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Eur J Prev Cardiol. 2013 Jun;20(3):399-408. doi: 10.1177/2047487312438184. Epub 2012 Feb 3.

Physical activity after myocardial infarction: is it related to mental health?

Author information

1
Leiden University Medical Centre, Department of Psychiatry, Leiden, the Netherlands. N.Rius_Ottenheim@lumc.nl

Abstract

BACKGROUND:

Physical inactivity and poor mental wellbeing are associated with poorer prognoses in patients with cardiovascular disease. We aimed to analyse the cross-sectional and prospective associations between physical activity and mental wellbeing in patients with a history of myocardial infarction.

DESIGN:

Longitudinal, observational study.

METHODS:

We investigated 600 older subjects with a history of myocardial infarction (age range 60-80 years) who participated in the Alpha Omega Trial (AOT). They were tested twice at baseline and at 40 months follow-up for physical activity - with the Physical Activity Scale for the Elderly (PASE); depressive symptoms - with the Geriatric Depression Scale (GDS-15); and dispositional optimism - with the Life Orientation Test (LOT-R). Linear (multilevel) and logistic regression analyses were used to examine cross-sectional and longitudinal associations.

RESULTS:

Physical activity was cross-sectionally associated with depressive symptoms (adjusted beta = -0.143; p = 0.001), but not with dispositional optimism (adjusted beta = 0.074; p = 0.07). We found a synchrony of change between physical activity and depressive symptoms (adjusted beta = -0.155; p < 0.001), but not with dispositional optimism (adjusted beta = 0.049; p = 0.24). Baseline physical activity did not predict depressive symptoms at 40 months follow-up.

CONCLUSIONS:

Concordant inverse associations were observed for (changes) in physical activity and depressive symptoms. Physical activity did not predict depressive symptoms or low optimism.

KEYWORDS:

Alpha Omega Trial; Physical activity; cardiovascular disease; depressive symptoms; dispositional optimism; mental well-being

PMID:
22345693
DOI:
10.1177/2047487312438184
[Indexed for MEDLINE]
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