Effects of physical activity in child and adolescent depression and anxiety: role of inflammatory cytokines and stress-related peptide hormones

Depression and anxiety are the most common mental illnesses affecting children and adolescents, significantly harming their well-being. Research has shown that regular physical activity can promote cognitive, emotional, fundamental movement skills, and motor coordination, as a preventative measure for depression while reducing the suicide rate. However, little is known about the potential role of physical activity in adolescent depression and anxiety. The studies reviewed in this paper suggest that exercise can be an effective adjunctive treatment to improve depressive and anxiety symptoms in adolescents, although research on its neurobiological effects remains limited.

[1]  V. Abeln,et al.  Chronic, acute and protocol-dependent effects of exercise on psycho-physiological health during long-term isolation and confinement , 2022, BMC neuroscience.

[2]  K. So,et al.  Physical Exercise Prevented Stress‐Induced Anxiety via Improving Brain RNA Methylation , 2022, Advanced science.

[3]  M. Cannon,et al.  Childhood Trauma, the HPA Axis and Psychiatric Illnesses: A Targeted Literature Synthesis , 2022, Frontiers in Psychiatry.

[4]  P. Hastings,et al.  Exploring joint HPA-inflammatory stress response profiles in adolescent girls: Implications for developmental models of neuroendocrine dysregulation. , 2022, Developmental psychobiology.

[5]  Y. Bleyenheuft,et al.  IMPACT OF PHYSICAL EXERCISE ON DEPRESSION AND ANXIETY IN ADOLESCENT INPATIENTS: A RANDOMIZED CONTROLLED TRIAL. , 2022, Journal of affective disorders.

[6]  C. Kieling,et al.  Cortisol and development of depression in adolescence and young adulthood – a systematic review and meta-analysis , 2021, Psychoneuroendocrinology.

[7]  S. Ueno,et al.  Impaired Cognitive Function and Hippocampal Changes Following Chronic Diazepam Treatment in Middle-Aged Mice , 2021, Frontiers in Aging Neuroscience.

[8]  C. Kieling,et al.  A systematic review of the association between biological markers and environmental stress risk factors for adolescent depression. , 2021, Journal of psychiatric research.

[9]  L. Nordheim,et al.  Review: Exercise for depression in children and adolescents - a systematic review and meta-analysis. , 2020, Child and adolescent mental health.

[10]  E. Bullmore,et al.  Whole-blood expression of inflammasome- and glucocorticoid-related mRNAs correctly separates treatment-resistant depressed patients from drug-free and responsive patients in the BIODEP study , 2020, Translational Psychiatry.

[11]  M. Tremblay,et al.  Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review , 2020, International Journal of Behavioral Nutrition and Physical Activity.

[12]  I. Lyoo,et al.  A double-hit of stress and low-grade inflammation on functional brain network mediates posttraumatic stress symptoms , 2020, Nature Communications.

[13]  N. Nebhinani,et al.  Vitamin D and Depression: A Critical Appraisal of the Evidence and Future Directions , 2020, Indian journal of psychological medicine.

[14]  E. Bullmore,et al.  Childhood trauma, HPA axis activity and antidepressant response in patients with depression , 2019, Brain, Behavior, and Immunity.

[15]  Suqin Tang,et al.  Psychosocial risk factors associated with depressive symptoms among adolescents in secondary schools in mainland china: A systematic review and meta-analysis. , 2019, Journal of affective disorders.

[16]  Alishia D. Williams,et al.  Prospective biomarkers of major depressive disorder: a systematic review and meta-analysis , 2019, Molecular Psychiatry.

[17]  V. Mondelli,et al.  From early adversities to immune activation in psychiatric disorders: the role of the sympathetic nervous system , 2019, Clinical and experimental immunology.

[18]  S. Cortese,et al.  Inflammatory Cytokines in Children and Adolescents with Depressive Disorders: A Systematic Review and Meta-Analysis. , 2019, Journal of child and adolescent psychopharmacology.

[19]  V. Arolt,et al.  Mediation of the influence of childhood maltreatment on depression relapse by cortical structure: a 2-year longitudinal observational study. , 2019, The lancet. Psychiatry.

