Markers of stress and inflammation as potential mediators of the relationship between exercise and depressive symptoms: findings from the TRAILS study

SH Booij, EH Bos, P de Jonge… - Psychophysiology, 2015 - Wiley Online Library
Psychophysiology, 2015Wiley Online Library
The hypothalamic‐pituitary‐adrenal axis, autonomic nervous system, and immune system
have been proposed to underlie the antidepressant effect of exercise. Using a population
sample of 715 adolescents, we examined whether pathways from exercise to affective and
somatic symptoms of depression were mediated by these putative mechanisms. Exercise
(hours/week) and depressive symptoms were assessed at age 13.5 (±0.5) and 16.1 (±0.6).
Cortisol and heart rate responses to a standardized social stress test and C‐reactive protein …
Abstract
The hypothalamic‐pituitary‐adrenal axis, autonomic nervous system, and immune system have been proposed to underlie the antidepressant effect of exercise. Using a population sample of 715 adolescents, we examined whether pathways from exercise to affective and somatic symptoms of depression were mediated by these putative mechanisms. Exercise (hours/week) and depressive symptoms were assessed at age 13.5 (± 0.5) and 16.1 (± 0.6). Cortisol and heart rate responses to a standardized social stress test and C‐reactive protein levels were measured at age 16. Exercise was prospectively and inversely related to affective (B = −0.16, 95% CI = −0.30 to −0.03) but not somatic symptoms (B = −0.04, 95% CI = −0.21 to 0.13). Heart rate during social stress partially mediated this relationship (B = −0.03, 95% CI = −0.07 to −0.01). No other mediating effects were found. Hence, the autonomic stress system may play a role in the relationship between exercise and depressive symptoms.
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