Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study

on behalf of the APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD)

Research output: Contribution to journalArticle

Abstract

Objective: This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking. Methods: In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms. Results: The overall prevalence of elevated depressive symptoms in this sample was 12% with significant differences in rates between countries (p <.001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38% decreased probability of depressive symptoms (p <.001). Conclusions: Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.

Original languageEnglish (US)
Article number109762
JournalJournal of Psychosomatic Research
Volume124
DOIs
StatePublished - Sep 2019

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Heart Diseases
Exercise
Depression
Sports
Nonparametric Statistics
Social Adjustment
Population
Prescriptions
Anxiety
Health

Keywords

  • Adult congenital heart disease
  • Depression
  • Perceived health
  • Physical activity
  • Prognosis

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Differential impact of physical activity type on depression in adults with congenital heart disease : A multi-center international study. / on behalf of the APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD).

In: Journal of Psychosomatic Research, Vol. 124, 109762, 09.2019.

Research output: Contribution to journalArticle

on behalf of the APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD). / Differential impact of physical activity type on depression in adults with congenital heart disease : A multi-center international study. In: Journal of Psychosomatic Research. 2019 ; Vol. 124.
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title = "Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study",
abstract = "Objective: This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking. Methods: In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms. Results: The overall prevalence of elevated depressive symptoms in this sample was 12{\%} with significant differences in rates between countries (p <.001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38{\%} decreased probability of depressive symptoms (p <.001). Conclusions: Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.",
keywords = "Adult congenital heart disease, Depression, Perceived health, Physical activity, Prognosis",
author = "{on behalf of the APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD)} and Ko, {Jong Mi} and White, {Kamila S.} and Kovacs, {Adrienne H.} and Tecson, {Kristen M.} and Silke Apers and Koen Luyckx and Corina Thomet and Werner Budts and Junko Enomoto and Sluman, {Maayke A.} and Wang, {Jou Kou} and Jackson, {Jamie L.} and Paul Khairy and Cook, {Stephen C.} and Shanthi Chidambarathanu and Luis Alday and Katrine Eriksen and Mikael Dellborg and Malin Berghammer and Bengt Johansson and Mackie, {Andrew S.} and Samuel Menahem and Maryanne Caruana and Gruschen Veldtman and Alexandra Soufi and Fernandes, {Susan M.} and Edward Callus and Shelby Kutty and Philip Moons and Cedars, {Ari M.}",
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T1 - Differential impact of physical activity type on depression in adults with congenital heart disease

T2 - A multi-center international study

AU - on behalf of the APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD)

AU - Ko, Jong Mi

AU - White, Kamila S.

AU - Kovacs, Adrienne H.

AU - Tecson, Kristen M.

AU - Apers, Silke

AU - Luyckx, Koen

AU - Thomet, Corina

AU - Budts, Werner

AU - Enomoto, Junko

AU - Sluman, Maayke A.

AU - Wang, Jou Kou

AU - Jackson, Jamie L.

AU - Khairy, Paul

AU - Cook, Stephen C.

AU - Chidambarathanu, Shanthi

AU - Alday, Luis

AU - Eriksen, Katrine

AU - Dellborg, Mikael

AU - Berghammer, Malin

AU - Johansson, Bengt

AU - Mackie, Andrew S.

AU - Menahem, Samuel

AU - Caruana, Maryanne

AU - Veldtman, Gruschen

AU - Soufi, Alexandra

AU - Fernandes, Susan M.

AU - Callus, Edward

AU - Kutty, Shelby

AU - Moons, Philip

AU - Cedars, Ari M.

PY - 2019/9

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N2 - Objective: This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking. Methods: In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms. Results: The overall prevalence of elevated depressive symptoms in this sample was 12% with significant differences in rates between countries (p <.001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38% decreased probability of depressive symptoms (p <.001). Conclusions: Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.

AB - Objective: This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking. Methods: In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms. Results: The overall prevalence of elevated depressive symptoms in this sample was 12% with significant differences in rates between countries (p <.001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38% decreased probability of depressive symptoms (p <.001). Conclusions: Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.

KW - Adult congenital heart disease

KW - Depression

KW - Perceived health

KW - Physical activity

KW - Prognosis

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