Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in China
BackgroundThe COVID-19 pandemic has seriously increased depression prevalence among the public, including Chinese college students. However, many exercise cannot be performed as usual under the stay-at-home order. This study was a 12-week three-arm randomized controlled trial using the intention-to-...
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| Format: | Article |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1015725/full |
| _version_ | 1828068061228302336 |
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| author | Yuanhui Zhao Yuanhui Zhao Wenxing Wang Wenxing Wang Mengdie Wang Fang Gao Fang Gao Chun Hu Chun Hu Bowen Cui Bowen Cui Wenlang Yu Wenlang Yu Hong Ren Hong Ren |
| author_facet | Yuanhui Zhao Yuanhui Zhao Wenxing Wang Wenxing Wang Mengdie Wang Fang Gao Fang Gao Chun Hu Chun Hu Bowen Cui Bowen Cui Wenlang Yu Wenlang Yu Hong Ren Hong Ren |
| author_sort | Yuanhui Zhao |
| collection | DOAJ |
| description | BackgroundThe COVID-19 pandemic has seriously increased depression prevalence among the public, including Chinese college students. However, many exercise cannot be performed as usual under the stay-at-home order. This study was a 12-week three-arm randomized controlled trial using the intention-to-treat principle, aiming to explore and compare the feasibility and effect of individual-based personalized aerobic-exercise and resistance-training prescriptions on depressive symptoms in college students, and conclude with some recommendations for individual-based exercise prescriptions.MethodsEighty-six college students with depressive symptoms were randomized into aerobic-exercise (AE), resistance-training (RT), and wait-list control (WLC) groups. Participants in two experimental groups received 12-week personalized AE and RT prescriptions on their individual situations, respectively. No intervention was implemented on participants in the WLC group. Depressive symptoms and physical activity (PA) were measured by Zung Self-Rating Depression Scale (SDS) and International Physical Activity Questionnaire-Short Form (IPAQ-SF), respectively. All data were collected at the baseline, 4, 8, and 12 weeks, and 4-week post-intervention.ResultsAt 12 weeks, 72.09% of depressive participants improved to “normal.” Participants exhibited a statistical reduction in SDS in all 3 groups (p < 0.05) at 12 weeks compared to baseline. Follow-up assessments showed no significant increase in SDS at 4-week post-intervention compared to 12 weeks (p > 0.05). The independent t-test revealed significantly lower SDS in AE and RT group than in WLC group (pAE < 0.001 and pRT < 0.05) at 4, 8, and 12 weeks, and 4-week post-intervention. Furthermore, the PA of participants (including total PA and intensities) in both experimental groups represented a significant improvement at 4-week post-intervention compared to baseline (p < 0.05), while no differences were observed in the PA of participants in the WLC group (p > 0.05).ConclusionPersonalized exercise prescriptions have good feasibility as they can increase adherence to intervention and reduce serious adverse events. Besides, individual-based personalized aerobic-exercise and resistance-training prescriptions result in a similar effect in relieving depressive symptoms and improving physical activity in college students. The individual-based exercise programs performed in 45- to 60- min with progressive moderate-to-vigorous intensity, 3 times/week for at least 12 weeks, may reduce depressive symptoms in college students during the COVID-19. |
| first_indexed | 2024-04-10T23:55:54Z |
| format | Article |
| id | doaj.art-a5ab8e9af3d14db0805da80ecb579dd5 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-10T23:55:54Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-a5ab8e9af3d14db0805da80ecb579dd52023-01-10T13:09:09ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-01-011310.3389/fpsyt.2022.10157251015725Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in ChinaYuanhui Zhao0Yuanhui Zhao1Wenxing Wang2Wenxing Wang3Mengdie Wang4Fang Gao5Fang Gao6Chun Hu7Chun Hu8Bowen Cui9Bowen Cui10Wenlang Yu11Wenlang Yu12Hong Ren13Hong Ren14School of Sport Science, Beijing Sport University, Beijing, ChinaKey Laboratory of the Ministry of Education of Exercise and Physical Fitness, Beijing Sport University, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaKey Laboratory of the Ministry of Education of Exercise and Physical Fitness, Beijing Sport University, Beijing, ChinaChina Institute of Sport Science, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaKey Laboratory of the Ministry of Education of Exercise and