Patients With Diabetes and Depression May Need Additional Support for Exercise

Vickers, Kristin S.; Nies, Mary A.; Patten, Christi A.; Dierkhising, Ross A.; Smith, Scott C.

doi:10.5993/ajhb.30.4.2

Cited by 41 publications

(44 citation statements)

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“…Our participant adherence to treatment rate is fairly impressive given that participants enrolled in this study were quite depressed, with depression scores in the range of clinical depression, and most receiving active treatment (medication and/or therapy) for their depression. Previous research has shown that adherence to health behavior is affected by depression ( Wing et al, 2002 ) and that higher depression scores are associated with lower self-effi cacy for exercise and more tendency to get off track and feel like a failure ( Vickers, Nies, Patten, Dierkhising, & Smith, 2006 ). Despite the additional challenges of behavior change for depressed people, exercise counseling participants in this study were able to increase signifi cantly their exercise frequency and exercise stage of change while attempting to quit smoking.…”

Section: Discussionmentioning

confidence: 66%

Feasibility of an exercise counseling intervention for depressed women smokers

Vickers

Patten

Lewis

et al. 2009

Nicotine &Amp; Tobacco Research

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Section: Discussionmentioning

confidence: 66%

Feasibility of an exercise counseling intervention for depressed women smokers

Vickers

Patten

Lewis

et al. 2009

Nicotine &Amp; Tobacco Research

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“…Furthermore, research clearly demonstrated that these categories are related to PA in type 2 diabetes patients (Kirk et al. 2004, Vickers et al. 2006, Plotnikoff et al.…”

Section: Methodsmentioning

confidence: 99%

Physical environmental correlates of self-reported and objectively assessed physical activity in Belgian type 2 diabetes patients

Greef

Dyck

Deforche

et al. 2010

Health &Amp; Social Care in the Community

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Despite the well-known beneficial effects of physical activity (PA) on the long-term outcomes of type 2 diabetes patients, the majority of this patient group remains inactive. Therefore, it is necessary to understand the most important PA determinants in type 2 diabetes patients in order to develop efficacious interventions to increase PA participation. The main aim of this study was to investigate the associations of physical environmental factors with objectively assessed and self-reported PA in type 2 diabetes patients. A total of 133 type 2 diabetes patients participated in this cross-sectional study (response rate: 43.3%). All participants completed the long International PA Questionnaire and two validated questionnaires to measure physical environmental perceptions and psychosocial factors. They also wore an accelerometer and a pedometer to measure PA objectively. Selection criteria were age 35-80, BMI 25-35 kg m-superset of, treated for type 2 diabetes and no PA limitations. Data were collected in 2007. Physical environmental factors contributed significantly to the explained variance of all objective and self-reported PA measures (explained variance from 4% to 18%) after controlling for sociodemographic variables. Home PA equipment, walkability, aesthetics and convenience of PA facilities were the most consistent environmental correlates. The contribution of physical environmental factors remained significant for most PA measures after taking into account the variance explained by psychosocial factors (explained variance from 4% to 10%), except for step counts and recreational walking. Physical environmental factors could be important correlates of PA in type 2 diabetes patients, even beyond the contribution of sociodemographic and psychosocial variables, but additional research is needed. Nevertheless, sociodemographic and psychosocial factors remain very important and when developing future interventions, all these multidimensional correlates should be kept in mind

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“…A CES-D score !16 is widely used to diagnose minor depression in healthy and CVD populations (Anstey & Luszcz, 2002;Penninx et al, 1999;Shinar et al, 1986;Weissman, Sholomskas, Pottenger, Prusoff, & Locke, 1977) and has high predictive validity for acute coronary syndrome events and for mortality in initially healthy patients (Anstey & Luszcz, 2002;Lesperance, Frasure-Smith, Juneau, & Theroux, 2000;Rowan, Haas, Campbell, MacLean, & Davidson, 2005;Rugulies, 2002). Similarly, a CES-D score !16 has been frequently used in patients with type 2 diabetes to assess depressive symptoms (Saydah, Brancati, Golden, Fradkin, & Harris, 2003;Vickers et al, 2006). Patients with diabetes exceeding 15 points on the CES-D scale had a 54% increased mortality, after controlling for sociodemographic, lifestyle and health-status variables (Zhang et al, 2005).…”

Section: Depressionmentioning

confidence: 99%

“…Depressed patients may find it difficult to follow lifestyle changes (Vickers, Nies, Patten, Dierkhising, & Smith, 2006). Depression is associated with a more sedentary lifestyle, smoking, obesity, lack of exercise and poor glycemic control (Gonzalez et al 2007;Goodman & Whitaker, 2002;Katon et al, 2004;Patton et al, 1998;Rajala, Uusima¨ki, Keina¨nen-Kiukaanniemi, & Kivela¨, 1994;Steptoe et al, 1997).…”

Section: Introductionmentioning

confidence: 98%

Lifestyle changes are related to reductions in depression in persons with elevated coronary risk factors

Pischke

Frenda

Ornish

et al. 2010

Psychology & Health

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This observational study investigates whether persons with elevated coronary risk factors (CRFs > 3 and/or diabetes) and depression [i.e., ≥ 16 on the Center for Epidemiological Scale - Depression (CES-D)] can make changes in health behaviours over 3 months and improve depressive symptoms and other CRFs. Analyses were based on data from 310 men and 687 women enrolled in the high-risk arm of the Multisite Cardiac Lifestyle Intervention Program, targeting diet (10% fat), exercise (3 h per week) and stress management (7 h per week). As expected, at study entry, depressed persons had a more adverse medical status, consumed more dietary fat and practiced less stress management than non-depressed persons. To examine 3-month changes, participants were grouped into (1) depressed persons who became non-depressed (CES-D ≤ 16, n = 248; 73%), (2) persons who remained or became depressed (CES-D > 16, n = 76) and (3) non-depressed persons who remained non-depressed (n = 597). All persons, regardless of group, met program goals. The greatest improvements (i.e., diet, exercise, perceived stress, hostility and mental health) were observed in Group 1 relative to Groups 2 and 3, which did not differ from each other. Comprehensive lifestyle changes appear to be feasible and beneficial for initially depressed persons with elevated CRFs.

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Patients With Diabetes and Depression May Need Additional Support for Exercise

Cited by 41 publications

References 0 publications

Feasibility of an exercise counseling intervention for depressed women smokers

Feasibility of an exercise counseling intervention for depressed women smokers

Physical environmental correlates of self-reported and objectively assessed physical activity in Belgian type 2 diabetes patients

Lifestyle changes are related to reductions in depression in persons with elevated coronary risk factors

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