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运动对抑郁症的影响:运动如何使你的大脑和身体感觉更好。

The impact of exercise on depression: how moving makes your brain and body feel better.

作者信息

Hossain Md Najmul, Lee Jaeeun, Choi Hongseok, Kwak Yi-Sub, Kim Jongnam

机构信息

Department of Artificial Intelligence Convergence, Pukyong National University, Busan, Republic of Korea.

Department of Physical Education, College of Arts, Design and Sports Science, Dong-eui University, Busan, Republic of Korea.

出版信息

Phys Act Nutr. 2024 Jun;28(2):43-51. doi: 10.20463/pan.2024.0015. Epub 2024 Jun 30.

Abstract

PURPOSE

This study aimed to comprehensively explore and elucidate the intricate relationship between exercise and depression, and focused on the physiological mechanisms by which exercise influences the brain and body to alleviate depression symptoms. By accumulating the current research findings and neurobiological insights, this study aimed to provide a deeper understanding of the therapeutic potential of exercise in the management and treatment of depression.

METHODS

We conducted a systematic review of the scientific literature by selecting relevant studies published up to October 2023. The search included randomized controlled trials, observational studies, and review articles. Keywords such as "exercise," "depression," "neurobiology," "endocrinology," and "physiological mechanisms" were used to identify pertinent sources.

RESULTS

Inflammation has been linked to depression and exercise has been shown to modulate the immune system. Regular exercise can (1) reduce the levels of pro-inflammatory cytokines, potentially alleviating depressive symptoms associated with inflammation; (2) help in regulating circadian rhythms that are often disrupted in individuals with depression; and (3) improve sleep patterns, thus regulating mood and energy levels.

CONCLUSION

The mechanisms by which exercise reduces depression levels are multifaceted and include both physiological and psychological factors. Exercise can increase the production of endorphins, which are neurotransmitters associated with a positive mood and feelings of well-being. Exercise improves sleep, reduces stress and anxiety, and enhances self-esteem and social support. The implications of exercise as a treatment for depression are significant because depression is a common and debilitating mental health condition. Exercise is a low-cost, accessible, and effective treatment option that can be implemented in various settings such as primary care, mental health clinics, and community-based programs. Exercise can also be used as an adjunctive treatment along with medication and psychotherapy, which can enhance treatment outcomes.

摘要

目的

本研究旨在全面探索并阐明运动与抑郁症之间的复杂关系,并聚焦于运动影响大脑和身体以减轻抑郁症状的生理机制。通过积累当前的研究结果和神经生物学见解,本研究旨在更深入地理解运动在抑郁症管理和治疗中的治疗潜力。

方法

我们通过筛选截至2023年10月发表的相关研究,对科学文献进行了系统综述。检索范围包括随机对照试验、观察性研究和综述文章。使用了“运动”“抑郁症”“神经生物学”“内分泌学”和“生理机制”等关键词来确定相关来源。

结果

炎症与抑郁症有关,且运动已被证明可调节免疫系统。定期运动可以(1)降低促炎细胞因子水平,潜在地减轻与炎症相关的抑郁症状;(2)有助于调节抑郁症患者常被打乱的昼夜节律;(3)改善睡眠模式,从而调节情绪和能量水平。

结论

运动降低抑郁水平的机制是多方面的,包括生理和心理因素。运动可以增加内啡肽的产生,内啡肽是与积极情绪和幸福感相关的神经递质。运动改善睡眠、减轻压力和焦虑,并增强自尊和社会支持。运动作为抑郁症治疗方法的意义重大,因为抑郁症是一种常见且使人衰弱的心理健康状况。运动是一种低成本、可及且有效的治疗选择,可在初级保健、心理健康诊所和社区项目等各种环境中实施。运动还可与药物治疗和心理治疗一起用作辅助治疗,从而提高治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c58/11298280/f09fe96df9c1/pan-2024-0015f1.jpg

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