Perceived barriers, benefits and correlates of physical activity in outpatients with Major Depressive Disorder: A study from Brazil

Abstract

To evaluate the barriers, benefits and correlates of physical activity (PA) in outpatients with Major Depressive Disorder (MDD). Methods: Data were collected from outpatients under treatment for MDD at Hospital de Clínicas de Porto Alegre. Barriers and benefits were assessed with the Exercise Barriers/Benefits Scale (EBBS). Objective and self-reported PA were assessed with pedometers and the International Physical Activity Questionnaire (IPAQ), respectively. Results: The sample consisted of 65 outpatients (82% female; mean age = 50.9 years; SD = 10.1). Improvement in physical performance was the most reported benefit (mean = 3.00; SD = 0.3) while the most reported barrier was physical exertion (mean = 2.95; SD = 0.4). Depression symptom severity was negatively correlated with life enhancement (r = -0.337; p = 0.009), physical performance (r=-0.348; p = 0.007), psychological outlook (r=-0.364; p = 0.005), social interaction (r=-0.317; p = 0.015) and preventive health (r=-0.352; p = 0.007). Conclusion: Physical exertion is the most perceived barrier for PA in people with MDD. Symptom severity is associated with higher barrier levels, whilst higher current PA levels are associated with more benefits and lesser barriers. Interventions targeting PA promotion should consider the identified benefits and barriers when developing PA programs for people with MDD in outpatient settings.

The Relationship Between Perceived Barriers for Physical Activity and Depression in Low Active Community-Dwelling Women

“…For instance, previous research (36) showed that in severe mental illness, low mood and stress are perceived as the most signi cant barriers for physical activity, followed by social support. In addition, in outpatients with depression, physical exertion was the most common reported PA barrier (37). The Barriers to Being Physically Active Quiz scale used in this study assess lack of energy, but it does not capture whether low mood, high stress or physical exhaustion prevent women from exercising.…”

Understanding and mitigating the environmental barriers that patients with major depressive disorder face when transitioning to independent exercise

“…Distance to the gym was a barrier noted by Monteiro et al (2020) , in this study 53.2% of participants either agreed or strongly agreed that distance to the gym was a barrier to exercise. Other studies in the literature have found that the distance to physical activity resources, such as gyms, are negatively correlated with physical activity ( Jilcott et al, 2007 ).…”

“…This challenge can limit participation in exercise, thus hindering the benefits of exercise. One of the potential reasons for this observed challenge could be due to environmental barriers associated with exercise, including the distance to gyms and gym costs (Glowacki et al, 2017;Monteiro et al, 2020). These environmental barriers can make it quite challenging for young people with persistent depression to exercise independently.Distance to the gym was a barrier noted by Monteiro et al (2020), in this study 53.2% of participants either agreed or strongly agreed that distance to the gym was a barrier to exercise.…”

“…One of the potential reasons for this observed challenge could be due to environmental barriers associated with exercise, including the distance to gyms and gym costs (Glowacki et al, 2017;Monteiro et al, 2020). These environmental barriers can make it quite challenging for young people with persistent depression to exercise independently.Distance to the gym was a barrier noted by Monteiro et al (2020), in this study 53.2% of participants either agreed or strongly agreed that distance to the gym was a barrier to exercise. Other studies in the literature have found that the distance to physical activity resources, such as gyms, are negatively correlated with physical activity (Jilcott et al, 2007).…”

Estágio E a Formação Docente: A Importância Do Professor De Educação Física Na Educação Infantil

“…Existem vários métodos para estimar a intensidade e volume da atividade física realizada por idosos (MONTEIRO et al, 2020;MÜLLER-RIEMENSCHNEIDER et al, 2020;DYRSTAD et al, 2014;CROUTER et al, 2003). Medida de gasto energético por meio da calorimetria direta, indireta ou pelo método de água duplamente marcada, por meio de vídeos e/ou observação direta com a observação comportamental são considerados padrão ouro na literatura (DYRSTAD et al, 2014).…”