The relationship between physical activity states and depressive symptoms: Using ambulatory assessment to characterize day‐to‐day associations among individuals with and without bipolar spectrum disorder

Walsh, Rachel F.L.; Smith, Lawrence W.; Titone, Madison K.; Ng, Tommy H.; Goel, Namni; Alloy, Lauren B.

doi:10.1002/da.23290

Cited by 4 publications

(1 citation statement)

References 46 publications

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“…Based on our results, we alternatively recommend promoting activation. This solution is good for improving depressive symptoms (Walsh et al 2022), reducing lithium levels slightly, and improving the cardiovascular system (Falkai et al 2022). Physical activity is effective and should be promoted among bipolar patients to prevent cardiovascular disease, which is one of the targets of a healthy lifestyle (Bauer et al 2016;García et al 2020).…”

Section: Discussionmentioning

confidence: 99%

Lithium levels and lifestyle in patients with bipolar disorder: a new tool for self-management

Zorrilla

López-Zurbano

Alberich

et al. 2023

Int J Bipolar Disord

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Background Patients should get actively involved in the management of their illness. The aim of this study was to assess the influence of lifestyle factors, including sleep, diet, and physical activity, on lithium levels in patients with bipolar disorder. Methods A multicenter study was performed. In total, 157 lithium measurements were done biweekly in a sample of 65 patients (35 women) over 6 weeks. Lifestyle, based on total sleep hours and physical activity, was assessed by actigraphy. Diet was evaluated using the Mediterranean Lifestyle Index (Medlife). Results 35.4% of patients had a normal weight. The mean Medlife score was 14.5 (± 2.5) (moderate-good adherence to Mediterranean diet). BMI, daily dose of lithium and intensity of physical activity had a combined effect on lithium levels, after adjustment for other variables. Patients who practiced intense physical exercise, who took lower doses and had a higher BMI exhibited lower levels of lithium. Conclusions Higher physical activity and BMI contribute to lower lithium levels. Patients should be made aware of these relationships to improve their perception of control and self-management. Lifestyle-based interventions contribute to establishing a more personalized medicine.

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Section: Discussionmentioning

confidence: 99%

Lithium levels and lifestyle in patients with bipolar disorder: a new tool for self-management

Zorrilla

López-Zurbano

Alberich

et al. 2023

Int J Bipolar Disord

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The Within-Subject Association of Physical Behavior and Affective Well-Being in Everyday Life: A Systematic Literature Review

Timm,

Giurgiu,

Ebner-Priemer

et al. 2024

Sports Med

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Background The interplay of physical activity (PA) with affective well-being (AWB) is highly critical to both health behaviors and health outcomes. Current prominent theories presume AWB to be crucial for PA maintenance, and PA is evidenced to foster mental health. However, thus far, PA-AWB associations have mainly been researched in laboratory settings and with interventional designs, but the everyday life perspective had not been focused on, mostly due to technological limitations. In the course of digitization, the number of studies using device-based methods to research the within-subject association of physical activity and affective well-being (PA-AWB) under ecological valid conditions increased rapidly, but a recent comprehensive systematic review of evidence across populations, age groups, and distinct AWB components remained inconclusive. Objectives Therefore, we aimed to firstly review daily-life studies that assessed intensive longitudinal device-based (e.g., electronic smartphone diaries and accelerometry) and real-time PA-AWB data, secondly to develop and apply a quality assessment tool applicable to those studies, and thirdly to discuss findings and draw implications for research and practice. Methods To this end, the literature was searched in three databases (Web of Science, PubMed, Scopus) up to November 2022. The systematic review followed the PRISMA guidelines and had been pre-registered (PROSPERO id: CRD42021277327). A modified quality assessment tool was developed to illustrate the risk of bias of included studies. Results The review of findings showed that, in general, already short PA bouts in everyday life, which clearly differ from structured exercise sessions, are positively associated with AWB. In particular, feelings of energy relate to incidental (non-exercise and unstructured) activity, and PA-AWB associations depend on population characteristics. The quality assessment revealed overall moderate study quality; however, the methods applied were largely heterogeneous between investigations. Overall, the reviewed evidence on PA-AWB associations in everyday life is ambiguous; for example, no clear patterns of directions and strengths of PA-AWB relationships depending on PA and AWB components (such as intensity, emotions, affect, mood) emerged. Conclusions The reviewed evidence can fuel discussions on whether the World Health Organization’s notion “every move counts” may be extended to everyday life AWB. Concurrently, the PA-AWB relationship findings endorse prominent theories highlighting the critical role of AWB in everyday PA engagement and maintenance. However, the review also clearly highlights the need to advance and harmonize methodological approaches for more fine-grained investigations on which specific PA/AWB characteristics, contextual factors, and biological determinants underly PA-AWB associations in everyday life. This will enable the field to tackle pressing challenges such as the issue of causality of PA-AWB associations, which will help to shape and refine existing theories to ultimately predict and improve health behavior, thereby feeding into precision medicine approaches.

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Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies

White,

Vella,

Biddle

et al. 2024

Int J Behav Nutr Phys Act

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Background While evidence consistently demonstrates that physical activity is beneficial to mental health, it remains relatively unknown how physical activity benefits mental health, and which factors influence the effect of physical activity on mental health. This understanding could vastly increase our capacity to design, recommend, and prescribe physical activity in more optimal ways. The purpose of this study was to systematically review and synthesise evidence of all mediators and moderators of the relationship between physical activity and mental health. Methods Systematic searches of four databases (i.e., Scopus, PsycINFO, PubMed, and SPORTDiscus) identified 11,633 initial studies. Empirical studies that quantitatively assessed physical activity, or conducted a physical activity intervention, measured a mental health outcome, and tested one or more mediator or moderator of the relationship between physical activity and mental health were included. A total of 247 met the inclusion criteria; 173 studies examined mediation and 82 examined moderation. Results Results of the best-evidence synthesis revealed strong evidence for 12 mediators including affect, mental health and wellbeing, self-esteem, self-efficacy, physical self-worth, body image satisfaction, resilience, social support, social connection, physical health, pain, and fatigue. Moderate evidence was identified for a further 15 mediators and eight moderators. Conclusions Findings should inform the design of future physical activity interventions to ensure optimal effects on mental health related outcomes. Additionally, if health professionals were to take these mediators and moderators into consideration when prescribing or recommending physical activity, physical activity would likely have a greater impact on population mental health.

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The relationship between physical activity states and depressive symptoms: Using ambulatory assessment to characterize day‐to‐day associations among individuals with and without bipolar spectrum disorder

Cited by 4 publications

References 46 publications

Lithium levels and lifestyle in patients with bipolar disorder: a new tool for self-management

Lithium levels and lifestyle in patients with bipolar disorder: a new tool for self-management

The Within-Subject Association of Physical Behavior and Affective Well-Being in Everyday Life: A Systematic Literature Review

Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies

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