Exercise in bipolar patients: A systematic review

Content Provider	Scilit
Author	Melo, Matias Carvalho Aguiar Daher, Elizabeth De Francesco Albuquerque, Saulo Giovanni Castor de Bruin, Veralice Meireles Sales
Copyright Year	2016
Description	Journal: Journal of Affective Disorders Sedentary lifestyle is frequent in psychiatric disorders, however the directions of this association and benefits of physical activity are unclear. This is a systematic review about exercise in patients with bipolar disorder.We performed a systematic literature search of studies published in English (1995 Jan to 2016 Jan) in PubMed, and Cochrane Library combining the medical terms 'physical activity' or 'sedentary' or 'physical exercise' with 'bipolar disorder' or 'mania' or 'bipolar depression'.Thirty-one studies were selected and included 15,587 patients with bipolar disorder. Sedentary lifestyle varied from 40% to 64.9%. Physical activity was associated with less depressive symptoms, better quality of life and increased functioning. Some evidence indicates a relationship between vigorous exercises and mania. Three prospective cohorts were reported; and no prospective randomized controlled trial was identified. Three studies focused on biomarkers in bipolar patients; and one reported the relationship between exercise and sleep in this group. Two assessed physical exercise in adolescents.(1) Differences between studies preventing a unified analysis; (2) most studies were cross-sectional; (3) motivation for exercising is a selection bias in most studies; (4) no intervention study assessing only physical exercise; (5) lack of studies comparing exercise across mood states.Generally, exercise was associated with improved health measures including depressive symptoms, functioning and quality of life. Evidence was insufficient to establish a cause-effect relationship between mood and physical exercise. Future research including randomized trials is needed to clarify the role of physical activity in bipolar patients.
Related Links	http://www.repositorio.ufc.br/bitstream/riufc/20172/1/2016_art_mcamelo.pdf http://www.jad-journal.com/article/S0165032715314063/pdf
Ending Page	38
Page Count	7
Starting Page	32
ISSN	01650327
e-ISSN	15732517
DOI	10.1016/j.jad.2016.03.004
Journal	Journal of Affective Disorders
Volume Number	198
Language	English
Publisher	Elsevier BV
Publisher Date	2016-03-14
Access Restriction	Open
Subject Keyword	Journal: Journal of Affective Disorders Psychiatry and Mental Health Physical Activity Sedentary Lifestyle Bipolar Disorder
Content Type	Text
Resource Type	Article
Subject	Clinical Psychology Psychiatry and Mental Health