Efecto del ejercicio físico sobre los síntomas depresivos en pacientes hospitalizados con depresión (Effect of physical exercise on depressive symptoms in hospitalized patients with depression)

Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 53-61
Author(s):  
Karen Melissa Polanco ◽  
Jeanette M. López-Walle ◽  
Brenny C. Muñoz-Noguera ◽  
Argenis P. Vergara-Torres ◽  
José Tristán ◽  
...  

  El objetivo del presente estudio fue evaluar los síntomas depresivos, por separado y en su conjunto, antes y al mes de concluir un programa de ejercicio físico en pacientes hospitalizados con depresión. Participaron 48 pacientes los cuales fueron divididos en dos grupos (n = 24 farmacológico, y n = 24 fármaco+ejercicio físico). Como resultado, al comparar entre grupos al mes de llevar a cabo el programa de ejercicio físico junto con el tratamiento farmacológico, el grupo fármaco+ejercicio físico tuvo puntuaciones significativamente más bajas en el BDI (Msum = 1.0, DTsum = 1.35), en comparación con el grupo que sólo tuvo el tratamiento farmacológico (Msum = 11.08, DTsum = 5.97). En cuanto al ANOVA de medidas repetidas, se evidencia que hubo diferencias significativas en ambos grupos, farmacológico (F(41) = 11.35, p < .000; hp2 = .33; d = .79) y fármaco+ejercicio físico (F(41) = 22.81, p < .000; hp2 = .50; d = .86) debido al factor tiempo. Sin embargo se encuentra un mayor tamaño del efecto en el grupo donde se intervino con ejercicio físico. Como conclusión, este estudio muestra que un programa de ejercicio físico en conjunto con el tratamiento farmacológico, disminuyen la mayoría de la sintomatología depresiva en pacientes hospitalizados. Además, promueve la incorporación del ejercicio como complemento en el manejo de los síntomas de la depresión mayor. Abstract.The aim of the present study was to evaluate depressive symptoms, separately and as a whole, before and at one month after the conclusion of a physical exercise program in hospitalized patients with depression. The participants were 48 patients who were divided into two groups (pharmacological = 24 and pharmacological+physical exercise = 24). As a result, when comparing between groups one month after carrying out the physical exercise program in conjunction with the pharmacological treatment, the pharmacological+physical exercise group had significantly lower scores on the BDI (Msum = 1.0, DTsum = 1.35), compared to the group that only had the pharmacological treatment (Msum = 11.08, DTsum = 5.97). Regarding the repeated measures ANOVA, it is shown that there were significant differences in both groups, pharmacological (F(41) = 11.35, p < .000; hp2 = .33; d = .79) and pharmacological + physical exercise (F(41) = 22.81, p < .000; hp2 = .50; d = .86) due to the time factor. However, a greater effect size was found in the group where physical exercise was used. In conclusion, this study shows that a physical exercise program in conjunction with pharmacological treatment reduces most of the depressive symptoms in hospitalized patients.

2015 ◽  
Vol 12 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Monika Guszkowska ◽  
Marta Langwald ◽  
Katarzyna Sempolska

Background:This study aims to compare the changes in the negative indices of mental health in pregnant women who participated in programs of either physical exercise classes or childbirth classes.Methods:The study was quasi-experimental in nature and run on 109 healthy primigravidae aged from 22 to 37, including 62 women participating in an exercise program (exercise group, E-group) for pregnant women and 47 women attending traditional childbirth classes (childbirth classes group, CC-group). The mental health assessment was performed using Goldberg’s General Health Questionnaire (GHQ-28).Results:The negative indices of mental health did not change over time. Lower levels of somatic symptoms and severe depression, as well as total score, were observed in the E-group (condition effect). Time × condition interactions, as well as analysis of change within the groups, indicated that in the CC-group all indices of disorders increased significantly, whereas in the E-group, only the increase of depression was significant.Conclusions:Regular physical exercises during pregnancy may constitute a factor in the prophylaxis of mental health disorders in pregnant women.


