Aerobic Exercise and Subthreshold Depressive Symptoms in Adolescents: Secondary Analysis of a Randomized - Summary - MDSpire

Aerobic Exercise and Subthreshold Depressive Symptoms in Adolescents: Secondary Analysis of a Randomized

  • By

  • Xiangbo Yan

  • Robin Shao

  • Jingwen Jin

  • Weicong Lu

  • Zhongqing Jiang

  • Guanghui Zhang

  • Qing Zhang

  • Xiaoyue Li

  • Xinhe Tian

  • Brendon Stubbs

  • Davy Vancampfort

  • Marco Solmi

  • Michele Fornaro

  • Andre F. Carvalho

  • Sonata Suk-yu Yau

  • Fengyu Cong

  • Kwok-fai So

  • Kangguang Lin

  • July 6, 2026

  • 0 min

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Objective:

To investigate whether aerobic exercise is associated with reduced subthreshold depressive symptoms in adolescents and to explore the mediation of these effects by EEG-based neural network features.

Approach:
  • Study Design: Secondary analysis of a 12-month, 2-arm cluster RCT evaluating moderate-intensity aerobic exercise effects on depression and cognition in adolescents.
  • Participants: Students aged 12 to 17 years with subthreshold depressive symptoms and valid EEG data were included.
  • Intervention: Aerobic exercise group engaged in a 12-month program with an initial 6-month supervised phase followed by a 6-month unsupervised maintenance phase.
  • Control Group: Control group received 6 psychoeducation sessions over 12 months.
Key Findings:
  • Aerobic exercise significantly reduced subthreshold depressive symptoms compared to the psychoeducation control.
  • Changes in EEG-derived functional connectivity and network topological features mediated the exercise effects.
Interpretation:

The study aims to investigate the relationship between aerobic exercise and depressive symptoms in adolescents, focusing on EEG-based neural mechanisms.

Limitations:
  • The study relies on secondary analysis of existing data, which may limit the scope of findings.
  • Potential confounding factors related to participant selection and adherence to the exercise program.
Conclusion:

The findings provide data on the role of aerobic exercise in managing subthreshold depression in adolescents and the underlying neural mechanisms.

Sources:

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