Has the exercise helped to reduce depression?
There was a BMJ publication that was published on June 6, which invited several titles that suggested that "exercise does not help depression". But weed
There was a BMJ publication that was published on June 6, which invited several titles that suggested that "exercise does not help depression". But weed the detailed and detailed covers of the study at a user-friendly sound bite resulted in a risk of a bad idea. In fact, researchers did not even do the exercise test on people with depression.
Mixed criticism
This article will reveal what all researchers did, the tests they ran and the growing review they face afterwards. This also proves the crucial need for a search to do more depth. There are, however, a number of experts and doctors who suggest that exercise helps people suffering from depression, who are also victims of obesity, cardiovascular disease or diabetes.
What did the researchers do?
BMJ researchers are studying universities of Bristol, Exeter and the Medicine College and Peninsula dentistry. They had to discover if the addition of a physical task / challenge with "usual care" that patients with depression cross their general practitioners (GPS) in the United Kingdom could might be reduced the symptoms they have or no.
TREAD
This intervention, the tread (treatment of depression with physical activity), is actually based on a theory and offers a trained facilitator that then helps to "support and encourage individually to participate in physical activity," said researchers . This type of research benefits from health care providers to make decisions about the type of services that would best be in primary care.
Their main objective
The researchers' managers hoped to test the way to follow because, even if there is evidence to suggest that exercises are beneficial for people with depression, it usually comes from small light studies that examine programs that the national health service ( NHS) may not find convenient to deliver.
Facilities of the tread
The tread has been designed to "improve the long-term adhesion of physical activity" and a key feature ensures that patients select activities of their choice, deal with their specific needs and activities they can perform. in their own environment. Patients then receive a meeting of three times to deal with their facilitator. This person is formed on interactive motivation techniques with up to 10 phone calls.
Intervention
In the BMJ study, this intervention continued between 6 and 8 months, where facilitators were practical for 4 months. It included 361 adult patients aged 18 to 69 who was diagnosed with depression in several different centers in the United Kingdom. A group has obtained the usual care and the other group has received the usual care of the march. They were followed for 12 months.
The procedure
The exercise data were drawn from the physical activity that participants noted in their newspapers. Some of them had accelerometers that proved the reliability and accuracy of these entries. "Usual care" translate into GP instructions for their depression. Primary care included advice, use of antidepressants and "prescription exercise".
Distinctive features
Therefore, a distinctive feature of this research work is that all patients had the freedom to adopt prescribed exercises where some were encouraged. Another feature was that the study did not weigh the effectiveness of the encouragement of exercise with other forms of treatment such as advice and medicine, it was sewn as an addition to these.
Their explanation
Recent government guidelines in the United Kingdom have advised adults to make 150 minutes of moderate or vigorous physical activity every week, where researchers give an explanation: "Aspiration was for participants [in the tread group ] to engage in moderate or vigorous activity. For 150 minutes a week in battles of at least 10 minutes, but if it seemed unrealistic, the facilitator encouraged any increase in physical activity, regardless of the intensity. "
What did they find?
Well, what the researchers have discovered that the participants of the working band intervention group do not earn much compared to those who have obtained the usual care. For example, there was "no evidence that participants offered the intervention of physical activity reported an improvement in mood by the four-month follow-up point compared to those of the usual care group." In addition, they found: "There was no evidence that the intervention group reported a mood change through the eight and 12 month tracking points."
Last thoughts
There was absolutely no evidence that reduced antidepressive use in the sculpture group varied from the usual caregroup only. To conclude their conclusions, the researchers had one thing to say:
"The addition of an intervention of facilitated physical activity with usual care has not improved the result of depression or reduce the use of antidepressants in relation to usual care."
Their conclusions
What the research managers found was that the people involved in the tread group reported more physical activity in the follow-up period. He showed that they continued that even after stopping their interactions with the facilitator. The conclusion note was that it was not "useless" for depression, unlike the titles. However, their results could be useful for health care solutions in primary care services.
