Abstract
Background
Depression is associated with reduced physical activity levels, but little is known about the mechanisms accounting for the sedentary lifestyle among depressed individuals. Acute exercise is associated with positive mood in healthy individuals but may evoke negative mood in depressed individuals, which would further reduce the initiation and maintenance of regular exercise.
Purpose
The present study examined the effects of acute exercise on depressed mood and fatigue in individuals with depression and nondepressed participants.
Method
Participants with diagnosed Major (n = 12) or Minor Depressive Disorder (n = 2; n = 14, mean age of 41.7 ± 9.6 years, 50% women) and control participants (n = 16, mean age of 38.1 ± 6.1 years, 50% women), engaged in treadmill exercise. Mood and fatigue were measured before and after the acute bout of exercise.
Results
Immediately following exercise, depressed individuals displayed improvements in depressed mood (Δ from baseline: p = 0.02), but subsequently exhibited increased depressed mood (Δ from baseline: p = 0.05) and fatigue (Δ from baseline: p = 0.005) at 30 min post-exercise. These delayed increases in depressed mood (p = 0.05) and fatigue (p = 0.007) were higher in depressed participants compared to controls.
Conclusion
These findings indicate that depressed individuals have increased negative mood 30 min post-exercise which may partially explain reduced initiation and adherence to exercise programs in depression.
Similar content being viewed by others
References
Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51:8–19.
Greenberg PE, Kessler RC, Birnbaum HG, Leong SA, Lowe SW, Berglund PA, et al. The economic burden of depression in the United States: how did it change between 1990 and 2000? J Clin Psychiatry. 2003;64:1465–75.
Martinsen EW. Benefits of exercise for the treatment of depression. Sports Med. 1990;9:380–9.
Bhui K, Fletcher A. Common mood and anxiety states: gender differences in the protective effect of physical activity. Soc Psychiatry Psychiatr Epidemiol. 2000;35:28–35.
Barbour KA, Edenfield TM, Blumenthal JA. Exercise as a treatment for depression and other psychiatric disorders: a review. J Cardiopulm Rehabil Prev. 2007;27:359–67.
Blumenthal JA, Babyak MA, Doraiswamy PM, Watkins L, Hoffman BM, Barbour KA, et al. Exercise and pharmacotherapy in the treatment of major depressive disorder. Psychosom Med. 2007;69:587–96.
Ekkekakis P, Petruzzello SJ. Acute aerobic exercise and affect: current status, problems and prospects regarding dose-response. Sports Med. 1999;28:337–74.
Reed J, Berg KE, Latin RW, La Voie JP. Affective responses of physically active and sedentary individuals during and after moderate aerobic exercise. J Sports Med Phys Fitness. 1998;38:272–8.
Hoffman MD, Hoffman DR. Exercisers achieve greater acute exercise-induced mood enhancement than nonexercisers. Arch Phys Med Rehabil. 2008;89:358–63.
US Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. Atlanta: US Department of Health and Human Services, Centers for the Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996.
Blackwood SK, MacHale SM, Power MJ, Goodwin GM, Lawrie SM. Effects of exercise on cognitive and motor function in chronic fatigue syndrome and depression. J Neurol Neurosurg Psychiatry. 1998;65:541–6.
Bartholomew JB, Morrison D, Ciccolo JT. Effects of acute exercise on mood and well-being in patients with major depressive disorder. Med Sci Sports Exerc. 2005;37:2032–7.
Focht BC, Knapp DJ, Gavin TP, Raedeke TD, Hickner RC. Affective and self-efficacy responses to acute aerobic exercise in sedentary older and younger adults. J Aging Phys Act. 2007;15:123–38.
Herman S, Blumenthal JA, Babyak M, Khatri P, Craighead WE, Krishnan KR, et al. Exercise therapy for depression in middle-aged and older adults: predictors of early dropout and treatment failure. Health Psychol. 2002;21:553–63.
First MB, Spitzer RL, Williams JB, Gibbon M. Structured Clinical Interview for DSM-IV (SCID). Washington, DC: American Psychiatric Association; 1995.
Kohl HW, Blair SN, Paffenbarger RS Jr, Macera CA, Kronenfeld JJ. A mail survey of physical activity habits as related to measured physical fitness. Am J Epidemiol. 1988;127:1228–39.
Luger A, Deuster PA, Kyle SB, Gallucci WT, Montgomery LC, Gold PW, et al. Acute hypothalamic-pituitary-adrenal responses to the stress of treadmill exercise. Physiologic adaptations to physical training. N Engl J Med. 1987;316:1309–15.
Yeung RR. The acute effects of exercise on mood state. J Psychosom Res. 1996;40:123–41.
Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14:377–81.
Beck AT, Steer RA, Brown C. The Beck Depression Inventory Manual. Secondth ed. San Antonio, TX: The Psychological Corporation; 1996.
McNair DM, Lorr M, Droppleman LF. Manual for the Profile of Mood States. San Diego, CA: Educational and Industrial Testing Service; 1992.
Cohen J, Lawrence Earlbaum A. Statistical power analysis for the behavioral sciences. 1988.
Kovacs M, Beck AT. Maladaptive cognitive structures in depression. Am J Psychiatry. 1978;135:525–33.
Donaldson C, Lam D, Mathews A. Rumination and attention in major depression. Behav Res Ther. 2007;45:2664–78.
Hackshaw A. Small studies: strengths and limitations. Eur Respir J. 2008;32:1141–3.
Author information
Authors and Affiliations
Corresponding author
Additional information
The opinions and assertions expressed herein are those of the authors and are not to be construed as reflecting the views of the USUHS or the US Department of Defense
Rights and permissions
About this article
Cite this article
Weinstein, A.A., Deuster, P.A., Francis, J.L. et al. The Role of Depression in Short-Term Mood and Fatigue Responses to Acute Exercise. Int.J. Behav. Med. 17, 51–57 (2010). https://doi.org/10.1007/s12529-009-9046-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12529-009-9046-4