Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative Review

The aims of this narrative review were to summarize the current literature on the beneficial effects of exercise interventions on individuals with comorbid depression and cardiovascular disease, and to review the current evidence that advances our understanding of the pathophysiological mechanisms u...

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Main Authors: Xueqin Li, Yumei Han, Shi Zhou, Jinfang Cheng
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Heart and Mind
Subjects:
Online Access:https://journals.lww.com/10.4103/hm.HM-D-24-00036
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author Xueqin Li
Yumei Han
Shi Zhou
Jinfang Cheng
author_facet Xueqin Li
Yumei Han
Shi Zhou
Jinfang Cheng
author_sort Xueqin Li
collection DOAJ
description The aims of this narrative review were to summarize the current literature on the beneficial effects of exercise interventions on individuals with comorbid depression and cardiovascular disease, and to review the current evidence that advances our understanding of the pathophysiological mechanisms underlying these effects. Ninety relevant articles were included and analyzed through a systematic search of PubMed and Web of Science. The analyses indicated that exercise interventions could modulate regulatory pathways to prevent depressive symptoms and reduce adverse cardiovascular events through five mechanisms: promoting immunosuppression, improving mitochondrial function, balancing the autonomic nervous system, up-regulating serum brain-derived neurotrophic factor, and improving vascular endothelial function; and the critical role of integrating the key principles of exercise prescription (frequency, intensity, type, time, volume, and progression) to identify novel therapeutic targets and optimize interventions. In conclusion, this study emphasizes not only the significance of exercise interventions but also the critical role of optimizing exercise prescriptions in managing comorbid depression and cardiovascular disorders. The approach holds important theoretical and clinical practice implications for enhancing both mental and cardiovascular health.
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publishDate 2024-11-01
publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-03e178ceef6646e0aac2dfe1c9c9add52024-12-09T08:36:42ZengWolters Kluwer Medknow PublicationsHeart and Mind2468-64762468-64842024-11-018429229910.4103/hm.HM-D-24-00036Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative ReviewXueqin LiYumei HanShi ZhouJinfang ChengThe aims of this narrative review were to summarize the current literature on the beneficial effects of exercise interventions on individuals with comorbid depression and cardiovascular disease, and to review the current evidence that advances our understanding of the pathophysiological mechanisms underlying these effects. Ninety relevant articles were included and analyzed through a systematic search of PubMed and Web of Science. The analyses indicated that exercise interventions could modulate regulatory pathways to prevent depressive symptoms and reduce adverse cardiovascular events through five mechanisms: promoting immunosuppression, improving mitochondrial function, balancing the autonomic nervous system, up-regulating serum brain-derived neurotrophic factor, and improving vascular endothelial function; and the critical role of integrating the key principles of exercise prescription (frequency, intensity, type, time, volume, and progression) to identify novel therapeutic targets and optimize interventions. In conclusion, this study emphasizes not only the significance of exercise interventions but also the critical role of optimizing exercise prescriptions in managing comorbid depression and cardiovascular disorders. The approach holds important theoretical and clinical practice implications for enhancing both mental and cardiovascular health.https://journals.lww.com/10.4103/hm.HM-D-24-00036cardiovascular diseasedepressionexercise prescriptiontherapeutic targets
spellingShingle Xueqin Li
Yumei Han
Shi Zhou
Jinfang Cheng
Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative Review
Heart and Mind
cardiovascular disease
depression
exercise prescription
therapeutic targets
title Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative Review
title_full Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative Review
title_fullStr Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative Review
title_full_unstemmed Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative Review
title_short Advances in Understanding Therapeutic Mechanisms of Exercise Interventions for Individuals with Comorbid Depression and Cardiovascular Diseases: A Narrative Review
title_sort advances in understanding therapeutic mechanisms of exercise interventions for individuals with comorbid depression and cardiovascular diseases a narrative review
topic cardiovascular disease
depression
exercise prescription
therapeutic targets
url https://journals.lww.com/10.4103/hm.HM-D-24-00036
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