Formulation of precise exercise intervention strategy for adolescent depression

Abstract

The high incidence of adolescent depression has become the focus of social and academic attention. Exercise is an important method to improve adolescent depression, but its intervention effect is still controversial. This study first compares and analyzes the relevant studies at home and abroad and finds that exercise prescription in adolescent depression intervention is not accurate enough. A meta-analysis was conducted to develop a precise exercise intervention strategy for adolescent depression. Firstly, this thesis identified how to optimize five elements (exercise intensity, exercise frequency, exercise time, exercise cycle, and exercise type) of exercise prescription to improve depression in adolescents. This is the problem. Furthermore, the concept of “precision exercise” was proposed, and a precision exercise intervention strategy (moderate-intensity aerobic exercise for 8–10 weeks, 3 times/week, 45–50 min/time) was constructed to improve adolescent depression. This paper also presents research that strengthens the cross-sectional research and empirical research on adolescent depression and establishes a precision exercise prescription database for adolescent depression in China. In conclusion, this study not only puts forward the concept of “precision exercise” but also constructs a precision exercise intervention strategy for adolescent depression, which has important theoretical and practical significance for improving the high incidence of adolescent depression.

Keywords

depression / mental health / precise exercise / teenagers

References

[1] Abbas, J. (2020). The impact of coronavirus (SARS-CoV2) epidemic on individuals mental health: The protective measures of Pakistan in managing and sustaining transmissible disease. Psychiatria Danubina, 32(3-4), 472–477.

[2] Abbas, J., Aman, J., Nurunnabi, M., & Bano, S. (2019). The impact of social media on learning behavior for sustainable education: Evidence of students from selected universities in Pakistan. Sustainability, 11(6), 1683.

[3] Al-Halbusi, H., Al-Sulaiti, K., Abbas, J., & Al-Sulaiti, I. (2022). Assessing factors influencing technology adoption for online purchasing amid COVID-19 in Qatar: Moderating role of word of mouth. Frontiers in Environmental Science, 10, 942527.

[4] Aqeel, M., Abbas, J., Shuja, K. H., Rehna, T., Ziapour, A., Yousaf, I., & Karamat, T. (2022). The influence of illness perception, anxiety and depression disorders on students mental health during COVID-19 outbreak in Pakistan: A web-based cross-sectional survey. International Journal of Human Rights in Healthcare, 15(1), 17–30.

[5] Azadi, N. A., Ziapour, A., Lebni, J. Y., Irandoost, S. F., Abbas, J., & Chaboksavar, F. (2021). The effect of education based on health belief model on promoting preventive behaviors of hypertensive disease in staff of the Iran University of Medical Sciences. Archives of Public Health, 79(1), 69.

[6] Balchin, R., Linde, J., Blackhurst, D., Rauch, H. L., & Schönbächler, G. (2016). Sweating away depression? The impact of intensive exercise on depression. Journal of Affective Disorders, 200, 218–221.

[7] Blumenthal, J. A., Babyak, M. A., Doraiswamy, P. M., Watkins, L., Hoffman, B. M., Barbour, K. A., Herman, S., Craighead, W. E., Brosse, A. L., Waugh, R., Hinderliter, A., & Sherwood, A. (2007). Exercise and pharmacotherapy in the treatment of major depressive disorder. Psychosomatic Medicine, 69(7), 587–596.

[8] Carter, T., Morres, I., Repper, J., & Callaghan, P. (2016). Exercise for adolescents with depression: Valued aspects and perceived change. Journal of Psychiatric and Mental Health Nursing, 23(1), 37–44.

[9] Chen, J. X., Li, Y. H., Wu, Y. Q., & Su, X. Y. (2020). Effects of Pilates exercise on body composition and serum inflammatory factors in obese female college students with depression. Chinese Journal of School Health, 41(5), 783–786.

[10] Chen, X. H., Li, W. X., Liu, B., & Yin, R. B. (2022). The potential role of bone-derived factor unOCN in the anti-depressive effects of exercise. Advances in Psychological Science, 30(2), 375–388.

