Associations between exercise, inflammation and symptom severity in those with mental health disorders

Hartmann, Tegan; Robertson, Caroline; Miller, Timothy D.; Hunter, Jayden; Skein, Melissa

doi:10.1016/j.cyto.2021.155648

Cited by 7 publications

(7 citation statements)

References 31 publications

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“…Previous research has reported significant improvements in depressive symptomology following exercise interventions in both the general population with mental illness (Hartmann et al, 2021;Rosenbaum et al, 2014) and older people (Bridle et al, 2012). Consistent with previous research, exercise induced significant improvements in mood and psychological status (small and medium effect sizes) in our small group of participants.…”

Section: Psychological Statussupporting

confidence: 91%

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Effectiveness and Benefits of Exercise on Older People Living With Mental Illness’ Physical and Psychological Outcomes in Regional Australia: A Mixed-Methods Study

McNamara

Robertson

Hartmann

et al. 2023

Journal of Aging and Physical Activity

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Regular exercise is reported to improve depressive symptoms and quality of life for people experiencing mental illness. For older adults, including strength and balance can also decrease falls. Mental health services seldom include funding for Accredited Exercise Physiologist programs. A 9-week Accredited Exercise Physiologist-led program for older adults receiving mental health treatment with a community Older People’s Mental Health Service was trialed in regional Australia. This clinician-conceived small-scale feasibility study utilized a two-phase concurrent triangulation mixed-method design to evaluate physical and psychological program outcomes and identify factors related to engaging in physical activity. This tailored exercise program led to improvements in measures of psychological distress and physical and psychological function. These changes corresponded with participants identifying benefits of exercising as a group of adults living with mental illness. Such findings suggest a supervised, individualized program for older mental health consumers confers physical and psychological benefits; however, further research evaluating exercise interventions with this population is required.

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Section: Psychological Statussupporting

confidence: 91%

“…See Table 1 for severity categories for each DASS subscale (Lovibond & Lovibond, 1995). Both these tests have shown to improve significantly in response to exercise in a period of 6 weeks (Hartmann et al, 2021).…”

Section: Psychological Statementioning

confidence: 99%

Effectiveness and Benefits of Exercise on Older People Living With Mental Illness’ Physical and Psychological Outcomes in Regional Australia: A Mixed-Methods Study

McNamara

Robertson

Hartmann

et al. 2023

Journal of Aging and Physical Activity

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“…Author details 1 Department of Epidemiology and Health Statistics, The Key Laboratory of Environment and Health, School of Public Health, Fujian Medical University, Fuzhou 350001, China. 2 Department of Scientific Research Management, Fujian Provincial Hospital, Fujian Medical University, Fuzhou 350001, China. 3 Center for Experimental Research in Clinical Medicine, Fujian Provincial Hospital, Fujian Medical University, Fuzhou 350001, China.…”

Section: Authors' Contributionsmentioning

confidence: 99%

“…The fast-paced lifestyle has gradually increased the physical and psychological problems and stress levels of Chinese people due to the rapid progress of economic modernization and urban economy. Furthermore, the incidence of SMD have significantly increased [2]. The global burden of mental disorders was 7% in 2016, and SMD threatens more than 4% of adults worldwide.…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional analysis of registry data of severe mental disorders in Fuzhou, China: current status and prospects

