Exercise in bipolar patients: A systematic review

Melo, Matias Carvalho Aguiar; Daher, Elizabeth De Francesco; Albuquerque, Saulo Giovanni Castor; Bruin, Veralice Meireles Sales de

doi:10.1016/j.jad.2016.03.004

Cited by 116 publications

(81 citation statements)

References 76 publications

(115 reference statements)

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“…Schuch et al, 2016;Chen et al, 2016), anxiety (see, e.g. De Souza Moura et al, 2015Herring et al, 2015), and in bipolar disorder (see, e.g., review by Melo et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

The Brain and Movement: How Physical Activity Affects the Brain

Giorgio¹,

Kuvačić²,

Milić³

et al. 2018

Monten. J. Sports Sci. Med.

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In recent years, many studies have demonstrated the importance of movement for the human body, from the improvement of cardiovascular effi cacy to the enhancement of muscular functions, metabolic balance, and organ systems. Th e brain is no exception and benefi ts greatly from movement, both structurally and functionally. Memory, creativity, and intelligence, are only a few of the many things that are regulated by the brain. Th e literature demonstrates the benefi ts of physical activity on numerous factors that infl uence brain functions. Th e present short review aims to clarify how physical activity aff ects the human brain. We have identifi ed the infl uence of movement on the brain, through investigation of this infl uence according to the close relation of physical activity with cognitive processes and brain development. Th ese fi ndings off er an insight into several conclusions regarding the infl uence of movement on the brain, which is soundly based on relevant literature.

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“…Schuch et al, 2016;Chen et al, 2016), anxiety (see, e.g. De Souza Moura et al, 2015Herring et al, 2015), and in bipolar disorder (see, e.g., review by Melo et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

The Brain and Movement: How Physical Activity Affects the Brain

Giorgio¹,

Kuvačić²,

Milić³

et al. 2018

Monten. J. Sports Sci. Med.

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“…While there are some promising initial findings for bipolar disorder, there is a paucity of well-controlled studies investigating the efficacy of exercise as an intervention strategy, as well as studies investigating the pathways by which exercise may exert its effects on mood [22, 26–28]. Preliminary studies indicate its acceptability, feasibility, and efficacy for depression, bipolar disorder, and anxiety [19–22, 26–28].…”

Section: Introductionmentioning

confidence: 99%

“…Preliminary studies indicate its acceptability, feasibility, and efficacy for depression, bipolar disorder, and anxiety [19–22, 26–28]. In summary, exercise is an established adjunct treatment of depression with promise as an effective treatment for bipolar disorder adjunctive to mood stabilizing medication because of its broad-reaching effects on mental and physical health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Physical Exercise for Treatment of Mood Disorders: A Critical Review

Hearing

Chang

Szuhany

et al. 2016

Curr Behav Neurosci Rep

108

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Purpose of the review The purpose of this review is to critically assess the evidence for exercise as an adjunct intervention for major depressive disorder and bipolar disorder, chronic conditions characterized by frequent comorbid conditions as well as interepisodic symptoms with poor quality of life and impaired functioning. Individuals with these mood disorders are at higher risk of cardiovascular disease and premature death in part because of increased rates of obesity, inactivity, and diabetes mellitus compared to the general population. Exercise may not only mitigate the increased risk of cardiovascular disease, but could also potentially improve the long term outcomes of mood disorders. Recent findings We conducted a literature review on the impact of exercise on mood disorders and associated comorbid conditions as well as possible biological mechanisms. We found that exercise impacts both the physical health parameters of mood disorders as well as mental health outcomes. Exercise also positively impacts conditions frequently comorbid with mood disorders (i.e. anxiety, pain, and insomnia). There are multiple candidate biomarkers for exercise, with brain-derived neurotrophic factor and oxidative stress as two main promising components of exercise’s anti-depressant effect. Summary Exercise appears to be a promising adjunct treatment for mood disorders. We conclude with recommendations for future research of exercise as an adjunct intervention for mood disorders.

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“…However, as symptoms increase, concentration, decision-making and organisation are affected with associated functional impairments, including difficulty participating in sport, exercise and physical activity 44. Vigorous exercise may even precipitate or perpetuate mania in bipolar disorder,45 such that elite athletes with bipolar disorder may be limited in the maximum amount of exercise they can safely undertake without risk of mood destabilisation. This situation can be problematic when insight becomes impaired, as it often does in emerging mania, and individuals may be reluctant to respond to advice to change behaviours and activity patterns because they perceive no need to do so.…”

Section: Impact On Performancementioning

confidence: 99%

Bipolar and psychotic disorders in elite athletes: a narrative review

Currie

Gorczynski

Rice³

et al. 2019

Br J Sports Med

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Bipolar and psychotic disorders are relatively common and likely to have a significant impact on quality of life and functioning which, in the context of elite sport, includes a potential negative impact on sporting performance. For this narrative review article, the literature on bipolar and psychotic disorders in elite athletes was comprehensively searched, and little empirical research was found. A diagnosis of bipolar or psychotic disorders may be challenging in elite athletes because of complicating factors related to the modifying role of exercise and potential precipitating impact of substance use. Medications used to treat bipolar and psychotic disorders may have side effects particularly problematic for elite athletes. Future research should be tailored to the specific characteristics and needs of elite athletes and to the sporting context in which the disorders may arise. Specifically, further research is needed on the prevalence and incidence of these conditions in elite athletes and the impact of both the disorders and their treatments on sporting performance.

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Exercise in bipolar patients: A systematic review

Cited by 116 publications

References 76 publications

The Brain and Movement: How Physical Activity Affects the Brain

The Brain and Movement: How Physical Activity Affects the Brain

Physical Exercise for Treatment of Mood Disorders: A Critical Review

Bipolar and psychotic disorders in elite athletes: a narrative review

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