Article information
Resumen
Introducción
Cada vez más, el ejercicio se presenta como una elección terapéutica viable para el manejo de los trastornos depresivos.
ObjetivoDescribir la evidencia existente con relación al ejercicio como tratamiento de los trastornos depresivos, la plausibilidad biológica de esta asociación, las diferencias entre los distintos tipos de ejercicio y divergencias de la efectividad en diferentes poblaciones.
MétodoSe realizó una búsqueda sistemática de la literatura en Medline de los siguientes términos MeSH: exercise y depression utilizando el conector [and], limitado a los artículos por idioma (inglés y español). Posteriormente hubo una búsqueda secundaria de las bibliografías citadas.
ResultadosAlgunos estudios indican una asociación bidireccional entre el sedentarismo y los trastornos depresivos, motivo por el cual el ejercicio puede ser benéfico como tratamiento para los trastornos depresivos. El ejercicio es un tratamiento seguro que puede ayudar al control sintomático de otras enfermedades asociadas.
ConclusionesA pesar de que la evidencia no es conclusiva, el ejercicio debe ser tomado en cuenta como un tratamiento complementario en los trastornos depresivos. Se requiere continuar las investigaciones en esta área del conocimiento.
Palabras clave:
depresión
actividad física
ejercicio
Abstract
Introduction
In recent years, exercise has been increasingly prescribed as a therapeutic alternative in the treatment of depressive disorders. Nevertheless, its therapeutic efficacy has not been systematically evaluated.
ObjectiveTo systematically review the evidence regarding the therapeutic efficacy of exercise in the treatment of depressive disorders in humans.
MethodsA search of the literature was performed in Medline using the following MeSH terms: exercise, depression, and the connector AND. Secondary sources of literature were included too. Search results were collected and reviewed independently and systematically by trained clines.
ResultsThere is sufficient evidence supporting a bidirectional association between sedentarism and depressive disorders. Thus it is biologically plausible that exercise may have antidepressive effects. However, the evidence regarding its therapeutic efficacy alone is inconclusive.
ConclusionsExercise may improve specific symptoms in subjects with major depression. Although inconclusive, evidence suggests that exercise may be useful as a complementary therapy in the treatment of depressive disorders.
Key words:
Depression
motor activity
exercise
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