Efeito neuroprotetor do exercício físico em modelos de depressão em roedores: uma meta-análise

Autores

DOI:

https://doi.org/10.34024/rnc.2023.v31.14734

Palavras-chave:

Neuroproteção, Exercício físico, Depressão, Enfermagem, Cuidados de saúde mental

Resumo

Introdução. Estudos na neurobiologia da depressão mostram uma desregulação de neurotransmissores em regiões cerebrais relacionadas à emoção, recompensa e funções executivas em indivíduos acometidos pela doença. A prática regular de exercício físico mostra-se como um importante aliado contra a depressão. Método. Buscou-se por meio de uma revisão sistemática, material bibliográfico de 2010 a 2021 que descrevesse o efeito neuroprotetor do exercício físico no tratamento da depressão. Utilizamos os descritores: Depressão, Neuroproteção e Exercício Físico nas bases de dados PubMed, LILACS, Science Direct, Web of Science e SCIELO. Resultados. Foram selecionados 04 artigos. O exercício físico regular promove alterações neurofisiológicas e neuroquímicas capazes de influenciar a doença, destacando-se o BDNF e o IGF-1 como fatores pró neurogênicos e alterações bioquímicas, somadas às alterações no eixo HPP durante o tratamento da depressão. Ressalta-se que o período de treinamento foi determinante para o efeito neuroprotetor. Tais evidências configuram o exercício físico como um excelente aliado no tratamento da depressão, principalmente a leve. Conclusão. Sugere-se pesquisas com duração de 09 semanas do protocolo de treinamento físico. Incentivamos mais pesquisas sobre os efeitos complexos induzidos pela inflamação do exercício. Além disso, podemos inferir que o estudo poderia ter resultados diferentes se o tempo para análise dessa neuroproteção fosse estendido ou se a monitoração de LPS fosse adicionada para controlar níveis de LPS x tempo de exercício x melhora do quadro depressivo.

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Biografia do Autor

Dayane Pessoa de Araújo, Universidade do Estado do Rio Grande do Norte

Graduated in Nursing from the University of Fortelaza- UNIFOR. Specialist in Clinical Care from the State University of Ceará - UECE. Master's and Doctorate in Pharmacology (Neuropharmacology) by the Department of Physiology and Pharmacology of the Federal University of Ceará-UFC. Currently, she is Adjunct Professor V of the Department of Nursing at the State University of Rio Grande do Norte and Local Coordinator of the Multicenter Graduate Program in Physiological Sciences at SBFis. She has research experience in Neurophysiology and Neuropharmacology, working mainly on the following topics: Neuroinflammation, Oxidative Stress, Natural Products, Antioxidants.

Referências

World Health Organization (WHO). Depression and Other Common Mental Disorders – Global Health Estimates (Internet). 2017. (Accessed: 08/22/2021). Available in: http://apps.who.int/iris/bitstream/10665/254610/1/WHO-MSD-MER-2017.2-eng.pdf?ua=1

ABRATA - Brazilian association of family members, friends and people with affective disorders. Anxiety Disorder: Informational Manual. São Paulo: Planmark Editora, 2011. http://www.abrata.org.br/site2018

Akers kG, Martinez-canabal A, Restivo l, Viu AP, Cristofaro A, Hsiang HL, et al. Hippocampal neurogenesis regulates forgetting during adulthood and infancy. Science 2014;344:598-602. https://doi.org/10.1126/science.1248903

Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI J 2017;16:1057-72. https://doi.org/10.17179/excli2017-480

Lopes JM, Fernandes SG, Dantas FG, Medeiros JL. Association of depression with sociodemographic characteristics, sleep quality and lifestyle habits in elderly people in northeastern Brazil: a population-based cross-sectional study. Rev Bras Geriatr Gerontol 2015;18:521-30. http://doi.org/10.1590/1809-9823.2015.14081

Tommasini B. Contribution of physical exercise to quality of life at work: a case study of a company in the agribusiness sector. Rev UNEMAT 2015;4:62. https://doi.org/10.1159/000356144

Gujral S, Aizenstein H, Reynolds CF 3rd, Butters MA, Grove G, Karp JF, et al. Exercise for Depression: A Feasibility Trial Exploring Neural Mechanisms. Am J Geriatr Psychiatry 2019;27:611-6. http://doi.org/10.1016/j.jagp.2019.01.012

