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Originalia

Depressed but Still Moving

Exercise in Depressive and Nondepressive Adults

Published Online:September 14, 2017https://doi.org/10.1026/0943-8149/a000164

Abstract

Abstract. Studies of exercise in depression have not focused on persons already engaging in exercise. The current study aimed to provide an in-depth examination of exercise in depressive persons. In all, 62 depressive outpatients were compared with 62 parallelized nondepressive controls on various aspects of self-reported exercise (total amount, frequency, duration, intensity, type). Of the depressive participants, 52 % and of the nondepressive participants 76 % reported engaging in exercise. Compared with nondepressive exercisers, depressive exercisers exercised less (average total amount of M = 1.7 vs. M = 2.7 hr/week, including all intensity levels), were exercising less frequently (M = 1.7 vs. M = 2.6 sessions/week), and were engaged in fewer different exercise types (M = 1.4 vs. M = 2.0). Groups did not differ in intensity (M = 6.1 vs. 6.2 METs) or duration of exercise sessions (M = 1.1 hr). Exercisers with depression engage in exercise at reduced levels compared with nondepressive exercisers. Interventions to increase exercise in depressive patients should focus on raising the frequency of exercise sessions rather than the duration or intensity.


Wenn depressive Patienten sportlich aktiv sind: Charakteristika der sportlichen Aktivität im Vergleich zu nicht-depressiven Erwachsenen

Zusammenfassung. Hintergrund: Bisherige Studien zur sportlichen Aktivität bei Depressionen ließen eine separate Betrachtung der Personen, die bereits sportlich aktiv sind, außer Acht. Die vorliegende Studie möchte ein detailliertes Verständnis der sportlichen Aktivität dieser Personen erarbeiten. Methoden: 62 klinisch depressive ambulante Patienten wurden mit 62 parallelisierten nicht-depressiven Personen hinsichtlich verschiedener Aspekte ihrer selbst-berichteten sportlichen Aktivität (Gesamtumfang, Häufigkeit, Dauer, Intensität, Art) verglichen. Ergebnisse: 52 % der depressiven und 76 % der nicht-depressiven Probanden gaben an, sportlich aktiv zu sein. Aktive depressive Probanden trainierten in einem geringeren Gesamtumfang als aktive nicht-depressive Probanden (M = 1.7 vs. M = 2.7 Stunden/Woche, alle Intensitätslevel eingeschlossen). Sie führten weniger verschiedene sportliche Aktivitäten aus (M = 1.4 vs. M = 2.0) und diese seltener (M = 1.7 vs. M = 2.6 Einheiten/Woche). Die untersuchten Gruppen unterschieden sich nicht hinsichtlich der Intensität (M = 6.1 vs. 6.2 METs) und der Dauer pro Sporteinheit (M = 1.1 Stunden). Schlussfolgerung: Bei der Betrachtung sportlich aktiver Personen zeigen depressive im Vergleich zu nicht-depressiven Personen ein geringeres Ausmaß an sportlicher Aktivität. Interventionsprogramme zur Erhöhung der sportlichen Aktivität depressiver Personen sollten eine Steigerung der Sporthäufigkeit fokussieren. Dauer und Intensität bedürfen keiner weiteren Förderung.

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