Department of Affective Disorders, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China.
School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, China.
Psychiatry Res. 2023 Jan;319:115005. doi: 10.1016/j.psychres.2022.115005. Epub 2022 Dec 10.
This 3-month randomized psychoeducation-controlled trial (RCT) of exercise was undertaken in young adolescents with subthreshold depression to examine the impact on gut microbiota. Participants (aged 12-14 years) were randomly assigned to an exercise or a psychoeducation-controlled group. The exercise intervention arm took moderate-intensity exercise, comprised of 30 min of running per day, 4 days a week for 3 months. Psychoeducation intervention consisted of 6 sessions of group activity including gaming, reading, and singing. The gut microbiota was assessed by metagenomic sequencing. After 3-month moderate-intensity exercise, the intervention group increased the relative abundance of Coprococcus, Blautia, Dorea, Tyzzerella at the genus level, as well as Tyzzerella nexilis, Ruminococcus obeum at species level when compared to the psychoeducation-controlled group. Moreover, EggNOG analyses showed that the defense and signal transduction mechanism were highly enriched after the active intervention, and changes were correlated with improvements in depressive symptoms measured by Chinese Patient Depression Questionnaire 9. The KEGG pathway of neurodegenerative diseases was depleted in the microbiome in young adolescents with subthreshold depression after exercise intervention. This 3-month RCT suggests that at both the genus and species levels, aerobic group exercise intervention improved in depressive symptoms and revealed changes in gut microbiota suggesting beneficial effects.
本研究为时长 3 个月的随机对照试验(RCT),研究对象为处于亚临床抑郁状态的青少年,旨在探究运动对肠道微生物群的影响。参与者(年龄 12-14 岁)被随机分配到运动组或对照组。运动干预组接受中等强度运动,每天 30 分钟,每周 4 天,持续 3 个月。对照组接受 6 次团体活动,包括游戏、阅读和唱歌等形式的心理教育。通过宏基因组测序评估肠道微生物群。经过 3 个月的中等强度运动,与对照组相比,干预组的属水平上粪球菌属、布劳特氏菌属、多雷氏菌属、泰泽拉菌属相对丰度增加,种水平上泰泽拉菌属、瘤胃球菌 obeum 丰度增加。此外,EggNOG 分析表明,在积极干预后,防御和信号转导机制高度富集,且与采用中国抑郁自评量表 9 评估的抑郁症状改善相关。运动干预后,亚临床抑郁青少年肠道微生物群中神经退行性疾病的 KEGG 通路被消耗。该 3 个月 RCT 表明,在属和种水平上,有氧团体运动干预可改善抑郁症状,同时提示肠道微生物群发生有益变化。
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