[11] Dabidy-Roshan, V., Pourasghar, M., & Mohammadian, Z. (2011). The efficacy of intermittent walking in water on the rate of MHPG sulfate and the severity of depression. Iranian Journal of Psychiatry and Behavioral Sciences, 5(2), 26–31.

[12] Daley, A. J., Copeland, R. J., Wright, N. P., Roalfe, A., & Wales, J. K. (2006). Exercise therapy as a treatment for psychopathologic conditions in obese and morbidly obese adolescents: A randomized, controlled trial. Pediatrics, 118(5), 2126–2134.

[13] Fabricatore, A. N., Wadden, T. A., Higginbotham, A. J., Faulconbridge, L. F., Nguyen, A. M., Heymsfield, S. B., & Faith, M. S. (2011). Intentional weight loss and changes in symptoms of depression: A systematic review and meta-analysis. International Journal of Obesity, 35(11), 1363–1376.

[14] Fan, Q. Y. (2020). An experimental study on the influence of collective sports on the mental health of graduate students. Master's thesis. Qufu Normal University.

[15] Global Burden of Disease 2019 Iran Collaborators. (2022). Health system performance in Iran: A systematic analysis for the Global Burden of Disease Study 2019. Lancet (London, England), 399(10335), 1625–1645.

[16] Global Burden of Disease 2019 Pakistan Collaborators. (2023). The state of health in Pakistan and its provinces and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet. Global Health, 11(2), e229–e243.

[17] Global Burden of Disease 2019 Under-5 Mortality Collaborators. (2021). Global, regional, and national progress towards Sustainable Development Goal 3.2 for neonatal and child health: All-cause and cause-specific mortality findings from the Global Burden of Disease Study 2019. Lancet (London, England), 398(10303), 870–905.

[18] Global Burden of Disease 2021 Health Financing Collaborator Network. (2023). Global investments in pandemic preparedness and COVID-19: Development assistance and domestic spending on health between 1990 and 2026. The Lancet. Global Health, 11(3), e385–e413.

[19] Gong, J. M., Fu, J., & Hu, X. F. (2020). Meta-analysis on the effects of exercise intervention on sleep disorder. China Sport Science and Technology, 56(3), 22–31.

[20] Guo, Q. (2020). An empirical analysis on the influence of softball on physical and mental health effects of female college students. Master's thesis. Jilin University.

[21] Han, L., Zhang, H., & Guo, H. (2020). Intervention effect of health education combined with aerobic exercise on adolescent depression. Chinese Journal of School Health, 41(6), 862–866.

[22] Higgins, J. P., Green, S., & Scholten, R. J. (2008). Maintaining reviews: Updates, amendments and feedback. In Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series. (pp. 31–49). The Cochrane Library.

[23] Huang, Y., Wang, Y., Wang, H., Liu, Z., Yu, X., Yan, J., Yu, Y., Kou, C., Xu, X., Lu, J., Wang, Z., He, S., Xu, Y., He, Y., Li, T., Guo, W., Tian, H., Xu, G., Xu, X., … Wu, Y. (2019). Prevalence of mental disorders in China: A cross-sectional epidemiological study. The Lancet. Psychiatry, 6(3), 211–224.

[24] Hughes, C. W., Barnes, S., Barnes, C., Defina, L. F., Nakonezny, P., & Emslie, G. J. (2013). Depressed adolescents treated with exercise (DATE): A pilot randomized controlled trial to test feasibility and establish preliminary effect sizes. Mental Health and Physical Activity, 6(2), 119–131.

[25] Iorember, P. T., Iormom, B., Jato, T. P., & Abbas, J. (2022). Understanding the bearable link between ecology and health outcomes: The criticality of human capital development and energy use. Heliyon, 8(12), e12611.

[26] Khalsa, S. B., Hickey-Schultz, L., Cohen, D., Steiner, N., & Cope, S. (2012). Evaluation of the mental health benefits of yoga in a secondary school: A preliminary randomized controlled trial. The Journal of Behavioral Health Services & Research, 39(1), 80–90.

