反应,作为下丘脑-垂体-肾上腺(HPA)轴反应的指标。我们检验了对实验室应激任务做出反应时的反刍与 HPA 轴反应性和恢复之间的关联,并检验了积极的生活方式是否能调节反刍与皮质醇输出轨迹之间的关联。
46 名绝经后妇女接受了特里尔社会应激测试,同时反复测量唾液皮质醇。在应激结束后 25 分钟,参与者报告了对压力的反刍程度。
研究结果表明,身体活动调节了反刍与对数转换皮质醇轨迹之间关系的初始速率(B=-0.10,标准误差=0.04,p<.05)和曲率(B=-0.03,标准误差=0.01,p=.06)。在久坐不动的参与者中,那些对应激源反应有较高反刍水平的人皮质醇水平的初始增加更快(0.26 与 0.21,p<.001),皮质醇反应的峰值较晚(56 与 39 分钟),应激后恢复较慢(曲率:-0.07 与-0.08,p<.001),与反刍水平较低的人相比。在积极参与者中,无论反刍水平如何,皮质醇轨迹都是等效的。
总之,保持积极生活方式的个体可能会免受反刍对 HPA 轴对急性应激的反应性和恢复的影响。