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

Jong Mi Ko; Kamila S White; Adrienne H Kovacs; Adrienne H Kovacs; Kristen M Tecson; Silke Apers; Koen Luyckx; Corina Thomet; Werner Budts; Junko Enomoto; Maayke A Sluman; Jou-Kou Wang; Jamie L Jackson; Paul Khairy; Stephen C Cook; Shanthi Chidambarathanu; Luis Alday; Katrine Eriksen; Mikael Dellborg; Mikael Dellborg; Malin Berghammer; Malin Berghammer; Bengt Johansson; Andrew S Mackie; Samuel Menahem; Maryanne Caruana; Gruschen Veldtman; Alexandra Soufi; Susan M Fernandes; Edward Callus; Shelby Kutty; Philip Moons; Philip Moons; Ari M Cedars

doi:10.1016/J.JPSYCHORES.2019.109762

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

Jong Mi Ko, Kamila S White, Adrienne H Kovacs, Adrienne H Kovacs, Kristen M Tecson, Silke Apers, Koen Luyckx, Corina Thomet, Werner Budts, Junko Enomoto, Maayke A Sluman, Jou-Kou Wang, Jamie L Jackson, Paul Khairy, Stephen C Cook, Shanthi Chidambarathanu, Luis Alday, Katrine Eriksen, Mikael Dellborg, Mikael DellborgMalin Berghammer, Malin Berghammer, Bengt Johansson, Andrew S Mackie, Samuel Menahem, Maryanne Caruana, Gruschen Veldtman, Alexandra Soufi, Susan M Fernandes, Edward Callus, Shelby Kutty, Philip Moons, Philip Moons, Ari M Cedars

University of Missouri-St. Louis

Research output: Contribution to journal › Article › peer-review

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 language	American English
Journal	Journal of Psychosomatic Research
Volume	124
DOIs	https://doi.org/10.1016/J.JPSYCHORES.2019.109762
State	Published - Sep 1 2019

Keywords

Adult congenital heart disease
Depression
Perceived health
Physical activity
Prognosis

Disciplines

Psychology
Physical Therapy

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Ko, J. M., White, K. S., Kovacs, A. H., Kovacs, A. H., Tecson, K. M., Apers, S., Luyckx, K., Thomet, C., Budts, W., Enomoto, J., Sluman, M. A., Wang, J.-K., Jackson, J. L., Khairy, P., Cook, S. C., Chidambarathanu, S., Alday, L., Eriksen, K., Dellborg, M., ... Cedars, A. M. (2019). Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study. Journal of Psychosomatic Research, 124. https://doi.org/10.1016/J.JPSYCHORES.2019.109762

Ko, JM, White, KS, Kovacs, AH, Kovacs, AH, Tecson, KM, Apers, S, Luyckx, K, Thomet, C, Budts, W, Enomoto, J, Sluman, MA, Wang, J-K, Jackson, JL, Khairy, P, Cook, SC, Chidambarathanu, S, Alday, L, Eriksen, K, Dellborg, M, Dellborg, M, Berghammer, M, Berghammer, M, Johansson, B, Mackie, AS, Menahem, S, Caruana, M, Veldtman, G, Soufi, A, Fernandes, SM, Callus, E, Kutty, S, Moons, P, Moons, P & Cedars, AM 2019, 'Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study', Journal of Psychosomatic Research, vol. 124. https://doi.org/10.1016/J.JPSYCHORES.2019.109762

@article{8a2525705d8d43a480a60db7b9f30e02,

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 = "Ko, {Jong Mi} and White, {Kamila S} and Kovacs, {Adrienne H} 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 Jou-Kou Wang and Jackson, {Jamie L} and Paul Khairy and Cook, {Stephen C} and Shanthi Chidambarathanu and Luis Alday and Katrine Eriksen and Mikael Dellborg and Mikael Dellborg and Malin Berghammer 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 Philip Moons and Cedars, {Ari M}",

note = "12% of our international study cohort reported having elevated depressive symptoms. * The prevalence of elevated depressive symptoms was lower in physically active ACHD. * Sport participation was significantly associated with reduced depressive symptoms. 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.",

year = "2019",

month = sep,

day = "1",

doi = "10.1016/J.JPSYCHORES.2019.109762",

language = "American English",

volume = "124",

journal = "Journal of Psychosomatic Research",

}

TY - JOUR

T1 - Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study

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

N1 - 12% of our international study cohort reported having elevated depressive symptoms. * The prevalence of elevated depressive symptoms was lower in physically active ACHD. * Sport participation was significantly associated with reduced depressive symptoms. 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.

PY - 2019/9/1

Y1 - 2019/9/1

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

UR - https://www.sciencedirect.com/science/article/abs/pii/S0022399919304106?via%3Dihub

U2 - 10.1016/J.JPSYCHORES.2019.109762

DO - 10.1016/J.JPSYCHORES.2019.109762

M3 - Article

VL - 124

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

ER -

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

Abstract

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