Association between mental health and physical activity in patients with chronic heart failure

Kazuhiro P. Izawa, Satoshi Watanabe, Koichiro Oka, Koji Hiraki, Yuji Morio, Yusuke Kasahara, Naohiko Osada, Kazuto Omiya, Hiroyuki Shimizu

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Purpose: Poor mental health (MH) is common in chronic heart failure (CHF) patients. No studies have reported a relation between MH status and objectively measured physical activity (PA) in CHF patients. The study aim was to determine self-reported MH-related differences associated with PA and target values of PA for improved MH in CHF outpatients. Methods: We divided 243 CHF outpatients (mean age 57.1 years) into two groups according to MH assessed by Short Form-36 score: high-MH (≥68 points) group (n=148) and poor-MH (<68 points) group (n=95). Average step count (steps) and energy expenditure on PA (EE) (kcal) per day for 1 week of PA were assessed by an accelerometer and compared between groups. PA resulting in high MH was determined by the receiver-operating characteristic (ROC) analysis. Results: PA correlated positively with MH in all patients (steps: r=0.46, p<0.001; EE: r=0.43, p<0.001). After adjusting for patient characteristics, steps and EE were significantly lower in the poor-MH versus high-MH group (5020.1±280.7 versus 7174.1±221.5 steps, p<0.001; 133.9±10.8 versus 215.9±8.4kcal, p<0.001). Cut-off values of 5590.8 steps and 141.1kcal were determined as PA target values associated with improved MH. Conclusions: Poor MH status may reduce PA. Attaining PA target values may improve MH status of CHF outpatients.Implications for RehabilitationPoor mental health may negatively affect physical exercise in CHF outpatients.In particular step counts and energy expenditure are lower in those with poor mental health.It may be that focused exercise training may impact positively both on mental health and physical well being.

Original languageEnglish
Pages (from-to)250-254
Number of pages5
JournalDisability and Rehabilitation
Volume36
Issue number3
DOIs
Publication statusPublished - 2014

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Mental Health Associations
Mental Health
Heart Failure
Exercise
Outpatients
Health Status
Energy Metabolism

Keywords

  • Heart failure
  • Mental health
  • Physical activity

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Association between mental health and physical activity in patients with chronic heart failure. / Izawa, Kazuhiro P.; Watanabe, Satoshi; Oka, Koichiro; Hiraki, Koji; Morio, Yuji; Kasahara, Yusuke; Osada, Naohiko; Omiya, Kazuto; Shimizu, Hiroyuki.

In: Disability and Rehabilitation, Vol. 36, No. 3, 2014, p. 250-254.

Research output: Contribution to journalArticle

Izawa, KP, Watanabe, S, Oka, K, Hiraki, K, Morio, Y, Kasahara, Y, Osada, N, Omiya, K & Shimizu, H 2014, 'Association between mental health and physical activity in patients with chronic heart failure', Disability and Rehabilitation, vol. 36, no. 3, pp. 250-254. https://doi.org/10.3109/09638288.2013.785604
Izawa, Kazuhiro P. ; Watanabe, Satoshi ; Oka, Koichiro ; Hiraki, Koji ; Morio, Yuji ; Kasahara, Yusuke ; Osada, Naohiko ; Omiya, Kazuto ; Shimizu, Hiroyuki. / Association between mental health and physical activity in patients with chronic heart failure. In: Disability and Rehabilitation. 2014 ; Vol. 36, No. 3. pp. 250-254.
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T1 - Association between mental health and physical activity in patients with chronic heart failure

AU - Izawa, Kazuhiro P.

AU - Watanabe, Satoshi

AU - Oka, Koichiro

AU - Hiraki, Koji

AU - Morio, Yuji

AU - Kasahara, Yusuke

AU - Osada, Naohiko

AU - Omiya, Kazuto

AU - Shimizu, Hiroyuki

PY - 2014

Y1 - 2014

N2 - Purpose: Poor mental health (MH) is common in chronic heart failure (CHF) patients. No studies have reported a relation between MH status and objectively measured physical activity (PA) in CHF patients. The study aim was to determine self-reported MH-related differences associated with PA and target values of PA for improved MH in CHF outpatients. Methods: We divided 243 CHF outpatients (mean age 57.1 years) into two groups according to MH assessed by Short Form-36 score: high-MH (≥68 points) group (n=148) and poor-MH (<68 points) group (n=95). Average step count (steps) and energy expenditure on PA (EE) (kcal) per day for 1 week of PA were assessed by an accelerometer and compared between groups. PA resulting in high MH was determined by the receiver-operating characteristic (ROC) analysis. Results: PA correlated positively with MH in all patients (steps: r=0.46, p<0.001; EE: r=0.43, p<0.001). After adjusting for patient characteristics, steps and EE were significantly lower in the poor-MH versus high-MH group (5020.1±280.7 versus 7174.1±221.5 steps, p<0.001; 133.9±10.8 versus 215.9±8.4kcal, p<0.001). Cut-off values of 5590.8 steps and 141.1kcal were determined as PA target values associated with improved MH. Conclusions: Poor MH status may reduce PA. Attaining PA target values may improve MH status of CHF outpatients.Implications for RehabilitationPoor mental health may negatively affect physical exercise in CHF outpatients.In particular step counts and energy expenditure are lower in those with poor mental health.It may be that focused exercise training may impact positively both on mental health and physical well being.

AB - Purpose: Poor mental health (MH) is common in chronic heart failure (CHF) patients. No studies have reported a relation between MH status and objectively measured physical activity (PA) in CHF patients. The study aim was to determine self-reported MH-related differences associated with PA and target values of PA for improved MH in CHF outpatients. Methods: We divided 243 CHF outpatients (mean age 57.1 years) into two groups according to MH assessed by Short Form-36 score: high-MH (≥68 points) group (n=148) and poor-MH (<68 points) group (n=95). Average step count (steps) and energy expenditure on PA (EE) (kcal) per day for 1 week of PA were assessed by an accelerometer and compared between groups. PA resulting in high MH was determined by the receiver-operating characteristic (ROC) analysis. Results: PA correlated positively with MH in all patients (steps: r=0.46, p<0.001; EE: r=0.43, p<0.001). After adjusting for patient characteristics, steps and EE were significantly lower in the poor-MH versus high-MH group (5020.1±280.7 versus 7174.1±221.5 steps, p<0.001; 133.9±10.8 versus 215.9±8.4kcal, p<0.001). Cut-off values of 5590.8 steps and 141.1kcal were determined as PA target values associated with improved MH. Conclusions: Poor MH status may reduce PA. Attaining PA target values may improve MH status of CHF outpatients.Implications for RehabilitationPoor mental health may negatively affect physical exercise in CHF outpatients.In particular step counts and energy expenditure are lower in those with poor mental health.It may be that focused exercise training may impact positively both on mental health and physical well being.

KW - Heart failure

KW - Mental health

KW - Physical activity

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