Exploring the Effects of Strength Training on Depressive Symptoms and Cardiovascular Risk in Black Men

项目摘要/摘要 黑人男性对抑郁症的治疗严重不足。其重要原因包括传统的 精神治疗(即心理治疗和药物治疗)不太为黑人男性所接受，而黑人 男性报告说，在寻求这些治疗方面存在严重的耻辱。抑郁症也有很大的健康问题 后果，包括心血管疾病(CVD)的增加和恶化，甚至 心血管疾病死亡率。我们建议解决文献中的空白，并通过以下方式推进少数族裔男性健康领域 进行第一次随机对照试验，测试力量训练(即举重)对 抑郁黑人男性样本中的抑郁与心血管健康。共有50个自我认同的黑人 符合临床抑郁症水平的男性将随机参加为期12周的力量训练(ST)计划 或者12周的接触控制。在为期12周的计划期间，两个小组将每周两次现场会面，并 后续评估将在12周结束时进行，并在3个月后进行。对条件视而不见 研究人员将在基线、治疗结束和3个月随访时进行评估。定性的 访谈将在为期3个月的随访结束后立即进行，以收集参与者对 体验和偏好。主要结果将是抑郁症的严重程度(通过采访来衡量)。 次要结果将是炎症标志物和心血管指标(例如，血脂、血压、 腰臀比、身体成分)。这项探索性研究(R21)的总体目标是建立 力量训练作为黑人男性抑郁症干预措施的可行性、可接受性和初步疗效。 具体目标是(1)评估招聘、保留、评估和 在抑郁的黑人男性中的干预程序，(2)获得关于抑郁症疗效的初步证据 为未来的R01支持的随机临床试验做准备，以及(3)探索潜在的 ST对抑郁的影响，包括生理(即，睡眠质量)和心理(即，自尊， 情感、运动享受、身体自我概念)变量的急剧变化。拟议的研究将 为更大规模的ST对黑人男性的疗效研究奠定基础，该研究将完全有能力检测变化 在长期随访中抑郁和心血管疾病的风险。这样的审判将是打击 黑人男性在心血管疾病和抑郁症治疗方面的主要健康差距。

Project Summary/Abstract Depression is severely undertreated in Black men. Significant reasons for this include that traditional psychiatric treatments (i.e., psychotherapy and medication) are less acceptable to Black men, and that Black men report significant stigma regarding seeking these treatments. Depression also has major health consequences, including increased occurrence and worsening of cardiovascular disease (CVD), and even CVD mortality. We propose to address gaps in the literature and advance the field of minority men’s health by conducting the first randomized controlled trial testing the effects of strength training (i.e., weight lifting) on depression and cardiovascular health in a sample of depressed Black men. A total of 50 self-identifying Black men who meet a clinical level of depression will be randomized into a 12-week strength training (ST) program or a 12-week contact control. Both groups will meet on-site twice per week during the 12-week program, and follow-up assessments will occur at the end of the 12-weeks and at a 3-month follow-up. Blind to condition research staff will conduct assessments at baseline, end-of-treatment, and 3-month follow-up. Qualitative interviews will be conducted immediately after the 3-month follow-up to gather input on participants’ experiences and preferences. The primary outcome will be depression severity (measured by interview). Secondary outcomes will be inflammatory markers and CVD indicators (e.g., blood lipids, blood pressure, waist-to-hip ratio, body composition). The overall aim of this exploratory (R21) study is to establish the feasibility, acceptability, and initial efficacy of strength training as an intervention for depression in Black men. Specific aims are (1) To assess the feasibility and acceptability of recruitment, retention, assessment, and intervention procedures among depressed Black men, (2) To obtain preliminary evidence of efficacy in preparation for a future R01-supported randomized clinical trial, and (3) To explore potential mediators of the effect of ST on depression, including physiological (i.e., sleep quality) and psychological (i.e., self-esteem, acute changes in affect, enjoyment of exercise, physical self-concept) variables. The proposed research will lay the groundwork for a larger efficacy study of ST for Black men that will be fully powered to detect changes in both depression and CVD risk over long-term follow-up. Such a trial would be an initial step to combating major health disparities regarding CVD and treatment for depression among Black men.