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Protective Effect of Regular Physical Activity on Depression After Myocardial Infarction: The HUNT Study - 16/12/15

Doi : 10.1016/j.amjmed.2015.08.012 
Linda Ernstsen, RN, PhD a, b, , Vegar Rangul, PhD c, d, Javaid Nauman, PhD b, Bjarne M. Nes, PhD b, Håvard Dalen, MD, PhD e, f, Steinar Krokstad, MD, PhD d, g, Carl J. Lavie, MD, PhD h, Steven N. Blair, PED i, Ulrik Wisløff, PhD b
a Department of Nursing Science, Faculty of Health and Social Science, Sør-Trøndelag University College, Trondheim, Norway 
b K.G. Jebsen Center of Exercise in Medicine, Department Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway 
c Faculty of Health Science, Nord-Trøndelag University College, Levanger, Norway 
d HUNT Research Centre, Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway 
e MI Lab & Department of Circulation & Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway 
f Levanger Hospital, Health Trust Nord-Trøndelag, Levanger, Norway 
g Psychiatric Department, Levanger Hospital, Health Trust Nord-Trøndelag, Levanger, Norway 
h Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School–The University of Queensland School of Medicine, New Orleans, La 
i Department of Exercise Science, University of South Carolina, Columbia, SC 

Requests for reprints should be addressed to Linda Ernstsen, RN, PhD, Department of Nursing Science, Sør-Trøndelag University College, NO-7004 Trondheim, Norway.

Abstract

Purpose

To study if physical activity within the recommended level over time was associated with risk of developing depression after the first myocardial infarction in older adults.

Methods

Men (n = 143) and women (n = 46) who had reached the age of 60 years in 2006-2008 who participated in the Nord-Trøndelag Health Study (HUNT1, 1984-1986; HUNT2, 1995-1997; HUNT3, 2006-2008) without any mental illness or cardiovascular disease at baseline in HUNT2 and who experienced their first myocardial infarction before HUNT3 were included. Based on the patterns of physical activity from HUNT1 to HUNT2, the sample was divided into 4 groups: persistently inactive, from active to inactive, from inactive to active, and persistently active. The primary outcome, post-myocardial infarction depression symptoms, was measured with the Hospital, Anxiety and Depression Scale in HUNT3.

Results

In HUNT3, 11% of participants had depression. After multivariable adjustment, those who were persistently active had significantly lower odds of being depressed (odds ratio 0.28; 95% confidence interval, 0.08-0.98) compared with those who were persistently inactive. Additionally, a significant test for trend (P = .033) of lowering odds of depression was observed across all 4 categories of physical activity patterns at baseline.

Conclusions

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.

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Keywords : Depression, Myocardial infarction, Physical activity


Esquema


 Funding: This study has been financially supported by the Norwegian Extra Foundation for Health and Rehabilitation through EXTRA funds (grant number 2011-2-0161) and the Liaison Committee between the Central Norway Regional Health Authority (RHA) and the Norwegian University of Science and Technology (NTNU). The sponsors had no role in the design, execution, analysis and interpretation of the data or the writing of the study.
 Conflict of Interest: None.
 Authorship: All authors had access to the data and had a role in writing the manuscript.


© 2016  Elsevier Inc. Reservados todos los derechos.
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