Effects of a Physical Activity Program in Psychobiological Profile of Individuals with Schizophrenia
Abstract
The purposes of the present study were to verify the therapeutic effects of a Physical Activity Program (PAP) in individuals with schizophrenia from public mental health care services of São Paulo; compare levels of depression, trait and state anxiety, mood and levels of pro-inflammatory components of the immune system (Interleukin-6, IL-6) and Tumor Necrosis Factor -alpha (TNF-alpha)). A PAP was performed for 12 weeks, twice a week, ~45 minutes each session and aerobic emphasis. 32 individuals diagnosed with schizophrenia (15 females and 17 males) were divided into Control Group (CG, n=11, did not participate in the PAP); Intermediate Group (IG, n=10, performed less than 70% of sessions) and Exercise Group (EG, n=11, performed more than 70% of sessions). Anamnesis, anthropometry, and the following assessments were applied before and after the PAP: Beck Depression Index (BDI), State-Trait Anxiety Inventory (STAI), Brunels Mood Scale (BRUMS), and levels of salivary IL-6 and TNF-alpha. After the PAP, there were no significant anthropometric changes in any of the groups. There was a statistically significant reduction (p<0.05) within the EG for the variables BDI (p=0.008), STAI-Trait (p=0.040), sub variable “depression” of the BRUMS (p=0.036), and IL-6 (p=0.028) level. It is concluded that the implementation of a simple PAP was able to promote favorable therapeutic effects in the participants, regardless of anthropometric changes.
References
Ashdown-Franks, G., Williams J., Vancampfort, D., Firth, F., Hubbard, K., Craig, T., Gaughran, F., & Stubbs, B. (2018). Is it possible for people with severe mental illness to sit less and move more? A systematic review of interventions to increase physical activity or reduce sedentary behavior. Schizophr Res, 202, 3-16. https://doi.org/10.1016/j.schres.2018.06.058
Biaggio, A.M.B., & Natalício, L. (1979). Manual para o Inventário de Ansiedade Traço-Estado (IDATE). Centro Editor de Psicologia Aplicada-CEPA.
Borg, G. (1985). An introduction to Borg's RPE-scale. Movement Publications.
Dahan, S., Bragazzi, NL, Yogev A., Bar-Gad, M., Barak, V., Amital, H., & Amital, D. (2018). The relationship between serum cytokine levels and degree of psychosis in patients with schizophrenia. Psychiatry Res, 268, 467-472. https://doi.org/10.1016/j.psychres.2018.07.041
Ferrari, AJ, Santomauro, DF, Herrera, AMM, Shadid, J., Ashbaugh, C., Erskine, HE, Charlson, FJ, Degenhardt, L., Scott, JG, McGrath, JJ, Allebeck, P., Benjet, C., Breitborde, NJK, Brugha, T., Dai, X., Dandona, L., Dandona, R., Fischer, F., Haagsma, JA, et al. (2022). Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatry, 9, 137-150. https://doi.org/10.1016/S2215-0366(21)00395-3
Firth, J., Stubbs, B., Vancampfort, D., Schuch, FB, Rosenbaum, S., Ward, PB, Firth, JA, Sarris, J., & Yung, AR (2018). The validity and value of self-reported physical activity and accelerometry in people with schizophrenia: a population-scale study of the UK Biobank. Schizophr Bull, 44(6), 1293-1300. https://doi.org/10.1093/schbul/sbx149
Gomes, E., Bastos, T., Probst, M., Ribeiro, JC., Silva, G., & Corredeira, R. (2014). Effects of a group physical activity program on physical fitness and quality of life in individuals with schizophrenia. Ment Health Phys Act, 7(3), 155-162. https://doi.org/10.1016/j.mhpa.2014.07.002
Gorenstein, C., & Andrade, L. (1996). Validation of a Portuguese version of the Beck Depression
Inventory and the State-Trait Anxiety Inventory in Brazilian Subjects. Braz J Med Biol Res, 29(4), 453-457. https://pubmed.ncbi.nlm.nih.gov/8736107/
Hassan, S., Ross, J., Marston, L., Osborn, D., & Walters, K. (2019). Factors prospectively associated with physical activity and dietary related outcomes in people with severe mental illness: A systematic review of longitudinal studies. Psychiatry Res., 273, 181-191. https://doi.org/10.1016/j.psychres.2018.12.115
Jiménez-Maldonado, A., Montero, S., Lemus Vidal, M., Cortes, J., Rodríguez-Hernández, A., Mendoza, MA, Melnikov, V., Gamboa-Domínguez, A., Muñiz, J., Virgen-Ortiz, A., & De Alvarez-Buylla, ER (2019). Moderate and high intensity chronic exercise reduces plasma tumor necrosis factor alpha and increases the Langerhans islet area in healthy rats. J Musculoskelet Neuronal Interact, 19(3), 354-361. https://www.researchgate.net/publication/332383886
Lohman, T.G. (1989). Assessment of body composition in children. Pediatric Exercise Science, 1, 19-30. https://doi.org/10.1123/PES.1.1.19
Mahecha, S. (2021). Poder del músculo esquelético en la salud y enfermedad. Rev. Nutr. Clin. Metab., 4(4), 56-70. https://doi.org/https://doi.org/10.35454/rncm.v4n4.288
Marzolini, S., Jensen, B., & Melville, P. (2009). Feasibility and effects of a group-based resistance and aerobic exercise program for individuals with severe schizophrenia: A multidisciplinary approach. Ment Health Phys Act, 2, 29-36. https://doi.org/10.1016/j.mhpa.2008.11.001
Miller, B.J., Buckley, P., Seabolt, W., Mellor, A., & Kirkpatrick, B. (2011). Meta-Analysis of Cytokine Alterations in Schizophrenia: Clinical Status and Antipsychotic Effects. Biol Psychiatry, 70(7), 663-671. https://doi.org/10.1016/j.biopsych.2011.04.013
Momen, NC, Plana-Ripoll, O., Agerbo E., Christensen, MK, Iburg, KM., Laursen, TM, Mortensen, PB, Pedersen, CB, Prior, A., Weye, N., & McGrath, JJ (2022). Mortality Associated With Mental Disorders and Comorbid General Medical Conditions. JAMA psychiatry, 79(5), 444-453. https://doi.org/10.1001/jamapsychiatry.2022.0347
Müller, N. (2018). Inflammation in Schizophrenia: Pathogenetic Aspects and Therapeutic Considerations. Schizophrenia Bulletin, 44(5), 973-982. https://doi.org/10.1093/schbul/sby024.
