PMID- 24882173 OWN - NLM STAT- MEDLINE DCOM- 20141124 LR - 20220317 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 165 DP - 2014 Aug TI - The effect of exercise on hippocampal volume and neurotrophines in patients with major depression--a randomized clinical trial. PG - 24-30 LID - S0165-0327(14)00235-3 [pii] LID - 10.1016/j.jad.2014.04.041 [doi] AB - BACKGROUND: The hippocampal volume is reduced in patients with major depression. Exercise leads to an increased hippocampal volume in schizophrenia and in healthy old adults. The effect of exercise on hippocampal volume is potentially mediated by brain derived neurotrophic factor (BDNF), vascular endothelial growth factor (VEGF), and insulin like growth factor 1 (IGF-1). The aim of this trial was to assess the effect of an aerobic exercise intervention on hippocampal volume and serum BDNF, VEGF, and IGF-1 in patients with major depression. METHODS: Patients were randomized to an aerobic exercise intervention (n=41) or a control condition (n=38). Both interventions consisted of three supervised sessions per week during a three months period. RESULTS: Post-intervention the increase in maximal oxygen uptake was 3.90 ml/kg/min (SD 5.1) in the aerobic exercise group and 0.95 ml/kg/min (SD 6.2) in the control group (p=0.03). The hippocampal volume, BDNF, VEGF, or IGF-1 did not differ between the two groups. Post-hoc we found a positive association between change in hippocampal volume and verbal memory (Rho=0.27; p=0.05) and change in hippocampal volume and depressive symptoms (Rho=0.30; p=0.03). LIMITATIONS: Participation was low in both groups corresponding to an average participation of one session per week. CONCLUSION: Despite a significant increase in maximal oxygen uptake, a pragmatic exercise intervention did not increase hippocampal volume or resting levels of neurotrophines in out-patients with mild to moderate major depression. Trial identifier: ClinicalTrials.gov (NCT00695552). CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Krogh, Jesper AU - Krogh J AD - Mental Health Centre Copenhagen, Mental Health Services in the Capital Region of Denmark, University of Copenhagen, Copenhagen, Denmark. Electronic address: Jesper.krogh@regionh.dk. FAU - Rostrup, Egill AU - Rostrup E AD - Functional Imaging Unit, Department of Diagnostics, Copenhagen University Hospital, Glostrup Hospital, Denmark. FAU - Thomsen, Carsten AU - Thomsen C AD - Department of Radiology, Rigshospitalet, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark. FAU - Elfving, Betina AU - Elfving B AD - Translational Neuropsychiatry Unit, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark. FAU - Videbech, Poul AU - Videbech P AD - Department for Depression and Anxiety Q, Aarhus University Hospital, Risskov, Denmark. FAU - Nordentoft, Merete AU - Nordentoft M AD - Mental Health Centre Copenhagen, Mental Health Services in the Capital Region of Denmark, University of Copenhagen, Copenhagen, Denmark. LA - eng SI - ClinicalTrials.gov/NCT00695552 PT - Journal Article PT - Randomized Controlled Trial DEP - 20140423 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Vascular Endothelial Growth Factor A) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Adolescent MH - Adult MH - Brain-Derived Neurotrophic Factor/*blood MH - Depressive Disorder, Major/blood/*pathology MH - *Exercise MH - Female MH - Hippocampus/*pathology MH - Humans MH - Insulin-Like Growth Factor I/*metabolism MH - Male MH - Memory MH - Middle Aged MH - Vascular Endothelial Growth Factor A/*blood MH - Young Adult OTO - NOTNLM OT - BDNF OT - Depression OT - Exercise OT - Hippocampus OT - Memory OT - Neurogenesis EDAT- 2014/06/03 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/06/03 06:00 PHST- 2014/01/04 00:00 [received] PHST- 2014/04/15 00:00 [revised] PHST- 2014/04/15 00:00 [accepted] PHST- 2014/06/03 06:00 [entrez] PHST- 2014/06/03 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - S0165-0327(14)00235-3 [pii] AID - 10.1016/j.jad.2014.04.041 [doi] PST - ppublish SO - J Affect Disord. 2014 Aug;165:24-30. doi: 10.1016/j.jad.2014.04.041. Epub 2014 Apr 23.