Vilarino Guilherme Torres, Coimbra Danilo Reis, Neiva Henrique Pereira, Andrade Alexandro
Department of Physical Education, Health and Sports Science Center (CEFID), Santa Catarina State University (UDESC), Florianopolis, Brazil.
Faculty of Physical Education and Sport, Life Sciences Institute, ICV, Federal University of Juiz de Fora, Governador Valadares, MG, Brazil.
Front Psychol. 2024 Sep 27;15:1400590. doi: 10.3389/fpsyg.2024.1400590. eCollection 2024.
Fibromyalgia (FM) is characterized by widespread chronic pain. Although pain is the main symptom, approximately 90% of patients have depression. This study aimed to analyze the effects of Resistance Training (RT) with low and high intensity on depression in patients with FM.
Thirty-eight women with FM and 31 healthy women were allocated to the low-intensity, high-intensity, preferred-intensity, and control groups. The patients underwent 8 weeks of supervised RT, with two sessions per week of approximately 1 h. The low-intensity resistance training group (LIRT) performed two sets of 12 maximum repetitions. The high-intensity resistance training group (HIRT) performed four sets with six maximum repetitions, and the preferred intensity group (PI) performed three sets, with eight to 12 repetitions, according to the patient's tolerance. The healthy control group did not perform any type of exercise. Depression was assessed using the Beck depression inventory before the start of the intervention, after 4 and 8 weeks.
FM patients have higher levels of depression than women without the disease. After 4 weeks, there was a difference in depressive symptoms between the HIRT and LIRT ( = 0.048), and the PI and LIRT ( = 0.048).
Prescribing RT with low or high intensity did not significantly reduce depression in patients with FM after 8 weeks, however, analyses between groups after 4 weeks indicated that low-intensity training is more effective than high-intensity training. The prescription of RT exercise to FM could vary among low, high, and preferred intensity, following the patient's tolerance for pain.
https://ensaiosclinicos.gov.br/rg/RBR-74pcmw, RBR-74pcmw.
纤维肌痛（FM）的特征是广泛的慢性疼痛。尽管疼痛是主要症状，但约90%的患者伴有抑郁症。本研究旨在分析低强度和高强度抗阻训练（RT）对FM患者抑郁的影响。
38名FM女性患者和31名健康女性被分配到低强度、高强度、偏好强度和对照组。患者接受为期8周的监督性RT，每周两次，每次约1小时。低强度抗阻训练组（LIRT）进行两组，每组12次最大重复量。高强度抗阻训练组（HIRT）进行四组，每组6次最大重复量，偏好强度组（PI）根据患者耐受性进行三组，每组8至12次重复。健康对照组不进行任何类型的运动。在干预开始前、4周和8周后使用贝克抑郁量表评估抑郁情况。
FM患者的抑郁水平高于无该疾病的女性。4周后，HIRT与LIRT之间（P = 0.048）以及PI与LIRT之间（P = 0.048）的抑郁症状存在差异。
8周后，低强度或高强度的RT处方并未显著降低FM患者的抑郁，然而,4周后的组间分析表明，低强度训练比高强度训练更有效。FM的RT运动处方可根据患者对疼痛的耐受性在低、高和偏好强度之间有所不同。