[20]  A. Ströhle,et al.  Serum brain-derived neurotrophic factor (BDNF) at rest and after acute aerobic exercise in major depressive disorder , 2019, Psychoneuroendocrinology.

[21]  Martin Styner,et al.  Maternal Interleukin-6 concentration during pregnancy is associated with variation in frontolimbic white matter and cognitive development in early life , 2019, NeuroImage.

[22]  N. Herrmann,et al.  The effect of exercise on resting concentrations of peripheral brain-derived neurotrophic factor (BDNF) in major depressive disorder: A meta-analysis. , 2018, Journal of psychiatric research.

[23]  A. Çayır,et al.  Is growth hormone deficiency associated with anxiety disorder and depressive symptoms in children and adolescents?: A case-control study. , 2018, Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society.

[24]  Y. Wing,et al.  Parental history of depression and higher basal salivary cortisol in unaffected child and adolescent offspring. , 2018, Journal of affective disorders.

[25]  M. Gunnar,et al.  Annual Research Review: Early adversity, the hypothalamic–pituitary–adrenocortical axis, and child psychopathology , 2018, Journal of child psychology and psychiatry, and allied disciplines.

[26]  D. Bowdish,et al.  Exercise reduces depression and inflammation but intensity matters , 2018, Biological Psychology.

[27]  A. Carvalho,et al.  Physical Activity and Incident Depression: A Meta-Analysis of Prospective Cohort Studies. , 2018, The American journal of psychiatry.

[28]  S. Hetrick,et al.  Treating depression with physical activity in adolescents and young adults: a systematic review and meta-analysis of randomised controlled trials , 2017, Psychological Medicine.

[29]  B. Stubbs,et al.  Exercise increases serum brain-derived neurotrophic factor in patients with major depressive disorder. , 2017, Journal of affective disorders.

[30]  R. Kahn,et al.  Cortisol stress reactivity across psychiatric disorders: A systematic review and meta-analysis , 2017, Psychoneuroendocrinology.

[31]  I. Nordhus,et al.  Exercise as a treatment for depression: A meta-analysis. , 2016, Journal of affective disorders.

[32]  A. Lucia,et al.  Physical Activity and Alzheimer Disease: A Protective Association. , 2016, Mayo Clinic proceedings.

[33]  P. Callaghan,et al.  The Effect of Exercise on Depressive Symptoms in Adolescents: A Systematic Review and Meta-Analysis. , 2016, Journal of the American Academy of Child and Adolescent Psychiatry.

[34]  V. Wyller,et al.  Altered neuroendocrine control and association to clinical symptoms in adolescent chronic fatigue syndrome: a cross-sectional study , 2016, Journal of Translational Medicine.

[35]  J. Herman,et al.  Adolescent chronic stress causes hypothalamo–pituitary–adrenocortical hypo-responsiveness and depression-like behavior in adult female rats , 2016, Psychoneuroendocrinology.

[36]  A. Deslandes,et al.  Neurobiological effects of exercise on major depressive disorder: A systematic review , 2016, Neuroscience & Biobehavioral Reviews.

[37]  Andrew H. Miller,et al.  The role of inflammation in depression: from evolutionary imperative to modern treatment target , 2015, Nature Reviews Immunology.

[38]  B. Saltin,et al.  Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases , 2015, Scandinavian journal of medicine & science in sports.

[39]  A. García-Hermoso,et al.  The effects of physical exercise in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis of randomized control trials. , 2015, Child: care, health and development.

[40]  J. P. Hamilton,et al.  Meta-analysis of Functional Neuroimaging of Major Depressive Disorder in Youth. , 2015, JAMA psychiatry.

[41]  G. Shakhar,et al.  Why Do We Feel Sick When Infected—Can Altruism Play a Role? , 2015, PLoS biology.

[42]  M. Fava,et al.  Telomere length and telomerase in a well-characterized sample of individuals with major depressive disorder compared to controls , 2015, Psychoneuroendocrinology.

[43]  C. Pariante,et al.  Childhood trauma and adulthood inflammation: a meta-analysis of peripheral C-reactive protein, interleukin-6 and tumour necrosis factor-α , 2016 .