[27] Knubben, K., Reischies, F. M., Adli, M., Schlattmann, P., Bauer, M., & Dimeo, F. (2007). A randomised, controlled study on the effects of a short-term endurance training programme in patients with major depression. British Journal of Sports Medicine, 41(1), 29–33.

[28] Lebni, J. Y., Toghroli, R., Abbas, J., NeJhaddadgar, N., Salahshoor, M. R., Mansourian, M., Gilan, H. D., Kianipour, N., Chaboksavar, F., Azizi, S. A., & Ziapour, A. (2020). A study of internet addiction and its effects on mental health: A study based on Iranian university students. Journal of Education and Health Promotion, 9, 205.

[29] Li, G., Mei, J., You, J., Miao, J., Song, X., Sun, W., Lan, Y., Qiu, X., & Zhu, Z. (2019). Sociodemographic characteristics associated with adolescent depression in urban and rural areas of Hubei province: A cross-sectional analysis. BMC Psychiatry, 19(1), 386.

[30] Liang, W. M., Hu, Q. J., Ye, Y. W., Zhang, X. X., & Chen, M. S. (2021). Effect of ABC rational emotive therapy combined with exercise intervention on anxiety and depression of adolescent students. Medical Innovation of China, 18(15), 164–168.

[31] Mao, X. C., & Shen, H. J. (2014). Research on the effect of the intervention with tennis activities on the male college students with mild depression. Journal of Nanjing Sports Institute, 13(4), 148–152.

[32] Martinsen, E. W., Medhus, A., & Sandvik, L. (1985). Effects of aerobic exercise on depression: A controlled study. British Medical Journal (Clinical Research ed.), 291(6488), 109.

[33] Matsuzaki, J., Suzuki, H., Masaoka, T., Tanaka, K., Mori, H., & Kanai, T. (2016). Influence of regular exercise on gastric emptying in healthy men: A pilot study. Journal of Clinical Biochemistry and Nutrition, 59(2), 130–133.

[34] McCann, I. L., & Holmes, D. S. (1984). Influence of aerobic exercise on depression. Journal of Personality and Social Psychology, 46(5), 1142–1147.

[35] Meyer, J. D., Koltyn, K. F., Stegner, A. J., Kim, J. S., & Cook, D. B. (2016). Influence of exercise intensity for improving depressed mood in depression: A dose–response study. Behavior Therapy, 47(4), 527–537.

[36] Mohammadi, A., Pishgar, E., Firouraghi, N., Bagheri, N., Shamsoddini, A., Abbas, J., & Kiani, B. (2021). A geodatabase of blood pressure level and the associated factors including lifestyle, nutritional, air pollution, and urban greenspace. BMC Research Notes, 14(1), 416.

[37] Mohammadi, M. (2011). A study and comparison of the effect of team sports (soccer and volleyball) and individual sports (table tennis and badminton) on depression among high school students. Australian Journal of Basic and Applied Sciences, 5, 1005–1011.

[38] Pan, F., Huang, M. L., Xu, Y., & Lu, S. J. (2017). Research progress of functional magnetic resonance imaging in adolescents with depression. Journal of International Psychiatry, 44(2), 213–218.

[39] Pan, Y. J. (2019). Research on the influence of Wushu Sanda training on the mental state of ordinary college students. Master's thesis. Beijing Sport University.

[40] Paolucci, E. M., Loukov, D., Bowdish, D. M. E., & Heisz, J. J. (2018). Exercise reduces depression and inflammation but intensity matters. Biological Psychology, 133, 79–84.

[41] Pei, H. (2018). Fitness qigong eight section Jin, Yi Jin Jing to female college students: A comparative study of physical and psychological effects. Master's thesis. Nanjing Sport Institute.

[42] Perron-Gélinas, A., Brendgen, M., & Vitaro, F. (2017). Can sports mitigate the effects of depression and aggression on peer rejection? Journal of Applied Developmental Psychology, 50, 26–35.