Pelham, T.W., Campagna, P.D., Ritvo, P.G., & Bernie, W.A. (1993). The effects of exercise therapy on clients in a psychiatric rehabilitation program. Psychosoc Rehabil J, 16, 75-84. Https://doi.org/ https://doi.org/10.1037/h0095650.
Petersen, A.M.W., & Pedersen, B.K. (2005). The anti-inflammatory effect of exercise. J Appl Physiol, 98, 1154-1162. https://doi.org/10.1152/japplphysiol.00164.2004.
Ramírez Jirano, L.J., Velasco Ramírez, S.F., Pérez Carranza, G.A., Domínguez Díaz, C., & Bitzer Quintero, O.K. (2019). Citocinas y sistema nervioso: relación con la esquizofrenia. Rev Med Inst Mex Seguro Soc, 57(2), 107-112. https://www.medigraphic.com/pdfs/imss/im-2019/im192i.pdf
Rodrigues-Amorim D., Rivera-Baltanás, T., Spuch, C., Caruncho, HJ, González-Fernández, A., Olivares, JM, & Agís-Balboa, RC (2018). Cytokines dysregulation in schizophrenia: A systematic review of psychoneuroimmune relationship. Schizophr Res, 197, 19-33. https://doi.org/10.1016/j.schres.2017.11.023
Rohlfs, I.C.P.M. (2006). Validação do teste de BRUMS para avaliação de humor em atletas e não atletas brasileiros [Dissertação, Mestrado em Ciências do Movimento Humano. Universidade do Estado de Santa Catarina]. https://sistemabu.udesc.br/pergamumweb/vinculos/00006b/00006bbe.pdf
Scalia Barros, M.K. (2019). Efeitos terapêuticos de um programa de atividade física em indivíduos com esquizofrenia: do comportamental ao biológico [Dissertação de Mestrado. Programa de Pós-graduação em Ciências do Movimento Humano e Reabilitação, Universidade Federal de São Paulo]. https://repositorio.unifesp.br/handle/11600/59770
Severinsen, M.C.K., & Pedersen, B.K. (2020). Muscle-Organ Crosstalk: The Emerging Roles of Myokines. Endocrine Reviews,41, 594-609. https://doi.org/10.1210/endrev/bnaa016
Suetany, S., & Vancampfort, D. (2018). Schizophrenia and Exercise In: B. Stubbs & S. Rosenbaum. Exercise-Based Interventions for Mental Illness (chapter 4). Elsevier Academic Press.
Suzuki, K. (2019). Characterization of Exercise-Induced Cytokine Release, the Impacts on the Body, the Mechanisms and Modulations. Int J Sports Exerc Med, 5, 122. https://doi.org/10.23937/2469-5718/1510122
ten Have, M., de Graaf, R., & Monshouwer, K. (2011). Physical exercise in adults and mental health status: findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). J Psychosom Res, 71, 342-348. https://doi.org/10.1016/j.jpsychores.2011.04.001
Tenório, TRS, Balagopal, PB, Andersen, LB, Ritti-Dias, RM, Hill, JO, Lofrano-Prado, MC, & Prado, WL (2018). Effect of Low vs. High Intensity Exercise Training on Biomarkers of Inflammation and Endothelial Dysfunction in Adolescents with Obesity: A 6-Month Randomized Exercise Intervention Study. Pediatr Exerc Sci, 30(1), 96-105. https://doi.org/10.1123/pes.2017-0067
Vancampfort, D., Firth, J., Schuch, FB, Rosenbaum, S., Mugisha, J., Hallgren, M., Probst, M., Ward, PB, Gaughran, F., De Hert, M., Carvalho, AF, & Stubbs, B. (2017). Sedentary behavior and physical activity levels in people with schizophrenia, bipolar disorder and major depressive disorder: a global systematic review and meta-analysis. World Psychiatry, 16, 308-15. https://doi.org/10.1002/wps.20458
WHO (2002). The World Health Report 2002: Reducing risks, promoting healthy life. World Health Organization. https://www.who.int/publications/i/item/9241562072
Zschucke, E., Gaudlitz, K., & Ströhle A. (2013). Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence. J Prev Med Public Health, 46, S12-S21. https://doi.org/10.3961/jpmph.2013.46.S.S12
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