[44]  Trevor Archer,et al.  Effects of physical exercise on depressive symptoms and biomarkers in depression. , 2015, CNS & neurological disorders drug targets.

[45]  G. Grosso,et al.  Role of Omega-3 Fatty Acids in the Treatment of Depressive Disorders: A Comprehensive Meta-Analysis of Randomized Clinical Trials , 2014, PloS one.

[46]  P. Zunszain,et al.  Towards a personalized treatment in depression: endocannabinoids, inflammation and stress response. , 2014, Pharmacogenomics.

[47]  J. Herman Neural control of chronic stress adaptation , 2013, Front. Behav. Neurosci..

[48]  M. Gunnar,et al.  Future Directions in the Study of Social Relationships as Regulators of the HPA Axis Across Development , 2013, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[49]  Mark P. Mattson,et al.  Energy intake and exercise as determinants of brain health and vulnerability to injury and disease. , 2012, Cell metabolism.

[50]  Y. Li,et al.  Chronic social defeat up‐regulates expression of the serotonin transporter in rat dorsal raphe nucleus and projection regions in a glucocorticoid‐dependent manner , 2012, Journal of neurochemistry.

[51]  Nanxin Li,et al.  A neurotrophic hypothesis of depression: role of synaptogenesis in the actions of NMDA receptor antagonists , 2012, Philosophical Transactions of the Royal Society B: Biological Sciences.

[52]  S. Mineka,et al.  The cortisol awakening response predicts major depression: predictive stability over a 4-year follow-up and effect of depression history , 2012, Psychological Medicine.

[53]  A. Kramer,et al.  Exercise, brain, and cognition across the life span. , 2011, Journal of applied physiology.

[54]  P. Sawchenko,et al.  A Common Substrate for Prefrontal and Hippocampal Inhibition of the Neuroendocrine Stress Response , 2011, The Journal of Neuroscience.

[55]  P. Hastings,et al.  In Search of HPA Axis Dysregulation in Child and Adolescent Depression , 2011, Clinical child and family psychology review.

[56]  J. Herman,et al.  Stress vulnerability during adolescent development in rats. , 2011, Endocrinology.

[57]  Yong-Ku Kim,et al.  The Roles of BDNF in the Pathophysiology of Major Depression and in Antidepressant Treatment , 2010, Psychiatry investigation.

[58]  A. Caspi,et al.  Biological embedding of stress through inflammation processes in childhood , 2010, Molecular Psychiatry.

[59]  James W. Griffith,et al.  Prospective prediction of major depressive disorder from cortisol awakening responses in adolescence , 2010, Psychoneuroendocrinology.

[60]  Dag Aarsland,et al.  Is physical activity a potential preventive factor for vascular dementia? A systematic review , 2010, Aging & mental health.

[61]  John W. Williams,et al.  Preventing Alzheimer's disease and cognitive decline. , 2010, Evidence report/technology assessment.

[62]  N. Herrmann,et al.  A Meta-Analysis of Cytokines in Major Depression , 2010, Biological Psychiatry.

[63]  Nestor L. Lopez-Duran,et al.  Hypothalamic–pituitary–adrenal axis dysregulation in depressed children and adolescents: A meta-analysis , 2009, Psychoneuroendocrinology.

[64]  L. Spear,et al.  Social and non-social anxiety in adolescent and adult rats after repeated restraint , 2009, Physiology & Behavior.

[65]  T. Paus,et al.  Why do many psychiatric disorders emerge during adolescence? , 2008, Nature Reviews Neuroscience.

[66]  Ahmad R. Hariri,et al.  Interleukin-6 Covaries Inversely with Hippocampal Grey Matter Volume in Middle-Aged Adults , 2008, Biological Psychiatry.

[67]  B. Gorzalka,et al.  Serum endocannabinoid content is altered in females with depressive disorders: a preliminary report. , 2008, Pharmacopsychiatry.

[68]  M. Mattson,et al.  Central Mechanisms of HPA Axis Regulation by Voluntary Exercise , 2008, NeuroMolecular Medicine.

[69]  Carl W. Cotman,et al.  Exercise builds brain health: key roles of growth factor cascades and inflammation , 2007, Trends in Neurosciences.