Author(s):  
Bruna Thamyres Ciccotti Saraiva ◽  
Paula Alves Monteiro ◽  
Claudia De Carvalho Brunholi ◽  
Marcelo Rodrigues Ribeiro dos Santos ◽  
Diego Giulliano Destro Christofaro ◽  
...  

DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n4p459 Physical exercise is one of the forms of prevention and treatment of obesity and associated diseases such as hepatic steatosis. The aim of this study was to analyze whether hepatic steatosis interferes in the effect of physical exercise on the body composition of obese children and adolescents. The sample consists of 40 obese individuals, 13 children (8.17±1.33 years) and 27 adolescents (12.28±1.36 years). Total and segmental body composition was estimated by DEXA. Anthropometric measurements were performed, as well as ultrasound examination of the liver to measure intra-abdominal and subcutaneous fat, and to diagnose hepatic steatosis (HS). The intervention consisted of 20 weeks, with recreational/competitive activities being applied to children and, for adolescents, concurrent training (aerobic and resistance). The Levene’s, repeated-measures ANOVA and effect size tests (ES) by Eta-Squared were performed. It was observed that, although not statistically significant, analyzing the effect size, physical activity in both children (body fat ES effect time= 0.210 and ES effect group= 0.208; fat mass ES effect group = 0.338; fat android ES effect Interaction= 0.267), and adolescents (intra-abdominal fat ES effect group = 0.230) regardless of whether or not HS was effective in reducing body fat. Therefore, exercise was effective in improving the body composition of obese children and adolescents, regardless of HS.


2017 ◽  
Vol 23 (3) ◽  
pp. 200-203 ◽  
Author(s):  
Catarina Covolo Scarabottolo ◽  
Jair Rodrigues Garcia Júnior ◽  
Luis Alberto Gobbo ◽  
Marcelo José Alves ◽  
Aline Duarte Ferreira ◽  
...  

ABSTRACT Introduction: With the rapid increase in life expectancy, systematic physical exercise programs can have a good influence on the functional capacity of the elderly, especially in relation to institutionalization. Objective: To analyze the association between a systematic physical exercise program and functional capacity in institu-tionalized elderly. Methods: The sample included 30 elderly subjects (16 women and 14 men) aged 60 years or older (mean age = 74.43), divided into a control group (n=16) and a training group (n=14), residents in a long-stay institution. A training protocol of 12 weeks, two weekly sessions, was applied, and functional capa-city was assessed before and after the intervention, through chair lift tests (lower limb strength), upper limb strength, timed up and go and handgrip dynamometry. The analysis pre and post-training of intervention and control groups was performed using paired Student t test and the ANOVA test for repeated measures. The level of significance was set at 5%. Results: The main statistical significance were found for the following functional tests: upper limb strength (training 15.6±4.1 x control 10.7±6.6 rep, p<0.05) and chair lift test (training 11.0±4.0 x control 8.0±3.1 rep, p<0.05). Conclusion: The protocol used proved to be effective in improving some of the functional capabilities of the institutionalized elderly.


Author(s):  
Dilton Dos Santos Silva ◽  
Felipe José Aidar Martins ◽  
Dihogo Gama de Matos ◽  
Raphael Fabrício De Souza ◽  
Osvaldo Costa Moreira ◽  
...  

Objective: Analyze the effects of a physical exercise program on blood markers and sleep quality in the elderly. Method: A total of 112 elderly people with metabolic diseases controlled by hypocholesterolemic and hypoglycemic medications participated in the study. The participants were divided into two groups, an exercise group composed of 54 individuals with a mean age of 62 years and control group of 58 individuals with a mean age of 63 years. Results: Blood glucose, total cholesterol, and triglyceride levels showed a mean reduction of 27.47, 18.13, and 23.48 mg/dl, respectively, and an increase of 8.98 mg/dl in the high-density lipoprotein level was seen. A significant change was seen in the low-density lipoprotein, very-low-density lipoprotein, and calcium levels on comparing the exercise group post-test values with that of the control group pre-test. The Pittsburgh Sleep Quality Index score showed a significant reduction of 3.15 (p < 0.001, μp2=0.78) on comparing the exercise group with the control group. Conclusion: It can be concluded that the physical exercise program, consisting of supervised walking and gymnastics with localized quadriceps muscle strengthening exercises, performed for 16 weeks at a frequency of three times a week for 60 min, was effective in improving the low-density lipoprotein and very-low-density lipoprotein levels and sleep quality of the elderly.


