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Accepted manuscript

Comparison of the effect of self-selected and prescribed moderate-intensity aerobic exercise on state anxiety symptoms and affective responses in young women: a randomized crossover clinical trial design

Published online by Cambridge University Press:  14 July 2025

Naiane Silva Morais
Affiliation:
Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil.
Vinnycius Nunes de Oliveira
Affiliation:
Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil.
Rizia Silva-Rocha
Affiliation:
Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil.
Wellington Fernando Silva
Affiliation:
Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil.
Ricardo Borges Viana
Affiliation:
Instituto de Educação Física e Esportes, Universidade Federal do Ceará, Fortaleza, Brazil.
Carlos Alexandre Vieira
Affiliation:
Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil.
Mario Hebling Campos
Affiliation:
Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil.
Marilia Santos Andrade
Affiliation:
Departamento de Fisiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Rodrigo Luiz Vancini
Affiliation:
Centro de Educação Física e Desportos, Universidade Federal do Espírito Santo, Vitória, Brazil.
Katja Weiss
Affiliation:
Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland.
Beat Knechtle*
Affiliation:
Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland. Institute of Primary Care, University of Zurich, Switzerland.
Claudio Andre Barbosa de Lira
Affiliation:
Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil.
*
*Corresponding author: Beat Knechtle, E-mail: beat.knechtle@hispeed.ch
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Abstract

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Objective:

To investigate the effect of physical exercise intensity on state anxiety symptoms and affective responses.

Methods:

Twenty-one healthy women (mean age: 23.6 ± 5.4 years) participated in three sessions: self-selected intensity exercise, moderate-intensity prescribed exercise, and a nonexercise control session. Before each session, participants were exposed to unpleasant stimuli. State anxiety symptoms and affective responses were assessed pre- and post-stimulus exposure and pre- and post-sessions. A two-way repeated measures ANOVA tested state anxiety, while the Friedman test analyzed affective responses.

Results:

Time significantly affected state anxiety symptoms [F (2,0) = 25.977; P < 0.001; η2p = 0.565]. Anxiety increased post-stimulus (P < 0.001) and decreased after all sessions. No significant differences were found between exercise and control conditions. Time also significantly influenced affective responses [χ² (8.0) = 62.953; P < 0.001; Kendall’s W: 0.375]. Affective responses decreased post-stimulus (P = 0.029) and significantly increased after both exercise sessions (P < 0.001) but remained unchanged in the control session (P = 0.183).

Conclusions:

Although state anxiety increased after unpleasant stimuli in all conditions, reductions following exercise sessions were comparable to the nonexercise session. However, both exercise sessions uniquely improved affective responses, highlighting their potential for emotional recovery after unpleasant stimuli.

Information

Type
Original Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Scandinavian College of Neuropsychopharmacology