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老年人抑郁症患者进行中等强度有氧运动后的激素功能反应。

Hormonal Function Responses to Moderate Aerobic Exercise in Older Adults with Depression.

机构信息

Rehabilitation Research Chair (RRC), College of Applied Medical Sciences (CAMS), King Saud University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Clin Interv Aging. 2020 Aug 3;15:1271-1283. doi: 10.2147/CIA.S259422. eCollection 2020.

Abstract

BACKGROUND

Poor daily life physical activities among older people were related to depressive mood especially memory loss. In addition to that, the change in physical ability is significantly associated with the score of depression among older age.

OBJECTIVE

The present study aimed to evaluate the effects of a supervised aerobic training program with moderate intensity for 12 weeks on mood profiles and hormonal levels of the hypothalamus-pituitary-adrenal axis (HPA axis) of older adults.

METHODS

A total of 80 individuals of both gender (90 males, 110 females) of ages ranged between 65 and 95 years were recruited for this study. Based upon the profile of mood states (POMS) analysis, the participants were classified into two groups: control group (n=30) and depressive group (n=50). Leisure-time physical activity (LTPA), adrenal hormones such as ACTH, corticosterone (CORT), cortisol, DHEA/S, and cortisol:DHEA/S ratio were measured at baseline and post-intervention of moderate aerobic exercise for 12 weeks.

RESULTS

Older adults with higher depressive scores showed a remarkable change in the level of adrenal hormones compared to control. There was a significant increase in the level of ACTH, CORT, cortisol, and cortisol:DHEA/S ratio, and decrease in DHEA/S. Compared to females, males showed an improvement in depressive mood score along with an increase in LPTA, DHEA/S and decrease in ACTH, CORT, cortisol, cortisol:DHEA/S ratio following 12 weeks of supervised aerobic training, respectively.

CONCLUSION

The findings of this study showed that 12 weeks of supervised exercise interventions are promising non-drug therapeutic strategies in improving depression among older adults. The potential performance in a psychological state occurs physiologically via optimizing the levels of the hormones of the HPA axis.

摘要

背景

老年人日常生活中体力活动较差与抑郁情绪有关,尤其是与记忆力下降有关。此外,体力的变化与老年人抑郁评分显著相关。

目的

本研究旨在评估 12 周中等强度监督有氧运动对老年人情绪特征和下丘脑-垂体-肾上腺轴(HPA 轴)激素水平的影响。

方法

共招募了 80 名年龄在 65 至 95 岁之间的男性(90 名)和女性(110 名)参与者。根据情绪状态量表(POMS)分析,将参与者分为两组:对照组(n=30)和抑郁组(n=50)。在 12 周中等强度有氧运动干预前后,测量了闲暇时间体力活动(LTPA)、促肾上腺皮质激素(ACTH)、皮质酮(CORT)、皮质醇、DHEA/S 和皮质醇:DHEA/S 比值等肾上腺激素。

结果

与对照组相比,抑郁评分较高的老年人肾上腺激素水平有明显变化。ACTH、CORT、皮质醇和皮质醇:DHEA/S 比值显著升高,DHEA/S 降低。与女性相比,男性在 12 周监督有氧运动后,抑郁情绪评分有所改善,LTPA 增加,ACTH、CORT、皮质醇、皮质醇:DHEA/S 比值降低,DHEA/S 降低。

结论

本研究结果表明,12 周的监督运动干预是改善老年人抑郁的有前途的非药物治疗策略。通过优化 HPA 轴激素水平,在心理状态方面的潜在表现会在生理上发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f4c/7423410/0eff9ff2c378/CIA-15-1271-g0001.jpg

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