Cited by 86Treatment of Major DepressionPhysical Activity and HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Exercise and severe depression: preliminary results of an add-on study.

Schuch, F.B., Vasconcelos-Moreno, M.P., Borowsky, C., Fleck, M.P.·2011·Journal of Affective Disorders

Abstract

Background Physical exercise has been extensively researched as a therapeutic option for treatment of major depression.Methods In a randomized controlled trial, we analyze the effects of aerobic physical exercise as an add-on strategy for treatment of severe depressed inpatients. The exercise has a "Dose" of 16.5 kcal/kg/week, three times a week during all the hospitalization.Results Our preliminary results show that there is no significant difference in scores of Hamilton in the second week between groups (Mean[SD]=8.2[5.96] × 11.18[5.03], p=0.192). However, there is a significant reduction in Hamilton scores of patients in exercise group at discharge (Mean[SD]=5.93[4.46] × 9.45[3.56], p=0.041). Regarding Quality of Life (QoL), no significant difference were found between groups in the second week in physical domain (Mean[SD]=56.98[8.96] × 54.54[9.18], p=0.511) and psychological domain (Mean[SD]=50.88[13.88] × 42.04[12.42], p=0.106). However, there is a significant difference in psychological domain (Mean[SD]=55.88[9.92] v 41.66[13.04], p=0.004) and a trend but no statistical significance in the physical (Mean[SD]=58.80[9.14] × 52.12[8.70], p=0.07) at discharge.Limitations Many patients receive different treatment strategies, like ECT (1 patient at exercise group × 3 at control group). Other limitation is the small number of participants included until this moment.Conclusion Our preliminary results suggest that physical exercise could be a feasible and effective add-on strategy for treatment of severe depressed inpatients, improving their depressive symptoms and QoL.

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Crossref · 10.1016/j.jad.2011.04.030

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  • The inclusion of AE to a traditional antidepressant intervention has been shown to have a greater impact on reducing depressive symptoms in patients with MDD than antidepressant treatment alone.

    “Additionally, the inclusion of AE to a traditional antidepressant intervention has been shown to have greater impact on reducing depressive symptoms in patients with MDD, than antidepressant treatment alone (Knubben et al., 2007; Schuch et al., 2011; Legrand and Neff, 2016).”

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Authors
Schuch, F. B., Vasconcelos-Moreno, M. P., Borowsky, C., & Fleck, M. P.
Affiliations
  • Universidade Federal do Rio Grande do Sul (BR)
  • Hospital de Clínicas de Porto Alegre (BR)
Corresponding author
Schuch, F.B.
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2011-10
Volume
133
Issue
3
Pages
615-618
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2002609178
Cited by
86
References
30
Citations by year
2026: 5 · 2025: 3 · 2024: 6 · 2022: 7 · 2021: 10 · 2020: 6 · 2019: 1 · 2018: 6 · 2017: 6 · 2016: 9 · 2015: 10 · 2014: 6 · 2013: 8 · 2012: 3
FWCI
3.98
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Hospital de Clínicas de Porto Alegre
  • Fundação Instituto de Pesquisas Econômicas
Topics
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
physical activity, aerobic exercise, severe depression, major depressive disorder, hospitalized patients, adjunctive therapy, quality of life, depressive symptoms, exercise dose, electroconvulsive therapy
MeSH terms
Adult, Energy Intake, Depression, Major Depressive Disorder, Depressive Disorder, Exercise Therapy, Female, Humans, Male, Middle Aged, Quality of Life, Exercise, Treatment Outcome

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