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      Clinical Interventions in Aging (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on prevention and treatment of diseases in people over 65 years of age. Sign up for email alerts here.

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      Hormonal Function Responses to Moderate Aerobic Exercise in Older Adults with Depression

      research-article
      1 , 1
      Clinical Interventions in Aging
      Dove
      adrenal function, depression, LPTA, aerobic exercise, POMS

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          Abstract

          Background

          Poor daily life physical activities among older people were related to depressive mood especially memory loss. In addition to that, the change in physical ability is significantly associated with the score of depression among older age.

          Objective

          The present study aimed to evaluate the effects of a supervised aerobic training program with moderate intensity for 12 weeks on mood profiles and hormonal levels of the hypothalamus-pituitary-adrenal axis (HPA axis) of older adults.

          Methods

          A total of 80 individuals of both gender (90 males, 110 females) of ages ranged between 65 and 95 years were recruited for this study. Based upon the profile of mood states (POMS) analysis, the participants were classified into two groups: control group (n=30) and depressive group (n=50). Leisure-time physical activity (LTPA), adrenal hormones such as ACTH, corticosterone (CORT), cortisol, DHEA/S, and cortisol:DHEA/S ratio were measured at baseline and post-intervention of moderate aerobic exercise for 12 weeks.

          Results

          Older adults with higher depressive scores showed a remarkable change in the level of adrenal hormones compared to control. There was a significant increase in the level of ACTH, CORT, cortisol, and cortisol:DHEA/S ratio, and decrease in DHEA/S. Compared to females, males showed an improvement in depressive mood score along with an increase in LPTA, DHEA/S and decrease in ACTH, CORT, cortisol, cortisol:DHEA/S ratio following 12 weeks of supervised aerobic training, respectively.

          Conclusion

          The findings of this study showed that 12 weeks of supervised exercise interventions are promising non-drug therapeutic strategies in improving depression among older adults. The potential performance in a psychological state occurs physiologically via optimizing the levels of the hormones of the HPA axis.

          Most cited references99

          • Record: found
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          Demography. Broken limits to life expectancy.

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            • Record: found
            • Abstract: not found
            • Article: not found

            The effects of training on heart rate; a longitudinal study.

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              • Abstract: found
              • Article: not found

              Effects of exercise training on older patients with major depression.

              Previous observational and interventional studies have suggested that regular physical exercise may be associated with reduced symptoms of depression. However, the extent to which exercise training may reduce depressive symptoms in older patients with major depressive disorder (MDD) has not been systematically evaluated. To assess the effectiveness of an aerobic exercise program compared with standard medication (ie, antidepressants) for treatment of MDD in older patients, we conducted a 16-week randomized controlled trial. One hundred fifty-six men and women with MDD (age, > or = 50 years) were assigned randomly to a program of aerobic exercise, antidepressants (sertraline hydrochloride), or combined exercise and medication. Subjects underwent comprehensive evaluations of depression, including the presence and severity of MDD using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria and Hamilton Rating Scale for Depression (HAM-D) and Beck Depression Inventory (BDI) scores before and after treatment. Secondary outcome measures included aerobic capacity, life satisfaction, self-esteem, anxiety, and dysfunctional cognitions. After 16 weeks of treatment, the groups did not differ statistically on HAM-D or BDI scores (P = .67); adjustment for baseline levels of depression yielded an essentially identical result. Growth curve models revealed that all groups exhibited statistically and clinically significant reductions on HAM-D and BDI scores. However, patients receiving medication alone exhibited the fastest initial response; among patients receiving combination therapy, those with less severe depressive symptoms initially showed a more rapid response than those with initially more severe depressive symptoms. An exercise training program may be considered an alternative to antidepressants for treatment of depression in older persons. Although antidepressants may facilitate a more rapid initial therapeutic response than exercise, after 16 weeks of treatment exercise was equally effective in reducing depression among patients with MDD.
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                Author and article information

                Journal
                Clin Interv Aging
                Clin Interv Aging
                cia
                clinintag
                Clinical Interventions in Aging
                Dove
                1176-9092
                1178-1998
                03 August 2020
                2020
                : 15
                : 1271-1283
                Affiliations
                [1 ]Rehabilitation Research Chair (RRC), College of Applied Medical Sciences (CAMS), King Saud University , Riyadh, Kingdom of Saudi Arabia
                Author notes
                Correspondence: Sami A GabrRehabilitation Research Chair (RRC), College of Applied Medical Sciences (CAMS), King Saud University , P.O. Box 10219, Riyadh11433, Kingdom of Saudi ArabiaTel +966 562060018Fax +966 14698541 Email dr.samigabr@gmail.com
                Author information
                http://orcid.org/0000-0003-4965-5852
                Article
                259422
                10.2147/CIA.S259422
                7423410
                32821089
                14454a48-0937-403f-8fc3-c2aa96da32ce
                © 2020 Alghadir and Gabr.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 22 April 2020
                : 14 July 2020
                Page count
                Figures: 3, Tables: 8, References: 117, Pages: 13
                Categories
                Original Research

                Health & Social care
                adrenal function,depression,lpta,aerobic exercise,poms
                Health & Social care
                adrenal function, depression, lpta, aerobic exercise, poms

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