Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life
Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian Nat...
Ausführliche Beschreibung
Autor*in: |
Scott Burton Patten [verfasserIn] Jeanne V.A. Williams [verfasserIn] Dina H. Lavorato [verfasserIn] Andrew G.M. Bulloch [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2013 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Frontiers in Psychiatry - Frontiers Media S.A., 2010, 4(2013) |
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Übergeordnetes Werk: |
volume:4 ; year:2013 |
Links: |
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DOI / URN: |
10.3389/fpsyt.2013.00022 |
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Katalog-ID: |
DOAJ02656274X |
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10.3389/fpsyt.2013.00022 doi (DE-627)DOAJ02656274X (DE-599)DOAJabefde0e285c4f8bb34c5b85b37298dd DE-627 ger DE-627 rakwb eng RC435-571 Scott Burton Patten verfasserin aut Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. Longitudinal Studies Quality of Life Recreation Tertiary Prevention physical activity Major Depressive Disorder Psychiatry Scott Burton Patten verfasserin aut Scott Burton Patten verfasserin aut Jeanne V.A. Williams verfasserin aut Dina H. Lavorato verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 4(2013) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:4 year:2013 https://doi.org/10.3389/fpsyt.2013.00022 kostenfrei https://doaj.org/article/abefde0e285c4f8bb34c5b85b37298dd kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00022/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2013 |
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10.3389/fpsyt.2013.00022 doi (DE-627)DOAJ02656274X (DE-599)DOAJabefde0e285c4f8bb34c5b85b37298dd DE-627 ger DE-627 rakwb eng RC435-571 Scott Burton Patten verfasserin aut Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. Longitudinal Studies Quality of Life Recreation Tertiary Prevention physical activity Major Depressive Disorder Psychiatry Scott Burton Patten verfasserin aut Scott Burton Patten verfasserin aut Jeanne V.A. Williams verfasserin aut Dina H. Lavorato verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 4(2013) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:4 year:2013 https://doi.org/10.3389/fpsyt.2013.00022 kostenfrei https://doaj.org/article/abefde0e285c4f8bb34c5b85b37298dd kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00022/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2013 |
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10.3389/fpsyt.2013.00022 doi (DE-627)DOAJ02656274X (DE-599)DOAJabefde0e285c4f8bb34c5b85b37298dd DE-627 ger DE-627 rakwb eng RC435-571 Scott Burton Patten verfasserin aut Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. Longitudinal Studies Quality of Life Recreation Tertiary Prevention physical activity Major Depressive Disorder Psychiatry Scott Burton Patten verfasserin aut Scott Burton Patten verfasserin aut Jeanne V.A. Williams verfasserin aut Dina H. Lavorato verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 4(2013) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:4 year:2013 https://doi.org/10.3389/fpsyt.2013.00022 kostenfrei https://doaj.org/article/abefde0e285c4f8bb34c5b85b37298dd kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00022/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2013 |
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10.3389/fpsyt.2013.00022 doi (DE-627)DOAJ02656274X (DE-599)DOAJabefde0e285c4f8bb34c5b85b37298dd DE-627 ger DE-627 rakwb eng RC435-571 Scott Burton Patten verfasserin aut Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. Longitudinal Studies Quality of Life Recreation Tertiary Prevention physical activity Major Depressive Disorder Psychiatry Scott Burton Patten verfasserin aut Scott Burton Patten verfasserin aut Jeanne V.A. Williams verfasserin aut Dina H. Lavorato verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 4(2013) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:4 year:2013 https://doi.org/10.3389/fpsyt.2013.00022 kostenfrei https://doaj.org/article/abefde0e285c4f8bb34c5b85b37298dd kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00022/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2013 |
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10.3389/fpsyt.2013.00022 doi (DE-627)DOAJ02656274X (DE-599)DOAJabefde0e285c4f8bb34c5b85b37298dd DE-627 ger DE-627 rakwb eng RC435-571 Scott Burton Patten verfasserin aut Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. Longitudinal Studies Quality of Life Recreation Tertiary Prevention physical activity Major Depressive Disorder Psychiatry Scott Burton Patten verfasserin aut Scott Burton Patten verfasserin aut Jeanne V.A. Williams verfasserin aut Dina H. Lavorato verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut Andrew G.M. Bulloch verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 4(2013) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:4 year:2013 https://doi.org/10.3389/fpsyt.2013.00022 kostenfrei https://doaj.org/article/abefde0e285c4f8bb34c5b85b37298dd kostenfrei http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00022/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2013 |
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The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p &lt; 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. 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Scott Burton Patten misc RC435-571 misc Longitudinal Studies misc Quality of Life misc Recreation misc Tertiary Prevention misc physical activity misc Major Depressive Disorder misc Psychiatry Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life |
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Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life |
abstract |
Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. |
abstractGer |
Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. |
abstract_unstemmed |
Background: Major depressive episodes (MDEs) have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition. |
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Recreational Physical Activity Ameliorates Some of the Negative Impact of Major Depression on Health-Related Quality of Life |
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The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures) and a HRQoL instrument (the Health Utility Index, Mark 3 or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6 – 0.8, p &lt; 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (β = 0.019, 95% CI 0.004 to – 0.034, p =0.02).Conclusions: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. 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