Phillips C, Fahimi A. Immune and Neuroprotective Effects of Physical Activity on the Brain in Depression. Front Neurosci 2018;12:498. http://doi.org/10.3389/fnins.2018.00498

Martin AS, Dantzer R, Kelley WK, Woods J. A. Voluntary Wheel Running Does Not Affect Lipopolysaccharide-Induced Depressive-Like Behavior in Young Adult and Aged Mice. Neuroimmunomodulation 2014;21:52-63. http://doi.org/10.1159/000356144

Yau SY, Li A, Hoo RLC, Ching YP, Christie BR, Lee TMC, et al. Exercise-induced hippocampal neurogenesis and antidepressant effects are mediated by the adipocyte hormone adiponectin. Proc Nat Acad Sci 2014;111:15810-5. http://doi.org/10.1073/pnas.1415219111

Dahlin E, Andersson M, Thorén A, Hanse E, Seth H. Effects of physical exercise and stress on hippocampal CA1 and dentate gyrus synaptic transmission and long-term potentiation in adolescent and adult Wistar rats. Neuroscience 2019;1:32-43. https://doi.org/10.1016/j.neuroscience

Sigwalt AS. Influence of physical exercise on behavioral, biochemical and histological parameters in a rodent model of depression (Dissertation). Florianópolis: Federal University of Santa Catarina; 2012; 100p. http://repositorio.ufsc.br/xmlui/handle/123456789/95184

Callaghan P, Khalil E, Morres J, Carter T. Pragmatic randomised controlled trial of preferred intensity exercise in women living with depression. BMC Public Health 2011;11:465-73. https://doi.org/10.1186/1471-2458-11-465

Ekkekakis P, Hall PP, Petruzzello SJ. The relationship between exercise intensity and affective responses demystified: to crack the 40-year-old nut, replace the 40-year-old nutcracker! Ann Behav Med 2008;2:136-49. http://doi.org/10.1007/s12160-008-9025-z

Portugal EM, Cevada T, Junior RS, Guimarães T, Rubini E, Lattari E, et al. Neuroscience of Exercise: From Neurobiology Mechanisms to Mental Health. Neuropsychobiology 2013;68:1-14. http://doi.org/10.1159/000350946

Kim B, Feldman EL. Insulin resistance as a key link for the increased risk of cognitive impairment in the metabolic syndrome. Exp Mol Med 2015;47;23-33. http://doi.org/10.1038/emm.2015.3

Murrell CJ, Cotter JD, Thomas KN, Lucas SJE, Williams MJA, Aislie PN. Cerebral blood flow and cerebrovascular reactivity at rest and during sub-maximal exercise: Effect of age and 12-week exercise training. AGE 2013;35:905-20. https://doi.org/10.1007/s11357-012-9414-x

Donovan MJ, Lin MI, Wiegn P. Brain derived neurotrophic factor is an endothelial cell survival factor required for intramyocardial vessel stabilization. Development 2000;12;4531-40. https://doi.org/10.1242/dev.127.21.4531

Marie C, Pedard M, Quirié A, Tessier A, Garnier P, Totoson P, et al. Brain-derived neurotrophic factor secreted by the cerebral endothelium: A new actor of brain function? J Cer Blood Flow Metabol 2018;38:935-49. https://doi.org/10.1177/0271678X18766772

Coelho FM, Pereira DS, Lustosa LP. Physical therapy intervention (pti) increases plasma brain-derived neurotrophic factor (BDNF) levels in non-frail and pre-frail elderly women. Arch Gerontol Geriatra 2012;36:415-20. http://doi.org/10.1016/j.archger.2011.05.014

Cotman CW, Berchtold NC, Christie LA. Exercise builds brain health: key roles of growth factor cascades and inflammation. Rev Trends Neurosci 2007;30:464-72. http://doi.org/10.1016/j.tins.2007.06.011

Pereira DS, Queiroz BZ, Miranda AS, Rocha NP, Felício DC, Mateo EC, et al. Efeitos do exercício físico nos níveis plasmáticos de fator neurotrófico derivado do cérebro e sintomas depressivos em mulheres idosas - um ensaio clínico randomizado. Arc Phys Med Rehab 2013;94:1443-50. http://doi.org/10.1016/j.apmr.2013.03.029

Rasmussen P, Brassard P, Adser H. Evidence for a release of brain-derived neurotrophic factor from the brain during exercise. Exp Physiol 2009;10:1062-9. http://doi.org/10.1113/expphysiol.2009.048512

