Adherence to aerobic and muscle-strengthening exercise guidelines and associations with psychological distress : a cross-sectional study of 14,050 adults
- Author
- Katrien De Cocker (UGent) , Megan Teychenne, Rhiannon L. White and Jason A. Bennie
- Organization
- Abstract
- Physical activity (PA) is beneficial for the prevention and management of psychological distress. However, no studies have investigated which combination/s of PA prescribed in the current global guidelines (i.e. aerobic moderate-to-vigorous PA [MVPA] and muscle-strengthening exercise [MSE]) are most strongly linked to reduced psychological distress. This study aimed to examine how PA guidelines adherence is associated with psychological distress. Using cross-sectional data of adults (n = 14,050) who participated in the 2012-2016 Health Survey for England, four categories of self-reported PA guidelines adherence were created: meeting none, only MSE, only aerobic MVPA, meeting both (exposure variables). Psychological distress (outcome) was measured using the General Health Questionnaire-12. The likelihood of experiencing high levels of psychological distress (cut-point of >= 4) across guidelines adherence categories was examined using logistic regression models adjusted for sociodemographic and lifestyle factors. About 17% of adults experienced high levels of psychological distress; 37.5% did not adhere to any PA guidelines (category 1), 1.3% met only MSE (category 2), 35.5% met only aerobic MVPA (category 3), and 25.7% met both guidelines (category 4). Compared to category 1, the likelihood of experiencing high psychological distress was lowest in category 4 (OR = 0.65, 95% CI: 0.54-0.77) followed by category 3 (OR = 0.78, 95% CI: 0.67-0.90), while it did not differ in category 2 (OR = 1.24, 95% CI: 0.75-2.05). This is the first study to identify the association between PA guidelines adherence and psychological distress in a large population sample. Findings suggest that meeting both aerobic MVPA and MSE guidelines might be most beneficial for mental health.
- Keywords
- PHYSICAL-ACTIVITY, SEDENTARY BEHAVIOR, HEALTH SURVEY, DEPRESSION, PREVALENCE, STRESS, QUESTIONNAIRE, METAANALYSIS, POPULATION, VALIDITY, Physical activity, Resistance exercise, Sitting, Sedentary behaviour, Mental health, Stress, Health Survey for England
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-8697738
- MLA
- De Cocker, Katrien, et al. “Adherence to Aerobic and Muscle-Strengthening Exercise Guidelines and Associations with Psychological Distress : A Cross-Sectional Study of 14,050 Adults.” PREVENTIVE MEDICINE, vol. 139, 2020, doi:10.1016/j.ypmed.2020.106192.
- APA
- De Cocker, K., Teychenne, M., White, R. L., & Bennie, J. A. (2020). Adherence to aerobic and muscle-strengthening exercise guidelines and associations with psychological distress : a cross-sectional study of 14,050 adults. PREVENTIVE MEDICINE, 139. https://doi.org/10.1016/j.ypmed.2020.106192
- Chicago author-date
- De Cocker, Katrien, Megan Teychenne, Rhiannon L. White, and Jason A. Bennie. 2020. “Adherence to Aerobic and Muscle-Strengthening Exercise Guidelines and Associations with Psychological Distress : A Cross-Sectional Study of 14,050 Adults.” PREVENTIVE MEDICINE 139. https://doi.org/10.1016/j.ypmed.2020.106192.
- Chicago author-date (all authors)
- De Cocker, Katrien, Megan Teychenne, Rhiannon L. White, and Jason A. Bennie. 2020. “Adherence to Aerobic and Muscle-Strengthening Exercise Guidelines and Associations with Psychological Distress : A Cross-Sectional Study of 14,050 Adults.” PREVENTIVE MEDICINE 139. doi:10.1016/j.ypmed.2020.106192.
- Vancouver
- 1.De Cocker K, Teychenne M, White RL, Bennie JA. Adherence to aerobic and muscle-strengthening exercise guidelines and associations with psychological distress : a cross-sectional study of 14,050 adults. PREVENTIVE MEDICINE. 2020;139.
- IEEE
- [1]K. De Cocker, M. Teychenne, R. L. White, and J. A. Bennie, “Adherence to aerobic and muscle-strengthening exercise guidelines and associations with psychological distress : a cross-sectional study of 14,050 adults,” PREVENTIVE MEDICINE, vol. 139, 2020.
@article{8697738, abstract = {{Physical activity (PA) is beneficial for the prevention and management of psychological distress. However, no studies have investigated which combination/s of PA prescribed in the current global guidelines (i.e. aerobic moderate-to-vigorous PA [MVPA] and muscle-strengthening exercise [MSE]) are most strongly linked to reduced psychological distress. This study aimed to examine how PA guidelines adherence is associated with psychological distress. Using cross-sectional data of adults (n = 14,050) who participated in the 2012-2016 Health Survey for England, four categories of self-reported PA guidelines adherence were created: meeting none, only MSE, only aerobic MVPA, meeting both (exposure variables). Psychological distress (outcome) was measured using the General Health Questionnaire-12. The likelihood of experiencing high levels of psychological distress (cut-point of >= 4) across guidelines adherence categories was examined using logistic regression models adjusted for sociodemographic and lifestyle factors. About 17% of adults experienced high levels of psychological distress; 37.5% did not adhere to any PA guidelines (category 1), 1.3% met only MSE (category 2), 35.5% met only aerobic MVPA (category 3), and 25.7% met both guidelines (category 4). Compared to category 1, the likelihood of experiencing high psychological distress was lowest in category 4 (OR = 0.65, 95% CI: 0.54-0.77) followed by category 3 (OR = 0.78, 95% CI: 0.67-0.90), while it did not differ in category 2 (OR = 1.24, 95% CI: 0.75-2.05). This is the first study to identify the association between PA guidelines adherence and psychological distress in a large population sample. Findings suggest that meeting both aerobic MVPA and MSE guidelines might be most beneficial for mental health.}}, articleno = {{106192}}, author = {{De Cocker, Katrien and Teychenne, Megan and White, Rhiannon L. and Bennie, Jason A.}}, issn = {{0091-7435}}, journal = {{PREVENTIVE MEDICINE}}, keywords = {{PHYSICAL-ACTIVITY,SEDENTARY BEHAVIOR,HEALTH SURVEY,DEPRESSION,PREVALENCE,STRESS,QUESTIONNAIRE,METAANALYSIS,POPULATION,VALIDITY,Physical activity,Resistance exercise,Sitting,Sedentary behaviour,Mental health,Stress,Health Survey for England}}, language = {{eng}}, pages = {{7}}, title = {{Adherence to aerobic and muscle-strengthening exercise guidelines and associations with psychological distress : a cross-sectional study of 14,050 adults}}, url = {{http://doi.org/10.1016/j.ypmed.2020.106192}}, volume = {{139}}, year = {{2020}}, }
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