scholarly journals Sammenhengen mellom depresjon, mental helse og fysisk funksjon i en alderspsykiatrisk avdeling, en pilotstudie

2015 ◽  
Vol 10 (2) ◽  
pp. 33
Author(s):  
Elfrid Margrete Aarseth ◽  
Maria Stylianou Korsnes ◽  
Ingun Dina Ulstein ◽  
Inger-Marie Tjernæs ◽  
Bodil A. Mcpherson

<p>Patients with mental disorders are often less active than the general population and inactivity over time reduces mental and physical health. We know from previous studies that physical activity contributes to improved mental and physical health, but it is not clear whether any type of physical activity will give the same effect. The objective of this pilot study was to investigate whether the nature of the physical activity the patients participated in during their stay in a psychiatric ward would make a difference in outcome related to improved mental and physical health. Fifty patients (39 women) participated, mean age 80 years (SD 6.0), length of stat from 3 to 28 weeks (mean 8.8, SD 4.4). Patients were offered different types of physical activity and physical therapy in addition to cognitive psychotherapy and supporting conversations. They were subsequently divided into three groups (self-training, joint exercise, regular walking). We examined the difference in treatment effect with regard to general mental health, depression, balance, physical strength and walking skills. Average values showed significant improvements on all tests except for the timed walking tests. Depression scores according to the MADRS was at least one category lower on discharge than on arrival for 31 of the 36 participants. We find that older patients with moderate to severe depression benefit greatly from the treatment they receive during their stay at the age psychiatric ward. The improvements are significant both for mental and physical health. Furthermore, the findings indicate that walking appears to be a type of activity that has especially good effect on mental health.</p>

Author(s):  
Adam G Gavarkovs

The link between physical inactivity and poor health outcomes is well established. Older adults are especially at risk for many health conditions, and are one of the most inactive populations in Canada. Increasing levels of neighbourhood greenness has shown a positive relationship with walking and exercise behaviours, which in turn affects both mental and physical health. Currently in Ontario, the provincial Planning Act outlines the process of parkland dedication that individual municipalities are responsible for carrying out. This policy brief will discuss the inadequacies of the current system in effectively creating greenspace for older adults, and will propose several recommendations to resolve these issues.


2020 ◽  
Author(s):  
Boris Cheval ◽  
Hamsini Sivaramakrishnan ◽  
Silvio Maltagliati ◽  
Layan Fessler ◽  
Cyril Forestier ◽  
...  

The coronavirus disease 2019 (COVID-19) pandemic may have detrimental effects on physical and mental health, but physical activity can help people to cope with stress, thereby mitigating its potential negative health consequences. In our study, we investigated whether changes in physical activity and sedentary behaviours are associated with changes in mental and physical health during the COVID-19 lockdown.


Author(s):  
Robyn Feiss ◽  
Melissa M. Pangelinan

Environment (i.e., rural vs. urban) and socioeconomic status (SES) are moderating factors of physical (i.e., obesity and/or physical activity) and internalizing mental health (i.e., stress, anxiety, and depressive symptoms) in adolescents. Relationships between physical and mental health have been shown in adolescents; however, research has not addressed these relationships in those from low-income, rural backgrounds. Thus, the present study characterized physical and mental health in rural, low-SES adolescents and investigated relationships between physical and mental health in this population. Data were collected from 253 10th and 11th-grade students from Title I schools in rural Alabama. Self-report measures of mental health, self-esteem, body image, and physical activity were obtained, in addition to functional fitness and physical health assessments completed at each school. Relationships between mental and physical health were assessed using Pearson correlations and multivariate data-driven cluster analysis. Positive correlations were observed between body composition and mental health symptoms, while negative correlations were observed between body image and mental health and body composition. However, sex differences were present in these relationships. The multivariate cluster analysis identified groups of individuals based on profiles of mental and physical health. This individual-level analysis identified students with greater mental and/or physical health burdens (n = 53 and n = 40) who may benefit from targeted interventions. Overall, these results provide evidence of elevated mental and physical health burdens among rural, low-income adolescents. Moreover, targeted programs are needed to provide education about the relationship between physical and mental health to reduce health burdens in both domains in this population.


2021 ◽  
Author(s):  
Esther García-Esquinas ◽  
Rosario Ortolá ◽  
Iago Gine-Vázquez ◽  
José A Carnicero ◽  
Asier Mañas ◽  
...  

