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Titolo:
The efficacy of exercise as a long-term antidepressant in elderly subjects: A randomized, controlled trial
Autore:
Singh, NA; Clements, KM; Singh, MAF;
Indirizzi:
Harvard Univ, Sch Med, Div Aging, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 Sch Med, Div Aging, Boston, MA 02115 USA Brockton W Roxbury Vet Affairs Med Ctr, Brockton, MA USA Brockton W Roxbury Vet Affairs Med Ctr Brockton MA USA Brockton, MA USA Tufts Univ, Jean Mayer US Dept Agr, Human Nutr Res Ctr, Boston, MA 02111 USA Tufts Univ Boston MA USA 02111 , Human Nutr Res Ctr, Boston, MA 02111 USA Hebrew Rehabil Ctr Aged, Roslindale, MA USA Hebrew Rehabil Ctr Aged Roslindale MA USA l Ctr Aged, Roslindale, MA USA Univ Sydney, Sch Exercise & Sport Sci, Sydney, NSW 2006, Australia Univ Sydney Sydney NSW Australia 2006 rt Sci, Sydney, NSW 2006, Australia
Titolo Testata:
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
fascicolo: 8, volume: 56, anno: 2001,
pagine: M497 - M504
SICI:
1079-5006(200108)56:8<M497:TEOEAA>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR DEPRESSION; SELF-EFFICACY; OLDER; MEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Singh, NA Balmain Hosp, Dept Geriatr, Booth St, Balmain, NSW 2041, Australia Balmain Hosp Booth St Balmain NSW Australia 2041 2041, Australia
Citazione:
N.A. Singh et al., "The efficacy of exercise as a long-term antidepressant in elderly subjects: A randomized, controlled trial", J GERONT A, 56(8), 2001, pp. M497-M504

Abstract

Background. Pharmacological treatment of depression in geriatric patients is often difficult. Although unsupervised exercise has been shown to benefit younger depressed patients, there is no evidence that unsupervised exercise. can be used as a maintenance treatment for depression in elderly patients. Our aim was to test the feasibility and efficacy of unsupervised exercise as a long-term treatment for clinical depression in elderly patients. Methods. We studied 32 subjects (71.3 +/-1.2 years of age, mean SE) in a 20-week, randomized, controlled trial, with follow-up at 26 months. Subjectswere community-dwelling patients with major or minor depression or dysthymia. Exercisers engaged in 10 weeks of supervised weight-lifting exercise followed by 10 weeks of unsupervised exercise. Controls attended lectures for10 weeks. No contact was made with either group after 20 weeks until finalfollow-up. Blinded assessment was made with the Beck Depression Inventory (BDI), the Philadelphia Geriatric Morale Scale, and Ewart's Self Efficacy Scale at 20 weeks and with the BDI and physical activity questionnaire at 26months. Results. Patients randomized to the exercise condition completed 18 +/-2 sessions of unsupervised exercise during Weeks 10 to 20. The BDI was significantly reduced at both 20 weeks and 26 months of follow-up in exercisers compared with controls (p < .05-001). At the 26-month follow-up, 33% of the exercisers were still regularly weight lifting, versus 0% of controls (p < .05). Conclusions. Unsupervised weight-lifting exercise maintains its antidepressant effectiveness at 20 weeks in depressed elderly patients. Long-term changes in exercise behavior are possible in some patients even without supervision.

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Documento generato il 25/01/20 alle ore 01:05:41