Physical Fitness, Beijing Sport University, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaKey Laboratory of the Ministry of Education of Exercise and Physical Fitness, Beijing Sport University, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaKey Laboratory of the Ministry of Education of Exercise and Physical Fitness, Beijing Sport University, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaKey Laboratory of the Ministry of Education of Exercise and Physical Fitness, Beijing Sport University, Beijing, ChinaSchool of Sport Science, Beijing Sport University, Beijing, ChinaKey Laboratory of the Ministry of Education of Exercise and Physical Fitness, Beijing Sport University, Beijing, ChinaBackgroundThe COVID-19 pandemic has seriously increased depression prevalence among the public, including Chinese college students. However, many exercise cannot be performed as usual under the stay-at-home order. This study was a 12-week three-arm randomized controlled trial using the intention-to-treat principle, aiming to explore and compare the feasibility and effect of individual-based personalized aerobic-exercise and resistance-training prescriptions on depressive symptoms in college students, and conclude with some recommendations for individual-based exercise prescriptions.MethodsEighty-six college students with depressive symptoms were randomized into aerobic-exercise (AE), resistance-training (RT), and wait-list control (WLC) groups. Participants in two experimental groups received 12-week personalized AE and RT prescriptions on their individual situations, respectively. No intervention was implemented on participants in the WLC group. Depressive symptoms and physical activity (PA) were measured by Zung Self-Rating Depression Scale (SDS) and International Physical Activity Questionnaire-Short Form (IPAQ-SF), respectively. All data were collected at the baseline, 4, 8, and 12 weeks, and 4-week post-intervention.ResultsAt 12 weeks, 72.09% of depressive participants improved to “normal.” Participants exhibited a statistical reduction in SDS in all 3 groups (p < 0.05) at 12 weeks compared to baseline. Follow-up assessments showed no significant increase in SDS at 4-week post-intervention compared to 12 weeks (p > 0.05). The independent t-test revealed significantly lower SDS in AE and RT group than in WLC group (pAE < 0.001 and pRT < 0.05) at 4, 8, and 12 weeks, and 4-week post-intervention. Furthermore, the PA of participants (including total PA and intensities) in both experimental groups represented a significant improvement at 4-week post-intervention compared to baseline (p < 0.05), while no differences were observed in the PA of participants in the WLC group (p > 0.05).ConclusionPersonalized exercise prescriptions have good feasibility as they can increase adherence to intervention and reduce serious adverse events. Besides, individual-based personalized aerobic-exercise and resistance-training prescriptions result in a similar effect in relieving depressive symptoms and improving physical activity in college students. The individual-based exercise programs performed in 45- to 60- min with progressive moderate-to-vigorous intensity, 3 times/week for at least 12 weeks, may reduce depressive symptoms in college students during the COVID-19.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1015725/fullpersonalized medicineaerobic exerciseresistance trainingCOVID-19depressive symptomsCollege student |
| spellingShingle | Yuanhui Zhao Yuanhui Zhao Wenxing Wang Wenxing Wang Mengdie Wang Fang Gao Fang Gao Chun Hu Chun Hu Bowen Cui Bowen Cui Wenlang Yu Wenlang Yu Hong Ren Hong Ren Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in China Frontiers in Psychiatry personalized medicine aerobic exercise resistance training COVID-19 depressive symptoms College student |
| title | Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in China |
| title_full | Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in China |
| title_fullStr | Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in China |
| title_full_unstemmed | Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in China |
| title_short | Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: A randomized controlled trial in China |
| title_sort | personalized individual based exercise prescriptions are effective in treating depressive symptoms of college students during the covid 19 a randomized controlled trial in china |
| topic | personalized medicine aerobic exercise resistance training COVID-19 depressive symptoms College student |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1015725/full |
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