[70]  P. Scully,et al.  Plasma cytokine profiles in depressed patients who fail to respond to selective serotonin reuptake inhibitor therapy. , 2007, Journal of psychiatric research.

[71]  C. McCormick,et al.  HPA function in adolescence: Role of sex hormones in its regulation and the enduring consequences of exposure to stressors , 2007, Pharmacology Biochemistry and Behavior.

[72]  S. Maier,et al.  Microglia serve as a neuroimmune substrate for stress-induced potentiation of CNS pro-inflammatory cytokine responses , 2007, Brain, Behavior, and Immunity.

[73]  M. Oquendo,et al.  Neurobiology of depression in children and adolescents. , 2006, Child and adolescent psychiatric clinics of North America.

[74]  A. Lenzi,et al.  Cortisol, dehydroepiandrosterone sulphate and dehydroepiandrosterone sulphate/cortisol ratio responses to physical stress in males are influenced by pubertal development , 2006, Journal of endocrinological investigation.

[75]  K. B. Hagen,et al.  Exercise in prevention and treatment of anxiety and depression among children and young people. , 2006, The Cochrane database of systematic reviews.

[76]  L. Hawkley,et al.  Psychosocial and Behavioral Predictors of Inflammation in Middle-Aged and Older Adults: The Chicago Health, Aging, and Social Relations Study , 2006, Psychosomatic medicine.

[77]  Kazuhisa Miyashita,et al.  Effects of physical exercise on depression, neuroendocrine stress hormones and physiological fitness in adolescent females with depressive symptoms. , 2006, European journal of public health.

[78]  B. McEwen,et al.  Stress history and pubertal development interact to shape hypothalamic-pituitary-adrenal axis plasticity. , 2006, Endocrinology.

[79]  Abraham Weizman,et al.  Plasma serotonin levels and suicidal behavior in adolescents , 2006, European Neuropsychopharmacology.

[80]  Adrian Angold,et al.  10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. , 2005, Journal of the American Academy of Child and Adolescent Psychiatry.

[81]  Harold Alan Pincus,et al.  Prevalence and treatment of mental disorders, 1990 to 2003. , 2005, The New England journal of medicine.

[82]  P. Morris,et al.  Blunted growth hormone response to clonidine in post-traumatic stress disorder , 2004, Psychoneuroendocrinology.

[83]  A. Caspi,et al.  Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. , 2003, Archives of general psychiatry.

[84]  H. Houshyar,et al.  Marked regulatory shifts in gonadal, adrenal, and metabolic system responses to repeated restraint stress occur within a 3-week period in pubertal male rats. , 2002, Endocrinology.

[85]  S. Houle,et al.  Noradrenergic dysfunction in the prefrontal cortex in depression: an [15O] H2O PET study of the neuromodulatory effects of clonidine , 2001, Biological Psychiatry.

[86]  R. Dahl,et al.  Serotonergic functioning in depressed abused children: clinical and familial correlates , 1998, Biological Psychiatry.

[87]  D J Kupfer,et al.  Effects of gender and age on the levels and circadian rhythmicity of plasma cortisol. , 1996, The Journal of clinical endocrinology and metabolism.

[88]  R. Dahl,et al.  Neuroendocrine response to L-5-hydroxytryptophan challenge in prepubertal major depression. Depressed vs normal children. , 1992, Archives of general psychiatry.

[89]  R. Dahl,et al.  Regulation of sleep and growth hormone in adolescent depression. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[90]  A J Rush,et al.  Children with major depression show reduced rapid eye movement latencies. , 1990, Archives of general psychiatry.

[91]  B. Gorzalka,et al.  Evidence for a Role of Adolescent Endocannabinoid Signaling in Regulating HPA Axis Stress Responsivity and Emotional Behavior Development. , 2015, International review of neurobiology.

[92]  C. Anacker Adult hippocampal neurogenesis in depression: behavioral implications and regulation by the stress system. , 2014, Current topics in behavioral neurosciences.

[93]  R. Dantzer,et al.  From inflammation to sickness and depression: when the immune system subjugates the brain , 2008, Nature Reviews Neuroscience.