Effect of an Acute Bout of Aerobic Exercise on Serum Dehydroepiadosterone Sulfate (DHEAS) Levels in Clinically Diagnosed Bipolar Patients

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