2019 ◽  
Vol 33 (2) ◽  
pp. 118-124
Author(s):  
Arnaud Lardon ◽  
Mégane Pasquier ◽  
Yannick Audo ◽  
Florian Barbier-Cazorla ◽  
Martin Descarreaux

Objective: To determine the effects of a physical exercise program on spinal manipulation (SM) performance in 1st-year chiropractic students. Methods: One hundred and thirteen students from 2 chiropractic schools were assigned to 1 of 2 groups: exercise group (EG) for campus A students or control group (CG) (no training) for campus B students. All participated in 2 1-hour experimental training sessions that were added to the usual technique curriculum. At the beginning and at the end of each session, SM thrust duration and preload force release were recorded as dependent variables in 5 trials performed on a force-sensing table for a total of 10 recorded trials per session. The session consisted of several drills during which augmented feedback was provided to students to improve their skills. The EG performed physical exercises (push-ups, core stabilization, and speeder board exercises) 3 times per week for an 8-week period between the 2 training sessions. Results: The mean thrust duration increased between the 2 sessions [+0.8 ms (±15.6)]. No difference between groups was found using a t test for independent samples (p = .94). The mean preload force release decreased between the 2 sessions (−6.1 N [±17.1]). Differences between groups were found using a t test for independent samples (p = .03); the results showed a reduction of preload force release in the participants in the EG group compared to those in the CG group (−8.1 N [±16.9] vs −0.3 N [±16.5]). Conclusion: A physical exercise program seems to be beneficial in the SM learning process; chiropractic students should therefore be encouraged to do home physical exercises to develop their physical capabilities and improve SM delivery.


2014 ◽  
Vol 21 (2) ◽  
pp. 167-173
Author(s):  
Fabio Augusto Barbieri ◽  
Rosangela Alice Batistela ◽  
Natália Madalena Rinaldi ◽  
Claudia Teixeira-Arroyo ◽  
Florindo Stella ◽  
...  

The aim of this study was to investigate the effect of eight months of a multimodal program of physical exercise on articular range of motion of the lower limb of patients with Parkinson disease (PD), considering gender and disease stage. Seventeen individuals with PD participated in this study. Participants were assessed before of multimodal program of the physical exercise and after four and eight months of physical exercise. In these periods were evaluated the clinical aspects and articular range of motion of the lower limb. For statistical analysis, patients were distributed according to gender and disease stage. A MANOVA considering exercise, gender and stage of disease, with repeated measures for the first factor, was performed. The clinical results showed regression of disease progression, indicating cognitive decline for women. The articular range of motion improved after four and eight months of physical exercise, especially for the hip and ankle, independent of gender and stage of PD. It was concluded that the multimodal exercise program of the eight months was effective in improving articular range of motion in patients with PD. The benefits of exercise for this physical capacity were independent of gender and severity of PD.


PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250128
Author(s):  
Jonas Alves de Araujo Junior ◽  
Daniele Andreza Antonelli Rossi ◽  
Taina Fabri Carneiro Valadão ◽  
Juliana Cristina Milan-Mattos ◽  
Aparecida Maria Catai ◽  
...  