[43] Petty, K. H., Davis, C. L., Tkacz, J., Young-Hyman, D., & Waller, J. L. (2009). Exercise effects on depressive symptoms and self-worth in overweight children: A randomized controlled trial. Journal of Pediatric Psychology, 34(9), 929–939.

[44] Philippot, A., Dubois, V., Lambrechts, K., Grogna, D., Robert, A., Jonckheer, U., Chakib, W., Beine, A., Bleyenheuft, Y., & De Volder, A. G. (2022). Impact of physical exercise on depression and anxiety in adolescent inpatients: A randomized controlled trial. Journal of Affective Disorders, 301, 145–153.

[45] Pouresmaeil, M., Abbas, J., Solhi, M., Ziapour, A., & Fattahi, E. (2019). Prioritizing health promotion lifestyle domains in students of Qazvin University of Medical Sciences from the students and professors' perspective. Journal of Education and Health Promotion, 8, 228.

[46] Qin, Y. T., Li, L. S., Xiao, L. J., Meng, H. H., Pan, X., & Qin, S. L. (2018). Intervention effect of different sports on depression among higher vocational nursing students. Journal of Qiqihar Medical University, 39(23), 2792–2794.

[47] Rahmat, T. E., Raza, S., Zahid, H., Abbas, J., Mohd Sobri, F. A., & Sidiki, S. N. (2022). Nexus between integrating technology readiness 2.0 index and students' e-library services adoption amid the COVID-19 challenges: Implications based on the theory of planned behavior. Journal of Education and Health Promotion, 11, 50.

[48] Reinodt, S., Haglund, E., Bremander, A., Jarbin, H., & Larsson, I. (2022). Adolescents' long-term experiences of manageability, comprehensibility, and meaningfulness of a group-based exercise intervention for depression. International Journal of Environmental Research and Public Health, 19(5), 2894.

[49] Saltan, A., & Ankaralı, H. (2021). Does Pilates effect on depression status, pain, functionality, and quality of life in university students? A randomized controlled study. Perspectives in Psychiatric Care, 57(1), 198–205.

[50] Schmidt, C. A., Cromwell, E. A., Hill, E., Donkers, K. M., Schipp, M. F., Johnson, K. B., Pigott, D. M., LBD 2019 Neglected Tropical Diseases Collaborators, & Hay, S. I. (2022). The prevalence of onchocerciasis in Africa and Yemen, 2000-2018: A geospatial analysis. BMC Medicine, 20(1), 293.

[51] Schmitter, M., Spijker, J., Smit, F., Tendolkar, I., Derksen, A. M., Oostelbos, P., Wijnen, B. F. M., van Doesum, T. J., Smits, J. A. J., & Vrijsen, J. N. (2020). Exercise enhances: Study protocol of a randomized controlled trial on aerobic exercise as depression treatment augmentation. BMC Psychiatry, 20(1), 585.

[52] Shoib, S., Gaitán Buitrago, J. E. T., Shuja, K. H., Aqeel, M., de Filippis, R., Abbas, J., Ullah, I., & Arafat, S. M. Y. (2022). Suicidal behavior sociocultural factors in developing countries during COVID-19. L'Encephale, 48(1), 78–82.

[53] Song, W. Z. (1990). Running for depression. Family Medicine, 3(1), 15.

[54] Sun, C., & Zhang, G. J. (2020). The impact of physical activities on adolescents' interpersonal competence: A chain mediating model. Chinese Journal of Sports Medicine, 39(1), 47–52.

[55] Sun, R. (2019). Intervention of 12-week Shuxin Pingxue Gong exercise on sleep disorder of college students. Master's thesis. Beijing Sport University.

[56] Thabrew, H., Stasiak, K., Hetrick, S. E., Donkin, L., Huss, J. H., Highlander, A., Wong, S., & Merry, S. N. (2018). Psychological therapies for anxiety and depression in children and adolescents with long-term physical conditions. The Cochrane Database of Systematic Reviews, 12(12), CD012488.

