Mental health and quality of life benefits of a pedometer-based walking intervention delivered in a primary care setting

Vetrovsky, Tomas; Cupka, Jozef; Dudek, Martin; Kuthanova, Blanka; Vetrovska, Klaudia; Čapek, Václav; Bunc, Václav

doi:10.5507/ag.2017.017

Cited by 7 publications

(6 citation statements)

References 29 publications

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“…Several studies in the current review did not underpin design with any theory and none used theories that considered automatic processes (emotion) Physical activity was measured in a variety of ways including both objective and selfreport (Chalder et al, 2012;Pentecost et al, 2015). Research has shown that pedometers are a tool to enhance individuals' motivation to increase their physical activity levels (Gardner & Campagna, 2011;Rebar & Taylor, 2017;Vetrovsky et al, 2017). However, a limitation of objective physical activity measures specifically for MHSU is that participants who struggle with memory issues may fail to wear the device (e.g., a wrist-watch) continuously for the entire seven-day period (Harrold et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Literature on peer-based community physical activity programmes for mental health service users: a scoping review

Tweed

Rogers

Kinnafick

2020

Health Psychology Review

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Physical activity is a key determinant of mental health; community programmes aim to increase health and well-being on a community wide scale; with emphasis on social interaction (Quirk et al., 2017). Regular physical activity participation in community settings yields additional social benefits, such as peer support. Peers are defined as individuals who identify with one another through their experiences, and based on commonality of, diagnosis (Keyes et al., 2016). There is limited research investigating the incorporation of peer support within community-based physical activity programmes for mental health service users (MHSU). This scoping review aimed to explore existing literature that has included peer support as a component of community-based physical activity programmes for MHSU. We examined published literature following the methodological framework by Arksey and O'Malley (2005) using electronic databases (SportDiscus, Web of Science, MEDLINE, and PsycINFO), reference lists, and hand searching of journals. Thirteen articles met the inclusion criteria of programmes that included; adults aged 18 and over, a peer support component, physical activity and/or sport, participants with a mental health diagnoses and were communitybased. Research published between 2007 and 2019 was peer-reviewed and written in English was included. Nine studies found a significant increase in perceived social support, seven studies reporting increased mental wellbeing and five studies reported increased physical activity levels. Effectiveness of reviewed programmes were categorised as;

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Section: Discussionmentioning

confidence: 99%

Literature on peer-based community physical activity programmes for mental health service users: a scoping review

Tweed

Rogers

Kinnafick

2020

Health Psychology Review

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“…In this context, efforts to improve the mental health of patients undergoing bariatric surgery are vital. Our findings suggest that interventions aimed to increase physical activity and fitness can play an important role in improving mental health after bariatric surgery [ 52 ]. Recent studies indicated that post-operative physical exercise is likely to reduce depression and anxiety symptoms [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Increased Cardiopulmonary Fitness Is Associated with a Greater Reduction in Depression among People Who Underwent Bariatric Surgery

Vetrovsky

Fortova

Conesa-Ros

et al. 2021

IJERPH

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The aim of this study was to determine the effect of changes in cardiopulmonary fitness on the mental health of patients with severe obesity who underwent gastric bypass surgery (prior to and 1, 3, and 6 months after surgery). Study participants were recruited from among patients of a regional hospital in Czechia who underwent gastric bypass surgery between April 2018 and October 2019. They were eligible if they (a) were between 18 and 65 years old, (b) provided written informed consent, and (c) were able to walk independently. Twenty-six patients (age 45.4 ± 9.0 years, body mass index 45.1 ± 7.4 kg·m−2, body fat 43.8 ± 4.8%) were included in the analysis. The key finding revealed that the greater the increase in cardiopulmonary fitness (i.e., longer distance walked in the six-minute walk test, 6MWT), the better the improvement in depression score among patients who underwent bariatric surgery. In particular, increments of 10 m in the 6MWT lead to the improvement of 0.5 points on the depression subscale of the Hospital Anxiety and Depression Scale (HADS) questionnaire. As the main implication, these results suggest that patients should participate in exercise training programs to increase their fitness status for optimal physical and mental outcomes of bariatric surgery.

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“…The secondary outcomes were the changes from T0 to T12 in systolic and diastolic blood pressure, waist and hip circumference, and body mass. In addition, patient-reported outcomes (health-related quality of life, and depression and anxiety) were collected before and after the intervention for the purpose of a quasi-experimental pre/post study whose results were published separately [ 58 ].…”

Section: Methodsmentioning

confidence: 99%

A pedometer-based walking intervention with and without email counseling in general practice: a pilot randomized controlled trial

Vetrovsky

Cupka²,

Dudek³

et al. 2018

BMC Public Health

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BackgroundGeneral practitioners play a fundamental role in combatting the current epidemic of physical inactivity, and pedometer-based walking interventions are able to increase physical activity levels of their patients. Supplementing these interventions with email counseling driven by feedback from the pedometer has the potential to further improve their effectiveness but it has to be yet confirmed in clinical trials. Therefore, the aim of our pilot randomized controlled trial is to evaluate the feasibility and potential efficacy of future trials designed to assess the additional benefit of email counseling added to a pedometer-based intervention in a primary care setting.MethodsPhysically inactive patients were opportunistically recruited from four general practices and randomized to a 12-week pedometer-based intervention with or without email counseling. To explore the feasibility of future trials, we assessed the speed and efficiency of recruitment, adherence to wearing the pedometer, and engagement with email counseling. To evaluate the potential efficacy, daily step-count was the primary outcome and blood pressure, waist and hip circumference, and body mass were the secondary outcomes. Additionally, we conducted a qualitative analysis of structured interviews with the participating general practitioners.ResultsThe opportunistic recruitment has been shown to be feasible and acceptable, but relatively slow and inefficient; moreover, general practitioners selectively recruited overweight and obese patients. Patients manifested high adherence, wearing the pedometer on 83% (± 20) of days. All patients from the counseling group actively participated in email communication and responded to 46% (± 22) of the emails they received. Both groups significantly increased their daily step-count (pedometer-plus-email, + 2119, p = 0.002; pedometer-alone, + 1336, p = 0.03), but the difference between groups was not significant (p = 0.18). When analyzing both groups combined, there was a significant decrease in body mass (− 0.68 kg, p = 0.04), waist circumference (− 1.73 cm, p = 0.03), and systolic blood pressure (− 3.48 mmHg, p = 0.045).ConclusionsThis study demonstrates that adding email counseling to a pedometer-based intervention in a primary care setting is feasible and might have the potential to increase the efficacy of such an intervention in increasing physical activity levels.Trial registrationThe trial was retrospectively registered at ClinicalTrials.gov (ID: NCT03135561, date: April 26, 2017).

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Mental health and quality of life benefits of a pedometer-based walking intervention delivered in a primary care setting

Cited by 7 publications

References 29 publications

Literature on peer-based community physical activity programmes for mental health service users: a scoping review

Literature on peer-based community physical activity programmes for mental health service users: a scoping review

Increased Cardiopulmonary Fitness Is Associated with a Greater Reduction in Depression among People Who Underwent Bariatric Surgery

A pedometer-based walking intervention with and without email counseling in general practice: a pilot randomized controlled trial

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