Background Physical inactivity is an important risk factor for cardiovascular disease. The benefits of exercise in patients with chronic diseases, including cardiovascular diseases, are well established. For patients with sickle cell disease, medical recommendation was to avoid physical exercise for fear of triggering painful crises or increasing the impairment of the cardiopulmonary function. Only recently, studies have shown safety in exercise programs for this population. Despite that, there is no report that assess the effects of physical exercise on cardiac parameters in patients with sickle cell disease. Objective This study aimed to evaluate the impact of regular physical exercise (a home-based program) on cardiovascular function in patients with sickle cell disease. Design A quasi-randomized prospective controlled trial. Setting During the years 2015 and 2016, we started recruiting among adult patients treated at a Brazilian Center for Patients with Sickle Cell Disease to participate in a study involving a home exercise program. The experimental (exercise) and control groups were submitted to clinical evaluation and cardiovascular tests before and after the intervention. Analysis of variance was applied to compare groups, considering time and group factors. Participants Twenty-seven adult outpatients with a sickle cell disease diagnosis. Interventions Exercise group (N = 14): a regular home-based aerobic exercise program, three to five times per week not exceeding give times per week, for eight weeks; no prescription for the control group (N = 13). Main outcome measures Echocardiographic and treadmill test parameters. Results The exercise group showed significant improvement in cardiovascular tests, demonstrated by increased distance traveled on a treadmill (p<0.01), increased ejection fraction (p < 0.01) and improvement of diastolic function assessed by mitral tissue Doppler E’ wave on echocardiography (p = 0.04). None of the patients presented a sickle cell crisis or worsening of symptoms during the exercise program. Conclusion The selected home-based exercise program is safe, feasible, and promotes a favorable impact on functional capacity and cardiovascular function in sickle cell disease patients.


Author(s):  
Rafael Merino-Marban ◽  
Iván Medina-Porqueres ◽  
Beatriz López Aguilar ◽  
Daniel Mayorga-Vega

Objective: The purpose of the present study was to examine the effect of kinesio taping on calf pain in healthy runners immediately after a half marathon. Method: A sample of 13 runner volunteers was recruited in a half marathon. Calf pain measurements were taken at baseline and 10-15 minutes after competition. Kinesio tape was applied to the calf of runners the evening before the competition, only on one leg, with the contralateral leg acting as a control. Results: The results of the repeated measures ANOVA in the leg differences on pain values did not show statistically significant differences (p = 0.515). However, the effect size after the race could be an indication that kinesio tape might be useful (g = - 0.37) and that studies with the sample calculated would be necessary (n = 61). Conclusions: When kinesio tape was applied to healthy half marathon runners, the data did not disclose whether the tape could lead to control calf pain produced by the competition.


Author(s):  
Raquel Rodríguez-Blanque ◽  
María José Aguilar-Cordero ◽  
Ana Eugenia Marín-Jiménez ◽  
Ana María Núñez-Negrillo ◽  
Antonio Manuel Sánchez-López ◽  
...  

Introduction: Many women change their lifestyles and habits when they become pregnant, to avoid potentially harmful effects to themselves and their babies. This is especially so with respect to physical exercise, which is often greatly reduced due to ignorance of the benefits it provides during pregnancy. Aim: To evaluate the prevalence of spontaneous birth among women who participated in a water-based physical exercise program. Methods: A randomized clinical trial was conducted with a sample of 129 pregnant women (Control Group, CG = 64; Exercise Group, EG = 65). A physical exercise protocol, specifically designed for pregnant women, was created and applied. Those in the EG performed 60 min exercise sessions, three times per week for 17 weeks. The participants in the CG received routine check-ups and advice throughout their pregnancy. Findings: The women in the EG presented better results for the onset of spontaneous birth (OR = 2.060 (0.980–4.332)) and for neonate Apgar score of 10 at five minutes (OR = 8.53 (3.60–20.17)). Those who had normal weight at the start of pregnancy achieved better results for spontaneous delivery (OR = 2.099 (1.017–4.335)) than those with overweight/obesity. The rate of caesarean delivery was higher in the women with overweight/obesity (OR = 3.570 ((1.226–10.397)) than in those with normal weight. Conclusions: In our study, the women who followed the water-based exercise program gained less weight during pregnancy, which facilitated a better rate of spontaneous, non-instrumental childbirth, together with a better Apgar test score at five minutes.


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