Exercise effects on depressive symptoms and self-worth in overweight children: a randomized controlled trial.
OBJECTIVE
To test the dose-response effects of an exercise program on depressive symptoms and self-worth in children.


METHODS
Overweight, sedentary children (N = 207, 7-11 years, 58% male, 59% Black) were randomly assigned to low or high dose (20 or 40 min/day) aerobic exercise programs (13 +/- 1.6 weeks), or control group. Children completed the Reynolds Child Depression Scale and Self-Perception Profile for Children at baseline and posttest.


RESULTS
A dose-response benefit of exercise was detected for depressive symptoms. A race x group interaction showed only White children's global self-worth (GSW) improved. There was some evidence that increased self-worth mediated the effect on depressive symptoms.


CONCLUSIONS
This study shows dose-response benefits of exercise on depressive symptoms and self-worth in children. However, Blacks did not show increased GSW in response to the intervention. Results provide some support for mediation of the effect of exercise on depressive symptoms via self-worth.
Petty
Karen H
KH
Department of Pediatrics, Georgia Prevention Institute, 1499 Walton Way, Augusta, GA 30912, USA.
Davis
Catherine L
CL
Tkacz
Joseph
J
Young-Hyman
Deborah
D
Waller
Jennifer L
JL
D001828:Body Image; D015992:Body Mass Index; D002648:Child; D003863:Depression; D015444:Exercise / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D050177:Overweight; D018579:Patient Selection; D010555:Personality Inventory; D010809:Physical Fitness; D011788:Quality of Life; D011897:Random Allocation; D012649:Self Concept; D012647:Self-Assessment; D016896:Treatment Outcome