et al. 2022

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Objective To investigate the proportion of registered cases relative to size, distribution characteristics, medication status, and management status of patients diagnosed with severe mental disorders (SMD) in Fuzhou. The medication status and management status were compared between patients in urban and non-urban areas to provide scientific evidence for improving SMD care, control, and treatment in primary health care institutions. Methods Data (case types, demographic data, distribution data, medication status, and management status, etc.) of patients diagnosed with SMD in 12 districts, counties, and prefectures in the urban and non-urban areas of Fuzhou City were collected from October 2017 to September 2018. Three distributions (population, local, and districts/counties) were used to describe the proportion of registered cases relative to size and clinical characteristics of diagnosed SMD. Chi squared (χ2) test was used to compare the severity in urban and non-urban areas. Results A total of 30,362 registered SMD patients were identified in Fuzhou City of which schizophrenia accounted for the highest number of cases (26,204, 86.31%), and paranoid psychosis had the least number of cases (47, 0.15%). Moreover, approximately half of SMD patients were 18 to 44 years old (45.38%). Close to one third of patients were farmers (30.23%), had a primary school or lower education level (54.17%), were poor, with most below the poverty line (55.35%). The proportion of diagnosed SMD relative to size was highest in Minqing County (0.53%) and lowest in Mawei District (0.38%). A total of 22,989 (75.72%) of the patients were taking medications, and only 17,509 (57.67%) were taking medications regularly. Moreover, the percentage of cases taking medications and those taking medications regularly were higher in urban areas than in non-urban areas (P<0.05). A total of 3065 patients were registered for management (10.09%). The managed proportion of SMD cases was higher in the urban areas than in the non-urban areas (P < 0.05). Conclusion Schizophrenia is a key disease for comprehensive care and control of severe mental disorders in Fuzhou. The management of severe mental disorders should focus on poor groups with low educational backgrounds. Drug usage and management are better in urban areas than in non-urban areas, and thus management should be enhanced in non-urban areas. The medication management and case management of patients with severe mental disorders in Fuzhou need further improvements.

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“…A positive affective state and improvement in depressive symptoms are well documented following exercise in healthy individuals ( 31 – 33 ) and clinical populations with depression ( 34 , 35 ). Exercise has been shown to improve symptoms of depression as measured by several validated psychological screening tools ( 36 , 37 ). This change in affect has been found following a range of exercise intensities which includes low intensity [15–39% oxygen uptake reserve (% VO 2 R)], and short durations, from 7 to 35 min.…”

Section: Introductionmentioning

confidence: 99%

Acute electroencephalography responses during incremental exercise in those with mental illness

et al. 2023

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IntroductionDepression is a mental illness (MI) characterized by a process of behavioral withdrawal whereby people experience symptoms including sadness, anhedonia, demotivation, sleep and appetite change, and cognitive disturbances. Frontal alpha asymmetry (FAA) differs in depressive populations and may signify affective responses, with left FAA corresponding to such aversive or withdrawal type behavior. On an acute basis, exercise is known to positively alter affect and improve depressive symptoms and this has been measured in conjunction with left FAA as a post-exercise measure. It is not yet known if these affective electroencephalography (EEG) responses to exercise occur during exercise or only after completion of an exercise bout. This study therefore aimed to measure EEG responses during exercise in those with MI.Materials and methodsThirty one participants were allocated into one of two groups; those undergoing management of a mental health disorder (MI; N = 19); or reporting as apparently healthy (AH; N = 12). EEG responses at rest and during incremental exercise were measured at the prefrontal cortex (PFC) and the motor cortex (MC). EEG data at PFC left side (F3, F7, FP1), PFC right side (F4, F8, FP2), and MC (C3, Cz, and C4) were analyzed in line with oxygen uptake at rest, 50% of ventilatory threshold (VT) (50% VT) and at VT.ResultsEEG responses increased with exercise across intensity from rest to 50% VT and to VT in all bandwidths (P < 0.05) for both groups. There were no significant differences in alpha activity responses between groups. Gamma responses in the PFC were significantly higher in MI on the left side compared to AH (P < 0.05).ConclusionAlpha activity responses were no different between groups at rest or any exercise intensity. Therefore the alpha activity response previously shown post-exercise was not found during exercise. However, increased PFC gamma activity in the MI group adds to the body of evidence showing increased gamma can differentiate between those with and without MI.

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Associations between exercise, inflammation and symptom severity in those with mental health disorders

Cited by 7 publications

References 31 publications

Effectiveness and Benefits of Exercise on Older People Living With Mental Illness’ Physical and Psychological Outcomes in Regional Australia: A Mixed-Methods Study

Effectiveness and Benefits of Exercise on Older People Living With Mental Illness’ Physical and Psychological Outcomes in Regional Australia: A Mixed-Methods Study

A cross-sectional analysis of registry data of severe mental disorders in Fuzhou, China: current status and prospects

Acute electroencephalography responses during incremental exercise in those with mental illness

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