TY  - JOUR
PY  - 2019//
TI  - Differential impact of physical activity type on depression in adults with congenital heart disease: a multi-center international study
JO  - Journal of psychosomatic research
A1  - Ko, Jong Mi
A1  - White, Kamila S.
A1  - Kovacs, Adrienne H.
A1  - Tecson, Kristen M.
A1  - Apers, Silke
A1  - Luyckx, Koen
A1  - Thomet, Corina
A1  - Budts, Werner
A1  - Enomoto, Junko
A1  - Sluman, Maayke A.
A1  - Wang, Jou-Kou
A1  - Jackson, Jamie L.
A1  - Khairy, Paul
A1  - Cook, Stephen C.
A1  - Chidambarathanu, Shanthi
A1  - Alday, Luis
A1  - Eriksen, Katrine
A1  - Dellborg, Mikael
A1  - Berghammer, Malin
A1  - Johansson, Bengt
A1  - Mackie, Andrew S.
A1  - Menahem, Samuel
A1  - Caruana, Maryanne
A1  - Veldtman, Gruschen
A1  - Soufi, Alexandra
A1  - Fernandes, Susan M.
A1  - Callus, Edward
A1  - Kutty, Shelby
A1  - Moons, Philip
A1  - Cedars, Ari M.
SP  - e109762
EP  - e109762
VL  - 124
IS  - 
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. <br><br>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. <br><br>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). <br><br>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.<br><br>Copyright © 2019 Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3999
UR  - http://dx.doi.org/10.1016/j.jpsychores.2019.109762
ID  - ref1
ER  -