[57] Wang, C. (2014). Case studies on the effect of sports medical auxiliary therapy about adolescent depression. Master's thesis. Wuhan Sports University.

[58] Wang, J., & Xie, X. (2016). Effects of net separated competition training on anxiety and depression among college students. Chinese Journal of School Health, 37(1), 93–95.

[59] Wang, L. (2021). Effects of body-building exercise and tai chi on body composition, physical function and psychological indicators of female college students. Journal of Lanzhou University of Arts and Science (Natural Sciences), 35(4), 88–93.

[60] Wang, L. H., & Wan, L. (2019). Effect of exercise therapy on depression in college students: A meta-analysis. Compendium of Abstracts of the Eleventh National Sports Science Congress, 3, 3899–3901.

[61] Wang, S. K., Ma, W., Wang, S. M., & Yi, X. R. (2018). A cross sectional examination of the relation between depression and frequency of leisure time physical exercise among the elderly in Jinan, China. International Journal of Environmental Research and Public Health, 15(9), 2041.

[62] Wang, W. J. (2017). Experimental effect of physical contact “classes” sports games on deaf adolescent mental health. Master's thesis. Shanxi Normal University.

[63] Wang, X., Cai, Z. D., Jiang, W. T., Fang, Y. Y., Sun, W. X., & Wang, X. (2022). Systematic review and meta-analysis of the effects of exercise on depression in adolescents. Child and Adolescent Psychiatry and Mental Health, 16(1), 16.

[64] Wang, X., & Yan, J. (2006). Experimental study of alleviating female university students' depression by medium-sized and small intensity aerobics & running. Journal of Wuhan Sports University, 38(10), 69–73.

[65] Wang, Y., & Liu, B. (2018). On exercise intervention for junior high school student's mental health problems. Journal of Southwest China Normal University (Natural Science Edition), 43(2), 129–134.

[66] Wu, Y. J. (2019). Study on the influence of mass aerobics exercise on the mental health of college students. Master's thesis. Shanghai Normal University.

[67] Wunram, H. L., Hamacher, S., Hellmich, M., Volk, M., Jänicke, F., Reinhard, F., Bloch, W., Zimmer, P., Graf, C., Schönau, E., Lehmkuhl, G., Bender, S., & Fricke, O. (2018). Whole body vibration added to treatment as usual is effective in adolescents with depression: A partly randomized, three-armed clinical trial in inpatients. European Child & Adolescent Psychiatry, 27(5), 645–662.

[68] Xiang, J. W. (1992). Physical therapy for depression. Teaching of Physical Education, 9(3), 44.

[69] Yang, L. (2012). The experimental study on the fun basketball teaching's effect on the junior middle school students' depression and anxiety. Master's thesis. Hebei Normal University.

[70] You, Y., Wang, D., Wang, Y., Li, Z., & Ma, X. (2021). A bird's-eye view of exercise intervention in treating depression among teenagers in the last 20 years: A bibliometric study and visualization analysis. Frontiers in Psychiatry, 12, 661108.

[71] Zhang, X. H. (1989). The effect of exercise on the mind. Foreign Medicine (Social Medicine), 7(3), 186.

[72] Zhao, H. Q. (2017). The effects of high intensity interval training on depression of female college students. Journal of Liaocheng University (Natural Science Edition), 30(1), 88–92.

[73] Zheng, L. (2020). Study on mental health problems and sport interference of special family group in junior high school. Journal of Tangshan Normal University, 42(6), 92–96.

[74] Zheng, Q. (2015). An exploration of the influence of depression in female college students' experimental badminton. Master's thesis. Capital University of Physical Education and Sports.

[75] Zhou, Y., Draghici, A., Abbas, J., Mubeen, R., Boatca, M. E., & Salam, M. A. (2022). Social media efficacy in crisis management: Effectiveness of non-pharmaceutical interventions to manage COVID-19 challenges. Frontiers in Psychiatry, 12, 626134.

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