Press statement
The main author Melanie Chalder, from the School of Social and Community Medicine at the University of Bristol, published a statement to the press: "Many studies have reported the positive effects of physical activity for people with depression. But our intervention was not an effective strategy to reduce symptoms. However, it is important to note that increased physical activity is beneficial for people with other medical conditions such as obesity, diabetes and cardiovascular diseases and, of course, these conditions may affect people with depression. . "The next plan is to see if the tread helps to other conditions.
What's going on now?
The National Institute of Health and Clinical Excellence (Nice) is responsible for setting the government's guidelines. The last time this has been revised has been revised all the way in 2009 with suggestions that patients with mild to moderate depression should always be given to groups of physical activity based on groups, which is also supported by A competent facilitator, "guided by the person's preference", consisting of "typically three sessions per week of moderate duration (45 minutes to 1 hour) of more than 10 to 14 weeks".
Other groups and views
Only the time will indicate whether the BMJ study will result in a change in these guidelines. A comment made by the article of the NHS Choice of Bazian has proved that it would not be. Another group that analyzes health care plans issued a statement: "This study evaluated a single type of exercise intervention that involved facilitating higher levels of activity. As a result, this study does not tell us whether other types of support or exercise programs can have a positive effect on depression. "
Challenge
They suggest that the study could be useful for NHS staff in search of interventions that can benefit patients with the disease. There are many points that suggest that these conclusions would need to change the guidelines as they are now obsolete. For example, in 2009, a Journal of Cochrane concluded that the discoveries that the discoveries were weak and more not favorable to the notion that the treatment of depression can be used by the exercise.
Some other reviews
Other criticisms have also claimed that the guidelines must be modified and the effect of the exercise must be studied a little more to make a concrete decision on its effects. Their concerns were produced by the Dutch document printed in the public health of the BMC in January, suggesting that it is necessary to see the long-term effect. The authors responded by saying: it was a "first trial of high quality randomized well realized in the effect of aerobic exercise on depression".
The need for more research
They also express an interest in studying the effect of aerobic exercises such as fast walking and jogging to see what happens to depression and other conditions related to metabolic syndrome. In addition, exercises are cheap and generally do not have side effects and "the introspective capacity needed for most psychotherapies" affirms the authors. It would not be so wrong to say that these discoveries are growing on the need for more in-depth research regarding exercise and depression.
And in the meantime?
Even with many people, there are several experts and doctors who conclude and support the fact that exercise really helps to treat depression. For example, in America, the Institute for Clinical Systems Improvement (ICSI), in their latest discoveries and research on adults with severe cases of depression revealed that "physical activity and active engagement of Patients are also useful for relaxing the symptoms of major depression ".
Different points of view
Journal of Family Practicing Article In 2010 Claims "Provide proof responses from the Network of Family Physician Inquiries", adding that "the exercise alone reduces the symptoms of depression perceived by the patient as effectively as the Cognitive behavioral therapy ". In Victoria, Australia, the health authorities claim that the exercise helps to release Serotonin more strengthened self-esteem and the patient occupies an active role in his progress. This ultimately leads to a healthy and positive social life.
Benefits of exercise
Exercise also helps reduce overflow and stress as we do not have time to think too much while remaining active, improving cardiovascular form, helps maintain healthy weight and lower cholesterol and blood pressure. NHS Choices Website written "The exercise can help people recover and prevent them from becoming depressed in the first place", saying that exercise is "particularly useful for people with light depression".
Ways to improve mental stress
They suggested that 150 minutes of moderately intense activity needed every week, slowly intensify the intensity you are going. A simple 15-minute walk could also help reduce stress. A good way for people with depression to improve is to participate in team sports, attend classes in a sports center or a gym, or to be active in their daily lives . "All that puts you at the boot of the couch and move is an exercise that can help improve your mood," the Mayo clinic in the United States.
