Dance is an enjoyable health-promoting physical activity that many people worldwide incorporate into their lifestyles today. Therefore, dance improves your heart health, overall muscle strength, balance, and coordination, and reduces depression. We aim to gain insights into the effects of samba dance on the cardiorespiratory and metabolic response during an acute session of this dance style for 40-minutes. The study was carried out on 20 female samba dancers. All of them performed two procedures: (1) a cardiopulmonary exercise test on a treadmill for physical fitness aptitude verification and (2) a 40-minutes of samba dancing monitored by analysis of expired gases. The results were: At peak exercise: oxygen uptake (VO2) =32.7 mL.kg-1.min-1; heart rate (HR) =183 bpm; the pulse of oxygen (PO2) =10.9 mL.HR-1, energy expenditure (EE) = 9.9 kcal.min-1and metabolic equivalent (METs)=13.5.Overall, each session of the dance of 40-minutes was performed at a mean VO2 of 22.8 mL.kg-1.min-1 (70%VO2max), heart rate of 162 bpm (89%HRmax), energy expenditure (EE) of 6.5 kcal.min-1 (66%max), metabolic equivalent (METs) of 6.3 (62%max), and the rate of perceived exertion (RPE) of 11.8/20. In conclusion: The findings of the current investigation might suggest that the moderate and vigorous-intensity of the exercise verified in an acute samba dance session is enough to induce a chronic training effect recommended by the criteria established by the American College of Sports Medicine for improving cardiorespiratory fitness. This information may lead to a better understanding of the energy expenditure of samba dance and add to the compendium of physical activity.

A Deus sobre todas as coisas. A minha admirável orientadora, Profa Dra Júlia, que tão gentilmente me acolheu como aluna. Agradeço aos ensinamentos, incentivos e toda dedicação ao partilhar seus conhecimentos para que eu pudesse me desenvolver. Ao Prof. Paulo, por todos os ensinamentos, paciência, dedicação e contribuição ao meu crescimento acadêmico. A Faculdade de Medicina da USP, por proporcionar as condições necessárias para a realização desta pesquisa. A CAPPES, que viabilizou a bolsa de estudo.

Background Physical exercise (PE) is a recommended lifestyle intervention for different mental disorders and has shown specific positive therapeutic effects in unipolar depressive disorder. Considering the similar symptomatology of the depressive phase in patients with bipolar disorder (BD) and unipolar depressive disorder, it is reasonable to suggest that PE may also be beneficial for bipolar depression. However, there is an absence of studies evaluating the antidepressant effect of a structured PE intervention in BD. Methods This is an open-label, single-arm study trial. Fifteen patients with a diagnosis of BD Type I or Type II, presenting a depressive episode were included in the study. After physical and functional evaluation, patients participated in supervised training sessions with aerobics followed by strength exercises, three times per week, for 12 weeks (36 training sessions). Depressive and manic symptoms were assessed at baseline and 2, 4, 8, and 12 weeks. Additionally, quality of Life and functioning were assessed at baseline and 4, 8, and 12 weeks). Finally, we tested cardiorespiratory fitness, muscle strength and body composition at baseline and week-12. Results The mean (± SD) Montgomery Asberg Depression Rating Scale (MADRS) score at baseline was 23.6 ± 8.3 points and after 12 weeks of PE the mean score was 10.2 ± 4.8 points. Nine patients (82%) presented an antidepressant response defined as a reduction of more than 50% of depressive symptoms at week 12 with five of those patients (45%) presenting criteria for full remission. A large and significant Cohen’s D Effect Size (pre-post) was verified for MADRS reduction [1.98 (95% Confidence interval = 0.88 to 3.08)]. We did not detect a significant change in manic symptoms, functioning, and quality of life during the 12-week follow-up. At week-12, all patients increased their muscular strength (one repetition maximal test − 1RM) and reduced the percentage of body fat (spectral bioelectrical impedance analysis). Conclusions This study, using rigorous criteria and a structured intervention, provides valid pilot data, showing the feasibility of a structured PE intervention for the treatment of depressive symptoms in BD, and suggesting a potential adjunctive antidepressant effect. Moreover, PE showed a positive impact on muscle strength and body composition. This should be further verified by randomized controlled studies.

Background Physical exercise is a recommended lifestyle intervention for different mental disorders and has shown specific positive therapeutic effects in unipolar depressive disorder. Considering the similar symptomatology of the depressive phase in patients with bipolar disorder (BD) and unipolar depressive disorder, it is reasonable to suggest that physical exercise may also be beneficial for bipolar depression. However, there is an absence of studies evaluating the antidepressant effect of a structured physical exercise intervention in BD. Methods This is an open-label, single-arm study trial. Fifteen patients with a diagnosis of BD Type I or Type II, presenting a depressive episode were included in the study. After physical and functional evaluation, patients participated in supervised training sessions with aerobics followed by strength exercises, three times per week, for 12 weeks (36 training sessions). Depressive and manic symptoms were assessed at baseline and 2, 4, 8, and 12 weeks. Additionally, quality of Life and functioning were assessed at baseline and 4, 8, and 12 weeks). Results The mean (± SD) Montgomery Asberg Depression Rating Scale (MADRS) score at baseline was 23.6 ± 8.3 points and after 12 weeks of physical exercise the mean score was 10.2 ± 4.8 points. Nine patients (82%) presented an antidepressant response defined as a reduction of more than 50% of depressive symptoms at week 12 with five of those patients (45%) presenting criteria for full remission. A large and significant Cohen’s D Effect Size (pre-post) was verified for MADRS reduction [1.98 (95% Confidence interval =0.88 to 3.08)]. We did not detect a significant change in manic symptoms, functioning, and quality of life during the 12-week follow-up. Conclusions This study, using rigorous criteria and a structured intervention, provides valid pilot data, showing the feasibility of a structured physical exercise intervention for the treatment of depressive symptoms in BD, and suggesting a potential adjunctive antidepressant effect. This should be further verified by randomized controlled studies.