在心理痛苦中降低皮质醇的最佳运动方式和剂量:系统性审查和网络元分析
Xiongjie Li1, Jianping Huang1, Feilong Zhu2
1School of Physical Education, Wuhan Sports University, Wuhan 430079, China.
Sports (Basel, Switzerland)
|December 24, 2025
概括
运动,特别是和青功,有效地降低了经历心理困扰的成年人皮质醇水平. 大约530MET-分钟/周的运动被认为是最佳的益处,尽管需要更多的研究.
科学领域:
- 内分泌学 在内分泌学.
- 运动生理学 运动生理学
- 心理神经免疫学 心理神经免疫学
背景情况:
- 心理困扰与下丘脑-垂体-上腺 (HPA) 轴失调和皮质醇分泌的改变有关.
- 运动是一种公认的非药物治疗压力管理策略.
- 了解运动对皮质醇的影响对于心理健康干预至关重要.
研究的目的:
- 系统地审查和网络分析不同运动类型和剂量对心理困扰的成年人皮质醇水平的有效性.
- 为了确定最佳的炼方式和对皮质醇调节的规定的持续时间.
- 评估运动和皮质醇降低之间的剂量反应关系.
主要方法:
- 在2025年6月之前,对五个数据库进行随机对照试验的系统搜索.
- 独立的研究选择,数据提取和两位评论员对偏见风险的评估.
- 使用随机效应模型进行双向和频率网络元分析,计算标准化平均差异 (SMD) 和95%置信区间 (CI).
主要成果:
- 包括44项研究;运动通常显示中度皮质醇降低.
- 产生了最大的影响 (SMD = -0.59),其次是功和多元组件运动.
- 观察到一个反转的U形剂量反应曲线,峰值疗效约为530MET-min/周;更长的持续时间与更大的减少相关.
结论:
- 像和青功这样的心身炼在降低心理困扰的个体内皮质醇方面是有效的.
- 确定了大约530MET-min/周的最佳运动剂量,具有非线性剂量反应模式.
- 需要进一步的高质量试验来确认最佳的炼方式和剂量来调节皮质醇.
相关概念视频
Stress Prevention and Stress Management Techniques III
283
Regular exercise and meditation serve as essential tools in managing stress and promoting physical and mental well-being.
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
283
Psychological Responses to Stress
454
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
454
Treatment Strategies for Psychological Disorders
630
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
630
Physiological Foundation of Stress
509
Stress triggers a coordinated physiological response involving the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis. This dual activation ensures that the body is prepared for both immediate and prolonged stress management. The process begins with the perception of a stressor. This initial phase activates the SNS, leading to the rapid release of adrenaline (epinephrine) from the adrenal glands.
Role of the Sympathetic Nervous System
Adrenaline triggers the...
Role of the Sympathetic Nervous System
Adrenaline triggers the...
509
Hypothalamic-Pituitary Axis
65.3K
The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
65.3K
Depressive Disorders: MDD and Dysthymia
564
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
564


