The Benefits of Acute Aerobic Exercise on Neuroplastic Potential in Depression
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Depression
- Sponsor
- Medical University of South Carolina
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Change in peak to peak MEP amplitude (mV)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Depression is associated with a disruption in the mechanisms that regulate neuroplasticity. Effective treatment and rehabilitation of depression, and other neurological and neuropsychiatric disorders, relies on neuroplasticity. Thus, identifying therapies that enhance neuroplasticity (neuroplastic adaptation) are vital in the comprehensive treatment of depression. Aerobic exercise training has been demonstrated to have antidepressant properties and single bouts of aerobic exercise may provide short-term improvements in affective states in depression. Furthermore, acute aerobic exercise may enhance the response to known neuroplasticity-inducing paradigms. However, it is unclear if aerobic exercise can influence neuroplasticity in depression and the neurobiological mechanisms underlying acute neuroplastic changes are not well understood in depressed and healthy cohorts. Thus, the purpose of this project is to examine the acute effects of aerobic exercise on neuroplastic, neurobiological, and mood indices of depression.
Detailed Description
The investigators will determine the effects of exercising at two different intensities (compared to a control non-exercise condition) on neuroplastic potential in depressed and non-depressed subjects. To accomplish this aim, the investigators will have subjects ride a cycle ergometer at intensities set to elicit 35% (low) and 70% (high) of heart rate reserve (((220 - age) - resting heart rate) x 35% or 70%) + resting heart rate). Prior to, and immediately after exercise participants will have their neuroplastic potential tested via transcranial magnetic stimulation (TMS), blood specimens sampled, and mood changes assessed (methods detailed below). These assessments will occur at these time points and then every 15 minutes for 1 hour after exercise. Neuroplastic potential will be assessed using TMS. TMS-induced motor evoked potentials (MEP's) will be recorded from the abductor pollicis brevis as a way to measure changes in the excitability of the corticospinal tract in response to exercise and paired associative stimulation. Serum brain-derived neurotrophic factor (BDNF) and cortisol levels will be obtained through blood specimen samples in order to examine the potential exercise-induced changes in known stress- and neuroplasticity-related biomarkers. Mood and affect will be surveyed using the Activation-Deactivation Checklist (AD ACL), feeling scale (FS), and felt arousal scale (FAS). These measures will permit the assessment of exercise-induced changes in mood and affect.
Investigators
Eligibility Criteria
Inclusion Criteria
- •age 18-50 year old.
- •ability to provide informed consent.
- •Further inclusion criteria for participants with depression:
- •meets criteria for unipolar depression assessed using the Mini-international Neuropsychiatric Interview (MINI)
- •a Montgomery Asberg Depression Rating Scale (MADRS) score of 20 or greater
- •current depressive episode began no longer than 3 years earlier
- •psychoactive drug free or have maintained a stable dose of up to one antidepressant medication for four weeks prior to study participation
- •Further inclusion criteria for control participants:
- •does not meet criteria for unipolar depression assessed using the MINI
- •a MADRS score of 6 or less
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in peak to peak MEP amplitude (mV)
Time Frame: From baseline to one hour post-PAS
Secondary Outcomes
- Change in serum BDNF (ng/ml)(From baseline to one hour post-exercise)
- Change in serum cortisol (ng/ml)(From baseline to one hour post-exercise)