Recreational physical activity ameliorates some of the negative impact of major depression on health-related quality of life
Authors: Scott B. Patten, Jeanne V. A. Williams, Dina H. Lavorato, and Andrew G. M. Bulloch
Background: Major depressive episodes have a negative effect on health-related quality of life (HRQoL). The objective of this study was to determine whether recreational physical activity can ameliorate some of this negative impact. Methods: The data source for the study was the Canadian National Population Health Survey (NPHS). The NPHS is a longitudinal study that has collected data from a representative cohort of 15,254 community residents. Sixteen years of follow-up data are available. The NPHS included: an instrument to assess MDE (the Composite International Diagnostic Interview Short Form for Major Depression), an inventory of recreational activities (each associated with hours of participation and estimated metabolic expenditures), and a HRQoL instrument (the Health Utility Index, Mark 3, or HUI3). Proportional hazard and linear regression models were used in this study to determine whether MDE-related declines in HRQoL were lessened by participation in an active recreational lifestyle. Results: Consistent with expectation, major depression was associated with a significant decline in HRQoL over time. While no statistical interactions were observed, the risk of diminished HRQoL in association with MDE was reduced by physical activity. In a proportional hazards model, the hazard ratio for transition to poor HRQoL was 0.7 (95% CI: 0.6-0.8, p < 0.0001). In linear regression models, physical activity was significantly associated with more positive HRQoL (B = 0.019, 95% CI 0.004 to -0.034, p = 0.02). Conclusion: Recreational physical activity appears to ameliorate some of the decline in HRQoL seen in association with MDE. Physical activity may be an effective tertiary preventive strategy for this condition.
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Scott B. Patten, Jeanne V. A. Williams, Dina H. Lavorato, JianLi Wang, Keltie McDonald, and Andrew G. M. Bulloch (2015).
Descriptive epidemiology of major depressive disorder in Canada in 2012
Canadian Journal of Psychiatry , 23-30
Scott B. Patten and Cynthia A. Beck (2004).
Major depression and mental health care utilization in Canada: 1994-2000
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Amy Metcalfe, Jeanne Williams, Jane McChesney, Scott B. Patten, and Nathalie Jetté (2010).
Use of complementary and alternative medicine by those with a chronic disease and the general population - results of a national population based survey
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Shay-Lee Bolton, Tracie O. Afifi, Natalie P. Mota, Murray W. Enns, Ron de Graaf, Ruth Ann Marrie, Scott B. Patten, Lisa M. Lix, and Jitender Sareen (2021).
Patterns of attrition in the Canadian Armed Forces Members and Veterans Mental Health Follow-up Survey (CAFVMHS)
Canadian Journal of Psychiatry , 3-Jan
JianLi Wang, Elizabeth Smailes, Jitender Sareen, Gordon H. Fick, Norbert Schmitz, and Scott B. Patten (2011).
Three job-related stress models and depression: a population-based study
Social Psychiatry and Psychiatric Epidemiology , 9-Jan
Rebecca Viner, Scott B. Patten, Sandra Berzins, Andrew G. M. Bulloch, and Kirsten M. Fiest (2014).
Prevalence and risk factors for suicidal ideation in the multiple sclerosis population
Journal of Psychosomatic Research , 312-316
Scott B. Patten, Jeanne V. A. Williams, Dina H. Lavorato, Andrew G. M. Bulloch, Gillian Currie, and Herb Emery (2014).
Depression and painful conditions: Patterns of association with health status and health utility ratings in the general population
Quality of Life Research , 363-371