Dehydroepiandrosterone Sulfate (DHEAS) is thought to offset hypercortisolemia, which is found in individuals with bipolar disorder. While the cause of bipolar disorder remains unknown, previous studies have linked elevated cortisol levels with various mental health illnesses, including bipolar disorder. Previous studies suggest that exercise increases DHEAS levels in healthy subjects, however no studies have tested clinically diagnosed bipolar patients. It is hypothesized that the interaction between DHEAS and cortisol may be a contributing factor to the improvements in mood seen with exercise (McEwen 2002).
PURPOSE: To determine the effect of an acute bout of aerobic exercise on DHEAS levels and perceptions of well-being in clinically diagnosed bipolar disorder patients.
METHODS: Clinically diagnosed male (n=13) and female (n=13) bipolar patients (mean age 42.4 + 11.4 years) participated in this study. Ten ml of blood were drawn prior to the exercise session. Subjects walked on a treadmill for 20 min. at individualized intensities corresponding to 70% of age predicted maximum heart rate (APMHR). The exercise session finished with a 5 min. cool down. Within five min. post- completion of the cool down, a second blood draw, identical to the first, occured. Blood samples were spun and serum frozen until all samples could be collected and analyzed. A 7-point Likert questionnaire was administered pre and post exercise to assess perceptions of well-being.
RESULTS: A two way ANOVA revealed a significant increase in DHEAS (p=0.01) after the acute bout of aerobic exercise. A dependant T-test also revealed a significant improvement in perception of global well-being following exercise (p<0.05). A non-significant (p=0.38) correlation of r=0.18 was found between DHEAS and perceptions of well-being.
CONCLUSION: Treadmill exercise performed at of 70% of APMHR for 20 min. significantly increased DHEAS in clinically diagnosed bipolar subjects. Significant post exercise perceptions of well being improved. No relationship between well-being and DHEAS was revealed. Exercise appears to be responsible for an increase in DHEAS in bipolar patients; however, it appears that this increase may not be solely responsible for improvements in well-being.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-08022007-142859 |
| Date | 27 September 2007 |
| Creators | Hays, Anne Elizabeth |
| Contributors | Dr. Deborah Aaron, PhD., Health and Physical Activity, Dr. Kristie Abt, PhD, Health and Physical Activity, Dr. Fredric Goss, PhD., Health and Physical Activity, Dr. Elizabeth Nagle, PhD, Health and Physical Activity, Dr. Edward Friedman, M.D.., Western Psychiatric Institute and Clinic |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-08022007-142859/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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