Elkington Thomas J, Cassar Samantha, Nelson André R, Levinger Itamar
Clinical Exercise Science Research Program, Institute of Sport, Exercise and Active Living (ISEAL), Victoria University, Melbourne, VIC, Australia.
Institute of Sport, Exercise and Active Living (ISEAL), College of Sport and Exercise Science, Victoria University, Melbourne, VIC, Australia.
Clin Med Insights Cardiol. 2017 Apr 20;11:1179546817701725. doi: 10.1177/1179546817701725. eCollection 2017.
Psychological distress and depression are risk factors for cardiovascular disease (CVD). As such, a reduction in psychological distress and increase in positive well-being may be important to reduce the risk for future development of CVD. Exercise training may be a good strategy to prevent and assist in the management of psychological disorders. The psychological effects of the initial exercise sessions may be important to increase exercise adherence. The aims of this systematic review were (a) to examine whether acute aerobic, resistance, or a combination of the 2 exercises improves psychological well-being and reduces psychological distress in individuals with healthy weight and those who are overweight/obese but free from psychological disorders, and (b) if so, to examine which form of exercise might yield superior results.
The online database PubMed was searched for articles using the PICO (patient, intervention, comparison, and outcome) framework for finding scientific journals based on key terms.
Forty-two exercise studies met the inclusion criteria. A total of 2187 participants were included (age: 18-64 years, body mass index [BMI]: 21-39 kg/m2). Only 6 studies included participants with a BMI in the overweight/obese classification. Thirty-seven studies included aerobic exercise, 2 included resistance exercise, 1 used a combination of aerobic and resistance, and 2 compared the effects of acute aerobic exercise versus the effects of acute resistance exercise. The main findings of the review were that acute aerobic exercise improves positive well-being and have the potential to reduce psychological distress and could help reduce the risks of future CVD. However, due to the limited number of studies, it is still unclear which form of exercise yields superior psychological benefits.
Obese, overweight, and healthy weight individuals can exhibit psychological benefits from exercise in a single acute exercise session, and these positive benefits of exercise should be used by health professionals as a tool to increase long-term participation in exercise in these populations.
心理困扰和抑郁是心血管疾病(CVD)的危险因素。因此,减轻心理困扰和增强积极幸福感对于降低未来发生心血管疾病的风险可能很重要。运动训练可能是预防和辅助管理心理障碍的良好策略。初始运动训练的心理效应对于提高运动依从性可能很重要。本系统评价的目的是:(a)研究急性有氧运动、抗阻运动或两者结合是否能改善体重正常以及超重/肥胖但无心理障碍个体的心理健康并减轻心理困扰;(b)如果可以,研究哪种运动形式可能产生更好的效果。
使用PICO(患者、干预措施、对照和结局)框架在在线数据库PubMed中搜索文章,以根据关键词查找科学期刊。
42项运动研究符合纳入标准。共纳入2187名参与者(年龄:18 - 64岁,体重指数[BMI]:21 - 39 kg/m²)。只有6项研究纳入了BMI处于超重/肥胖分类的参与者。37项研究包括有氧运动,2项包括抗阻运动,1项使用了有氧和抗阻运动的组合,2项比较了急性有氧运动与急性抗阻运动的效果。该评价的主要发现是,急性有氧运动可改善积极幸福感,并有可能减轻心理困扰,且有助于降低未来患心血管疾病的风险。然而,由于研究数量有限,仍不清楚哪种运动形式能产生更好的心理益处。
肥胖、超重和体重正常的个体在单次急性运动训练中都能从运动中获得心理益处,健康专业人员应将这些运动的积极益处作为一种工具,以提高这些人群长期参与运动的程度。