How do you exercise with epilepsy? Insights into the barriers and adaptations to successfully exercise with epilepsy

Collard, Sarah; Ellis‐Hill, Caroline

doi:10.1016/j.yebeh.2017.03.004

Cited by 41 publications

(22 citation statements)

References 22 publications

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“…For example, it is unknown whether there are differences in physical activity and sedentary levels between different subtypes of epilepsy, between people with active and inactive epilepsy and between people with epilepsy with and without mental and/or physical co-morbidity. Previous individual studies have demonstrate that presence of co-morbid anxiety and depression [19][20][21], fear of exercise-induced seizures [22], sideeffects of antiepileptic drugs [19], and perceived stigma [23,24] contribute to lower physical activity levels in people with epilepsy.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the benefits of an active lifestyle, people with epilepsy experience a range of barriers to engaging in more physical activity and becoming less sedentary, such as the presence of co-morbid anxiety and depression [19][20][21], fear of exercise-induced seizures [22], side-effects of antiepileptic drugs such as drowsiness, fatigue, headache or migraine, gastrointestinal disturbances, dizziness and faintness, rash or skin disorders [19] and perceived stigma [23,24]. Given that an active lifestyle is related to a better seizure control and quality of life in people with epilepsy, understanding physical activity and sedentary levels among people with epilepsy is critical to improving long-term health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Physical activity and sedentary levels among people living with epilepsy: A systematic review and meta-analysis

Vancampfort

Ward

Stubbs

2019

Epilepsy & Behavior

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical activity and sedentary levels among people living with epilepsy: A systematic review and meta-analysis

Vancampfort

Ward

Stubbs

2019

Epilepsy & Behavior

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“…Social support can provide encouragement and may help overcome perceived barriers to exercise 12. Young people should be encouraged to take regular physical exercise, including contact sports if they wish, and be supervised for water sports, harnessed climbing, and horse riding 13.…”

Section: How Should Families Approach Sports and Exercise?mentioning

confidence: 99%

Practical aspects of childhood epilepsy

Petropoulos

Bonaiuto

Currier

et al. 2019

BMJ

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“…In all, 17 studies investigated the effect of physical activity on comorbidities such as anxiety and depression, as well as quality of life. Ten of these studies ("2−" n = 8, "3" n = 2; survey-/interview-based studies, combined studies, studies on one-time physical effort) showed physical activity to have a positive effect (4, 9,12,14,[16][17][18][19][20][21]. The results of six interventional studies (n = 2 evidence-level "1-", n = 4 "2−") revealed a similar picture.…”

Section: Resultsmentioning

confidence: 97%

“…• Epidemiological study with 1 173 079 male conscripts aged 18 and "2+") referred to in this review are additionally shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Sport and Physical Activity in Epilepsy

Bogard¹,

Hamer²,

Sassen³

et al. 2020

Deutsches Ärzteblatt International

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pilepsy is a common neurological disorders with a lifetime prevalence of 7.6 per 1000 persons (e1). In addition to recurrent seizures, epilepsy is also associated with comorbidities such as cognitive and psychological problems, as well as social difficulties (e2). Despite the known positive effects of sports and physical activity on quality of life and general disease prevention (e3), patients with epilepsy have long been discouraged from participating in sports activities (e4). This recommendation is likely based on the fear that sporting activity may cause injuries, potentially induce seizures, and have a negative effect on disease course. However, over the past few decades, studies have shown that sports-related injuries are not more common in these patients compared to the general population (e5). Therefore, the questions arise as to whether patients with epilepsy avoid sports and take less physical exercise than the general population on the basis of unverifiable rationales and prejudices (e6) and whether this leads to further disadvantages for this group. In 2016, the International League Against Epilepsy (ILAE) published a consensus paper that recommends safe sports participation for patients with epilepsy (e7). It is unclear which positive effects of sports on actual disease activity these patients are being deprived of. Therefore, the aim of this systematic review is to answer the following questions: • Are patients with epilepsy less physically active and less fit than the general population? • What effect does physical activity have on comorbidities in epilepsy? • What effect does physical activity have on the frequency of seizures? Methods The literature search was conducted on 31 January 2019, in the PubMed (Medline/PubMed Central) and Web of Science databases. The following search terms were used: (epilepsy OR "AED" OR seizure OR antiepileptic OR epileptic) AND (exercise OR "physical activity" OR sport OR training OR "physical effort" OR "physical therapy"). Longitudinal and crosssectional human studies, as well as case studies, were included. Diagnosed epilepsy and endpoints on Summary Background: For many years, people with epilepsy were advised not to engage in sports. In this systematic review, we investigated whether persons with epilepsy exercise less than the general population, and what effect physical activity has on epilepsy. Methods: A literature search was carried out in PubMed and the Web of Science, and 14 269 studies were entered into the selection process. The selected studies were assessed for their methodological quality and accordingly assigned an evidence level. Results: 42 studies were included in the review; 10 were classified as evidence level 3, 27 as evidence level 2-, 2 as evidence level 2+, and 3 as evidence level 1-. Persons with epilepsy are less physically active and less physically fit than the general population. Reduced physical activity is associated with a higher frequency of comorbidities and lower quality of life. Physical interventions can improve quality of lif...

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How do you exercise with epilepsy? Insights into the barriers and adaptations to successfully exercise with epilepsy

Cited by 41 publications

References 22 publications

Physical activity and sedentary levels among people living with epilepsy: A systematic review and meta-analysis

Physical activity and sedentary levels among people living with epilepsy: A systematic review and meta-analysis

Practical aspects of childhood epilepsy

Sport and Physical Activity in Epilepsy

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