Aerobic Exercise Program Management Enhances Mental and Physical Health in Overweight/Obese Adolescents With Depression: Insights From a Retrospective Study.

IF 1 4区医学 Q4 NEUROSCIENCES

Actas espanolas de psiquiatria Pub Date : 2025-05-01 DOI:10.62641/aep.v53i3.1995

Jian Wang, Hong Zhang

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引用次数: 0

Abstract

Background: Overweight/obese adolescents show higher rates of depression. This study aims to explore the effect of aerobic exercise program management on overweight/obese adolescents with depression.

Methods: This retrospective study analyzed clinical data of overweight/obese adolescents with depression at Wuhan Mental Health Center, from June 2019 to June 2022. Propensity score matching (PSM), t-tests, and chi-square tests were applied. Observation indexes including Hamilton Anxiety Scale (HAMA), Hamilton Depression Rating Scale 17 (HAMD-17), Simplified Coping Style Questionnaire (SCSQ), body mass index (BMI), waist-hip ratio (WHR), nursing effectiveness, and Generic Quality of Life Inventory-74.

Results: A total of 229 depressed overweight/obese adolescents were divided into two groups: the control group (n = 108) receiving routine care only, and the observation group (n = 121) receiving routine care along with aerobic exercise. After 1:1 PSM (caliper 0.02), groups (each group comprised 104 patients) showed no baseline differences. No significant differences were found in HAMA, HAMD-17, SCSQ, quality of life scores, BMI, and WHR pre-exercise (p > 0.05). Post-nursing care, the observation group exhibited significantly lower HAMA (t = 3.589, p = 0.001), HAMD-17 (t = 3.554, p = 0.001), SCSQ negative scores (t = 3.584, p = 0.001), BMI (t = 3.051, p = 0.003), and waist-to-hip ratio (t = 3.379, p = 0.001), with higher SCSQ positive (t = 3.443, p = 0.001) and quality of life in material life (t = 3.385, p = 0.001), physical function (t = 3.834, p < 0.001), social function (t = 3.485, p = 0.001), psychological function (t = 3.178, p = 0.002) compared to the control group.

Conclusion: The aerobic exercise program care for overweight/obese adolescents with depression, which is advocated and has a high nursing effect, can effectively improve the anxiety and depression of patients.

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有氧运动计划管理可提高超重/肥胖青少年抑郁症患者的身心健康：一项回顾性研究的见解

背景：超重/肥胖青少年表现出更高的抑郁率。本研究旨在探讨有氧运动项目管理对超重/肥胖青少年抑郁症的影响。方法：回顾性分析2019年6月至2022年6月武汉市精神卫生中心超重/肥胖青少年抑郁症患者的临床资料。采用倾向评分匹配（PSM）、t检验和卡方检验。观察指标包括汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁评定量表17 （HAMD-17）、简化应对方式问卷（SCSQ）、体重指数（BMI）、腰臀比（WHR）、护理效果、一般生活质量量表-74。结果229例抑郁超重/肥胖青少年分为两组：对照组（108例）仅接受常规护理，观察组（121例）接受常规护理并进行有氧运动。经1:1 PSM（卡尺0.02）后，各组（每组104例）无基线差异。运动前HAMA、HAMD-17、SCSQ、生活质量评分、BMI、WHR无显著差异（p < 0.05）。Post-nursing护理,观察组表现出显著降低哈马(t = 3.589, p = 0.001), HAMD-17 (t = 3.554, p = 0.001), SCSQ负分数(t = 3.584, p = 0.001), BMI (t = 3.051, p = 0.003),和腰臀比(t = 3.379, p = 0.001),高SCSQ积极(t = 3.443, p = 0.001)和物质生活的生活质量(t = 3.385, p = 0.001),物理函数(t = 3.834, p < 0.001),社会功能(t = 3.485, p = 0.001),心理功能(t = 3.178,P = 0.002)。结论：超重/肥胖青少年伴抑郁的有氧运动项目护理得到提倡，护理效果高，可有效改善患者的焦虑和抑郁情绪。

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来源期刊

Actas espanolas de psiquiatria 医学-精神病学

CiteScore

1.70

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Actas Españolas de Psiquiatría publicará de manera preferente trabajos relacionados con investigación clínica en el área de la Psiquiatría, la Psicología Clínica y la Salud Mental.