Carek PJ, Laibstain SE, Carek SM. Exercise for the treatment of depression and anxiety. Int j Psychiatry Med 2011;41:15-28. http://doi.org/10.2190/PM.41.1

Silva MS, Bocchi EA, Guimarães GV, Padovani CR, Silva MHV, Pereira SF, et al. Benefits of exercise training in the treatment of heart failure: study with a control group. Arq Bras Cardiol 2011;79:357-63. https://doi.org/10.1590/S0066-782X2002001300003

Colcombe SJ, Erickson IK, Raz N, Webb AG, Cohen NJ, McAuley E, et al. Aerobic fitness reduces brain tissue loss in aging humans. J Gerontol Biol Sci Med Sci 2003;58:176-80. http://doi.org/10.1093/gerona/58.2.m176

Craft LL, Landers DM. The effects of exercise on clinical depression resulting from mental illness: a meta-analysis. J Sport Exerc Psychol 1998;20:55-63. http://sadrunner-website-downloads.s3.amazonaws.com/reports/ArizonaStateExerciseForDepression.pdf

Kim B, Feldman EL. Insulin resistance as a key link for the increased risk of cognitive impairment in the metabolic syndrome. Exp Mol Med 2015;47:149-55. http://doi.org/10.1038/emm.2015.3

Juruena MF, Clearea AJ, Pariantea CM. The hypothalamic-pituitary-adrenal axis, the function of glucocorticoid receptors and their importance in depression. Rev Bras Pisquiatr 2004;26;189-2001. https://doi.org/10.1590/s1516-44462004000300009

Guyton AC, Hall JE. Behavioral and motivational mechanisms of the brain - the limbic system and the hypothalamus. In: Guyton AC, Hall JE. Treatise on medical physiology. 11ªed. Philadelphia: Elsevier Saunders, 2006.

Griffin EW, Mullally S, Foley C, Warmington AS, O'Mara SM, Kelly AM. Aerobic exercise improves hippocampal function and increases BDNF in the serum of young adult males. Physiol Behav 2011;5:934-41. https://doi.org/10.1016/j.physbeh.2011.06.005

Yamauchi T, Kadowaki T. Physiological and pathophysiological roles of adiponectin and adiponectin receptors in the integrated regulation of metabolic and cardiovascular diseases. Int J Obes 2008;32:65-72. http://doi.org/10.1038/ijo.2008.233

Arita Y. Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity. Rev Biochem Biophys Res Commun 2012;3:45-55. http://doi.org/10.1016/j.bbrc.2012.08.024

Laske C, Banschbach S, Stransky E. Exercise-induced normalization of decreased bdnf serum concentration in elderly women with remitted major depression. Rev Int J Neuropsychopharmacol 2010;13:595-602. http://doi.org/10.1017/S1461145709991234

Diniz BS, Teixeira AL, Talib LL, Mendonça VA, Gattaz WF, Forlenza OV. Serum brain-derived neurotrophic factor level is reduced in antidepressant-free patients with late-life depression. World J Biol Psychiatry 2010;3:65-72. http://doi.org/10.3109/15622970903544620

Zhang D, Guo M, Zhang W, Lu XY. Adiponectin stimulates proliferation of adult hippocampal neural stem/progenitor cells through activation of p38 mitogen-activated protein kinase (p38MAPK)/glycogen synthase kinase 3β (GSK-3β)/β-catenin signaling cascade. J Biol Chem 2011;286:44913–20. http://doi.org/10.1074/jbc.M111.310052

Cordeiro D. Relationship between Physical Activity, Depression, Self-Esteem and Satisfaction with Life (Thesis). Santarém: Polytechnic Institute of Santarém. 2013. https://repositorio.ipsantarem.pt/handle/10400.15/1275

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Publicado

2023-06-29

Como Citar

Nunes, M. J. M., Melo, P. K. M. ., Nunes, M. I. L. B. ., Silva, J. C. S., Fernandes, A. W. do N., Evangelista, A. I. B., Fonseca, I. A. T., & Araújo, D. P. de. (2023). Efeito neuroprotetor do exercício físico em modelos de depressão em roedores: uma meta-análise. Revista Neurociências, 31, 1–28. https://doi.org/10.34024/rnc.2023.v31.14734

Edição

Seção

Revisão Sistemática
Recebido: 2023-01-10
Aceito: 2023-05-24
Publicado: 2023-06-29

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