AbstractBackgroundWe aimed to examine main changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19.MethodsWe used prospective data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain. Data were obtained using validated questionnaires through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning the COVID-19 lockdown. Lineal or multinomial, as appropriate, regression models with adjustment for the main confounders were used to assess changes in the outcome variables from the pre-pandemic to the confinement period, and to identify their associated factors.ResultsOn average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Several subgroups of individuals were at increased risk of developing unhealthier lifestyles or mental health decline with confinement: (i)-males (for physical activity and sedentariness), (ii)-those with greater social isolation (for diet, physical activity, mental health), (iii)-feelings of loneliness (for diet, sleep quality, mental health), (iv)-poor housing conditions (for diet, physical activity, TV viewing time), (v)-unhealthy sleep duration (for physical activity and sedentariness), and (vi-worse overall health or chronic morbidities (for physical activity, screen time, mental health). On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement.ConclusionsThe lockdown during the first wave of the COVID-19 in Spain, which was one of the most restrictive in Europe, only led to minor average changes in health behaviors among older adults. However, mental health was moderately affected. If another lockdown were imposed on this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, poor housing conditions and chronic morbidities, because of their greater vulnerability to the enacted movement restrictions


BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e026466 ◽  
Author(s):  
Charlotte Stringer ◽  
Mike Loosemore ◽  
Eloise Moller ◽  
Sarah E Jackson ◽  
Guillermo Felipe López-Sánchez ◽  
...  

IntroductionPeople who are homeless, or at risk of homelessness, have substantially poorer health. Sustained and regular participation in physical activity is beneficial for both mental and physical health. Limited data suggest that levels of physical activity in the homeless and those at risk of homelessness are low, and access to community-based exercise is limited or non-existent for this population. Nonetheless, exercise programmes for the homeless could provide a feasible and scalable intervention for providing beneficial effects on physical and mental health in this population. The primary aim of this study is to evaluate the impact of a group exercise intervention on activity levels in people who are homeless or at risk of homelessness in central London, UK. The secondary aim is to evaluate the impact of the intervention on mental and physical health outcomes.Method and analysisA 2-arm, individually randomised controlled trial in people who are homeless and those vulnerable and at risk of homelessness in central London, UK. Participants will be recruited through a London-based homeless charity, Single Homeless Project. Following baseline assessments and allocation to intervention (exercise classes) or control (usual care), participants will be followed up at 3, 6, 9 and 12 months. The primary outcomes will be change in objective physical activity. The secondary outcomes will include change in fitness assessments and mental health parameters. Changes in drug use and alcohol dependency will also be explored.Ethics and disseminationEthical approval to process and analyse data and disseminate findings was obtained through the Anglia Ruskin University Department of Sport and Exercise Sciences Research Ethics Committee. Results of this study will be disseminated through peer-reviewed publications and scientific presentations.


2021 ◽  
Vol 13 (1) ◽  
pp. 91-99
Author(s):  
FEIFEI WANG ◽  
SZILVIA BOROS

Background: The outbreak of COVID-19 changed the normality of daily life. Due to mobility restriction measures, physical and mental health in general population became a remarkable concern for researchers and health professionals. Material and methods: This article briefly reviews the evidence of mental and physical health consequences during COVID-19 pandemic. The review was conducted in October 2020 through PubMed and Web of Science with the searching frame: Mental health and Physical health and COVID-19. The study selection process followed the PRISMA flow diagram. Results: The reported mental consequences were mainly negative psychological effects including stress symptoms, anxiety, and depression. The total physical activity in MET– minutes/week demonstrated a statistically significant reduction between before and during COVID-19 pandemic. Specifically, males showed higher significant variation of Δ-MET compared with females (p < 0.001). Also, the reduction of total physical activity was related to worse psychological well-being (r = 0.07541, p < 0.001). Conclusions: In the general population, both mental and physical health consequences call for academic concern, and investigation from different social layers of population needs to be justified. Discovery of mental and physical promotion interventions to outline the psychological, social, and physiological aspects of the pandemic are required.


2017 ◽  
Vol 14 (02) ◽  
pp. 103-110
Author(s):  
S. Tomassi ◽  
M. Ruggeri

Summary Background: The global crisis that began in 2007 has been the most prolonged economic recession since 1929. It has caused worldwide tangible costs in terms of cuts in employment and income, which have been widely recognised also as major social determinants of mental health (1, 2). The so-called “Great Recession” has disproportionately affected the most vulnerable part of society of the whole Eurozone (3). Across Europe, an increase in suicides and deaths rates due to mental and behavioural disorders was reported among those who lost their jobs, houses and economic activities as a consequence of the crisis.


Author(s):  
Ben Y. F. Fong ◽  
Martin C. S. Wong ◽  
Vincent T. S. Law ◽  
Man Fung Lo ◽  
Tommy K. C. Ng ◽  
...  

In Hong Kong, social distancing has been adopted in order to minimise the spread of COVID-19. This study aims to examine the changes in physical health, mental health, and social well-being experienced by local residents who were homebound during the pandemic. An online questionnaire in both Chinese and English versions was completed by 590 eligible participants from 24 April to 13 May 2020. The questionnaire found that individuals aged 18 to 25 years spent more time resting and relaxing but experienced more physical strain. Working status was associated with social contact, with participants working full-time jobs scoring higher in “maintaining social communication via electronic means” and “avoiding social activities outside the home”. Additionally, approximately one third of the participants (29.7%) had moderate to severe depression, and participants aged 18 to 25 were found to have higher scores in PHQ-9. Changes in physical health and social contact were significantly associated with developing depressive symptoms. From the results, it is clear that the COVID-19 pandemic has the potential to exert a negative impact on the mental health status of individuals.


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