PMID- 29529552 OWN - NLM STAT- MEDLINE DCOM- 20180906 LR - 20181202 IS - 1573-2517 (Electronic) IS - 0165-0327 (Linking) VI - 234 DP - 2018 Jul TI - Does ceasing exercise induce depressive symptoms? A systematic review of experimental trials including immunological and neurogenic markers. PG - 180-192 LID - S0165-0327(17)31749-4 [pii] LID - 10.1016/j.jad.2018.02.058 [doi] AB - BACKGROUND: Regular exercise in adults improves depressive symptoms (DS) and major depressive disorder (MDD), however the clinical effects of ceasing exercise are largely unknown. METHODS: Seven databases were searched from inception to December 2017. Eligibility criteria included English language studies investigating the effects of ceasing exercise on DS or MDD in regularly active adults with or without prior DS or MDD. Blood based markers related to exercise cessation (EC) were assessed, if recorded. Studies investigating exercise follow-up periods were excluded. RESULTS: No studies investigated EC in MDD. Six studies including two RCTS and three studies investigating neurogenic and immune biological markers associated with DS met inclusion criteria (152 healthy adults, females n = 50/32.89%). Compared to baseline, EC increased DS after three days, one week, and two weeks. Female participants had significantly more DS than male participants. Following EC, no changes in brain derived neurotrophic factor (BDNF) or tumour necrosis factor alpha (TNF) were evident, however C-reactive protein (CRP) at week one and interleukin 6 (IL6) at week two were reduced. LIMITATIONS: Quality concerns including risks of attrition and reporting bias limit our confidence in these results. CONCLUSIONS: Ceasing regular exercise increases DS in healthy adults, with greater DS in females than males. Contrary to the cytokine/inflammatory hypothesis of depression, DS were associated with reduced CRP and IL6 and without increased TNF. High quality trials are needed to extend this field of research in both healthy and MDD populations. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Morgan, Julie A AU - Morgan JA AD - The University of Adelaide, Adelaide Medical School, Discipline of Psychiatry, Adelaide, Australia. FAU - Olagunju, Andrew T AU - Olagunju AT AD - The University of Adelaide, Adelaide Medical School, Discipline of Psychiatry, Adelaide, Australia. FAU - Corrigan, Frances AU - Corrigan F AD - The University of Adelaide, Adelaide Medical School, Discipline of Anatomy and Pathology, Adelaide, Australia. FAU - Baune, Bernhard T AU - Baune BT AD - The University of Adelaide, Adelaide Medical School, Discipline of Psychiatry, Adelaide, Australia. Electronic address: Bernhard.Baune@adelaide.edu.au. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20180224 PL - Netherlands TA - J Affect Disord JT - Journal of affective disorders JID - 7906073 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Interleukin-6) RN - 0 (TNF protein, human) RN - 0 (Tumor Necrosis Factor-alpha) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/blood MH - Depressive Disorder, Major/*immunology/physiopathology/*prevention & control MH - Exercise/*physiology MH - Exercise Therapy/methods MH - Female MH - Humans MH - Interleukin-6/blood MH - Male MH - Neurogenesis/*immunology MH - Tumor Necrosis Factor-alpha/blood OTO - NOTNLM OT - Depression OT - Exercise OT - Inflammation OT - Mental disorders OT - Neurogenesis OT - Neuroimmunomodulation EDAT- 2018/03/13 06:00 MHDA- 2018/09/07 06:00 CRDT- 2018/03/13 06:00 PHST- 2017/08/19 00:00 [received] PHST- 2018/02/01 00:00 [revised] PHST- 2018/02/19 00:00 [accepted] PHST- 2018/03/13 06:00 [pubmed] PHST- 2018/09/07 06:00 [medline] PHST- 2018/03/13 06:00 [entrez] AID - S0165-0327(17)31749-4 [pii] AID - 10.1016/j.jad.2018.02.058 [doi] PST - ppublish SO - J Affect Disord. 2018 Jul;234:180-192. doi: 10.1016/j.jad.2018.02.058. Epub 2018 Feb 24.