Protective Effect of Regular Physical Activity on Depression After Myocardial Infarction: The HUNT Study

Ernstsen, Linda; Rangul, Vegar; Nauman, Javaid; Nes, Bjarne M.; Dalen, Håvard; Krokstad, Steinar; Lavie, Carl J.; Blair, Steven N.; Wisløff, Ulrik

doi:10.1016/j.amjmed.2015.08.012

Cited by 38 publications

(34 citation statements)

References 36 publications

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“…101 In studies that have evaluated major dimensions of HRQoL on post-MI and post-CABG patients using disease-specific and general outcome measures, CR has been reported to enhance PSS profiles, and HRQoL scores. [102][103][104] Patients in the CR cohort also demonstrated a tendency to return to work sooner than those in the conventional care group. 105 Although most trials reported improved HRQoL with CR, meta-analyses were generally unavailable due to heterogeneity in the outcome measures used and varied data reporting.…”

Section: Health-related Quality Of Life and Psychosocial Stress In Camentioning

confidence: 90%

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Kachur

Chongthammakun

Lavie

et al. 2017

Progress in Cardiovascular Diseases

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129

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Section: Health-related Quality Of Life and Psychosocial Stress In Camentioning

confidence: 90%

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Kachur

Chongthammakun

Lavie

et al. 2017

Progress in Cardiovascular Diseases

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129

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“…The ‘hard’ physical activity question has been found to be a valid measure of vigorous intensity physical activity [33, 34], and the ‘light’ physical activity question has moderate correlation with the International physical activity questionnaire (IPAQ) measure of moderate-intensity physical activity [33]. Being ‘at risk’ was defined as less than three hours/week of light and no hard activity or less than one hour per week of light and less than one hour per week of hard activity per week [35]. Missing values for one form of physical activity (but not both) ( n = 16 595) were given zero for that physical activity type.…”

Section: Methodsmentioning

confidence: 99%

Multiple lifestyle behaviours and mortality, findings from a large population-based Norwegian cohort study - The HUNT Study

et al. 2017

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BackgroundLifestyle risk behaviours are responsible for a large proportion of disease burden and premature mortality worldwide. Risk behaviours tend to cluster in populations. We developed a new lifestyle risk index by including emerging risk factors (sleep, sitting time, and social participation) and examine unique risk combinations and their associations with all-cause and cardio-metabolic mortality.MethodsData are from a large population-based cohort study in a Norway, the Nord-Trøndelag Health Study (HUNT), with an average follow-up time of 14.1 years. Baseline data from 1995–97 were linked to the Norwegian Causes of Death Registry. The analytic sample comprised 36 911 adults aged 20–69 years. Cox regression models were first fitted for seven risk factors (poor diet, excessive alcohol consumption, current smoking, physical inactivity, excessive sitting, too much/too little sleep, and poor social participation) separately and then adjusted for socio-demographic covariates. Based on these results, a lifestyle risk index was developed. Finally, we explored common combinations of the risk factors in relation to all-cause and cardio-metabolic mortality outcomes.ResultsAll single risk factors, except for diet, were significantly associated with both mortality outcomes, and were therefore selected to form a lifestyle risk index. Risk of mortality increased as the index score increased. The hazard ratio for all-cause mortality increased from 1.37 (1.15-1.62) to 6.15 (3.56-10.63) as the number of index risk factors increased from one to six respectively. Among the most common risk factor combinations the association with mortality was particularly strong when smoking and/or social participation were included.ConclusionsThis study adds to previous research on multiple risk behaviours by incorporating emerging risk factors. Findings regarding social participation and prolonged sitting suggest new components of healthy lifestyles and potential new directions for population health interventions.

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“…After a myocardial infarction, patients with depression are less likely to adhere to recommended lifestyle changes which can reduce all-cause mortality 10, 40 . On the other hand, regular physical activity had a protective effect on the development of depressive symptoms after first myocardial infarction 41 . These studies in fact support a bidirectional relationship between physical activity and negative emotions.…”

Section: Discussionmentioning

confidence: 97%

Cardiorespiratory Fitness and All-Cause Mortality in Men With Emotional Distress

Sui

Ott

Becofsky

et al. 2017

Mayo Clinic Proceedings

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Objective Mental health and emotional disorders are often associated with higher mortality risk. Whether higher cardiorespiratory fitness (CRF) reduces the risk for all-cause mortality in individuals with emotional distress is not well known. Patients and Methods Participants were 5,240 men (mean age 46.5±9.5 years) with emotional distress (including depression, anxiety, thoughts of suicide, or a history of psychiatric or psychological counseling), completed an extensive medical examination between 1987 and 2002, and were followed for all-cause mortality through December 31, 2003. CRF was quantified as maximal treadmill exercise test duration and was grouped for analysis as low, moderate, and high. Cox proportional hazards regression was used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs). Results During a median (range) 8.7 (1.0–16.9) years and 46, 217 person years of follow-up, there were 128 deaths from any cause. Age- and examination year- adjusted all-cause mortality rates (95% CIs) per 10,000 person years according to low, moderate, and high CRF groups were 64.7 (44.9, 89.3), 28.0 (23.8, 31.5), and 19.6 (17.1, 21.6) (trend P < .001) in men who reported any emotional distress. Overall, the multivariable-adjusted HRs and 95% CIs across incremental CRF categories were 1.00 (referent), 0.54 (0.32–0.90), and 0.47 (0.26–0.85), linear trend P =.03. Conclusions Among men with emotional distress, higher CRF is associated with lower risk of dying, independent of other clinical mortality predictors. Our findings underscore the importance of promoting physical activity to maintain a healthful level of CRF in individuals with emotional distress.

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Protective Effect of Regular Physical Activity on Depression After Myocardial Infarction: The HUNT Study

Abstract: In this small sample of initially healthy adults, we observed a long-term protective effect of regular physical activity on the development of depression following myocardial infarction.

Cited by 38 publications

References 36 publications

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Impact of cardiac rehabilitation and exercise training programs in coronary heart disease

Multiple lifestyle behaviours and mortality, findings from a large population-based Norwegian cohort study - The HUNT Study

Cardiorespiratory Fitness and All-Cause Mortality in Men With Emotional Distress

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