Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study.

Ko, Jong Mi; White, Kamila S; Kovacs, Adrienne H; Tecson, Kristen M; Apers, Silke; Luyckx, Koen; Thomet, Corina; Budts, Werner; Enomoto, Junko; Sluman, Maayke A; Wang, Jou-Kou; Jackson, Jamie L; Khairy, Paul; Cook, Stephen C; Chidambarathanu, Shanthi; Alday, Luis; Eriksen, Katrine; Dellborg, Mikael; Berghammer, Malin; Johansson, Bengt; ... (2019). Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study. Journal of psychosomatic research, 124(109762), p. 109762. Elsevier 10.1016/j.jpsychores.2019.109762

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OBJECTIVE This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking. METHODS In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms. RESULTS The overall prevalence of elevated depressive symptoms in this sample was 12% with significant differences in rates between countries (p < .001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38% decreased probability of depressive symptoms (p < .001). CONCLUSIONS Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Thomet, Corina

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0022-3999

Publisher:

Elsevier

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

12 May 2020 15:26

Last Modified:

17 May 2020 02:47

Publisher DOI:

10.1016/j.jpsychores.2019.109762

PubMed ID:

31443808

Uncontrolled Keywords:

Adult congenital heart disease Depression Perceived health Physical activity Prognosis

BORIS DOI:

10.7892/boris.143972

URI:

https://boris.unibe.ch/id/eprint/143972

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