PMID- 23602881 OWN - NLM STAT- MEDLINE DCOM- 20131031 LR - 20130729 IS - 1532-821X (Electronic) IS - 0003-9993 (Linking) VI - 94 IP - 8 DP - 2013 Aug TI - Effects of physical exercise on plasma levels of brain-derived neurotrophic factor and depressive symptoms in elderly women--a randomized clinical trial. PG - 1443-50 LID - S0003-9993(13)00307-9 [pii] LID - 10.1016/j.apmr.2013.03.029 [doi] AB - OBJECTIVES: To investigate the effect of 2 standardized exercise programs, muscle strength exercises (SE) and aerobic exercises (AE), on the plasma levels of brain-derived neurotrophic factor (BDNF) and depressive symptoms in 451 elderly women. DESIGN: A randomized controlled trial. SETTING: Belo Horizonte/MG-Brazil. PARTICIPANTS: Community-dwelling older women (N=451; age, 65-89y). INTERVENTION: The participants were divided into 2 groups: SE and AE. Both protocols lasted 10 weeks, and 30 sessions (1-h sessions) in total were performed 3 times a week under the direct supervision of physical therapists. MAIN OUTCOME MEASURES: Plasma levels of BDNF (enzyme-linked immunosorbent assay) and depressive symptoms (Geriatric Depression Scale). RESULTS: There was a significant difference for BDNF plasma levels between the SE and AE groups (P=.009). Post hoc analysis revealed a pre-post intervention difference in BDNF levels only for the SE group (P=.008). A statistically significant difference was found for the pre- and postintervention Geriatric Depression Scale scores in both groups (P=.001), showing that the effects of both exercise protocols were comparable regarding depressive symptoms (P=.185). CONCLUSIONS: The present findings have demonstrated the positive effect of muscle strengthening and aerobic intervention on depressive symptoms in community-dwelling elderly women. Interestingly, only SE significantly increased the plasma levels of BDNF in our sample. The positive effects of physical exercise on depressive symptoms in the elderly were not mediated by BDNF. CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. FAU - Pereira, Daniele S AU - Pereira DS AD - Programa de Pos-Graduacao em Ciencias da Reabilitacao, Departamento de Fisioterapia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil. daniele.sirineu@gmail.com FAU - de Queiroz, Barbara Z AU - de Queiroz BZ FAU - Miranda, Aline S AU - Miranda AS FAU - Rocha, Natalia P AU - Rocha NP FAU - Felicio, Diogo C AU - Felicio DC FAU - Mateo, Elvis C AU - Mateo EC FAU - Favero, Michelle AU - Favero M FAU - Coelho, Fernanda M AU - Coelho FM FAU - Jesus-Moraleida, Fabianna AU - Jesus-Moraleida F FAU - Gomes Pereira, Danielle A AU - Gomes Pereira DA FAU - Teixeira, Antonio L AU - Teixeira AL FAU - Maximo Pereira, Leani S AU - Maximo Pereira LS LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130418 PL - United States TA - Arch Phys Med Rehabil JT - Archives of physical medicine and rehabilitation JID - 2985158R RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Age Factors MH - Aged MH - Brain-Derived Neurotrophic Factor/*blood MH - Brazil MH - Cohort Studies MH - Depressive Disorder/*blood/*rehabilitation MH - *Exercise MH - Female MH - Humans MH - Sex Factors OTO - NOTNLM OT - AE OT - BDNF OT - Brain-derived neurotrophic factor OT - Depression OT - Elderly OT - Exercise OT - GDS OT - Geriatric Depression Scale OT - RM OT - Rehabilitation OT - Repetition Maximum OT - SE OT - aerobic exercises OT - brain-derived neurotrophic factor OT - muscle exercises EDAT- 2013/04/23 06:00 MHDA- 2013/11/01 06:00 CRDT- 2013/04/23 06:00 PHST- 2013/01/16 00:00 [received] PHST- 2013/03/29 00:00 [revised] PHST- 2013/03/29 00:00 [accepted] PHST- 2013/04/23 06:00 [entrez] PHST- 2013/04/23 06:00 [pubmed] PHST- 2013/11/01 06:00 [medline] AID - S0003-9993(13)00307-9 [pii] AID - 10.1016/j.apmr.2013.03.029 [doi] PST - ppublish SO - Arch Phys Med Rehabil. 2013 Aug;94(8):1443-50. doi: 10.1016/j.apmr.2013.03.029. Epub 2013 Apr 18.