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 OJD  Vol.1 No.1 , August 2012
Determining the Score for Depression and Its Relationship with the Level of Physical Activity in a Patient at the Family Medicine
Abstract: Introduction: Drop in levels of physical activity is associated with occurrence of diseases that can lead to disability and death. Objective: To determine the level of physical activity and the presence of depression, as well their relationship with body mass index in patients. Methods: In the family medicine clinic, within the pilot study, in the first half of 2010 year, through the Interview with 141 patients, the following questionnaires were completed: International Physical Activity Questionnaire (IPAQ) and Patient Health Questionnaire (PHQ-9). The data were processed according to the instructions for questionnaires for PHQ-9 and IPAQ. The patients underwent measurements of blood pressure, sugar and cholesterol levels in blood and body mass index (BMI). Results: Of the total 141 respondents, more than half (61.70%) were aged 25 - 54 years, median 44th years (±14.3). Nearly 3/4 of respondents (73.76%) had the PHQ-9 score value of ≤4, and slightly more than 1/4 of the respondents had the PHQ-9 score value of ≥5. The largest number of respondents (51.80%) over the week had moderate physical activity, with statistically significant difference (χ2 = 566.7, p <0.01) compared to those who had vigorous (16.30%) and low (32.00%) physical activity. Over 2/3 of respondents (67.60%) with the PHQ-9 score ≥ 5 had high BMI and were obese and engaged in moderate physical activity (48.00%). The median sitting in minutes in the last week was greater in those with PHQ-9 score ≥5 (545 minutes) compared to those with PHQ-9 score ≤ 4. Discussion: Moderate physical activity is important in preventing depression and stress. Conclusion: Obligation of the family doctor is to promote physical activity in all age groups as an important factor for improving health and preventing disease.
Cite this paper: Gavric, Z. (2012). Determining the Score for Depression and Its Relationship with the Level of Physical Activity in a Patient at the Family Medicine. Open Journal of Depression, 1, 1-7. doi: 10.4236/ojd.2012.11001.
References

[1]   WHO (2007). A European framework to promote physical activity for health. Copenhagen, World Health Organization.

[2]   Barnett, J. et al. (2007). The effect of item order on physical activity estimates using the IPAQ. Californian Journal of Health Promotion, 5, 23-29.

[3]   Donaldson, L. (2007). At least five a week: Evidence on the impact of physical activity and its relationship to health. URL (last accessed February 2007). http://www. dh. gov. uk/Publications And Statistics/Publications/ublications Policy And Guidance/fs/en

[4]   World Health Organization (2002). Move for health, Geneva. http://www.who.int/world-health day/previous/2002/en

[5]   Craig, C. L., Marshall, A., Sjostrom, M. et al. (2003). International physical activity questionnaire: 12 country reliability and validity. Medicine and Science in Sports and Exercise, 35, 1381-1395. doi:10.1249/01.MSS.0000078924.61453.FB

[6]   International Physical Activity Questionnaire (2005). Short and long forms. URL (last revised November 2005) http:// www.ipaq.ki.se

[7]   Haskell, W. L., Lee, I. M., Pate, R. R. et al. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116, 1081-1093. doi:10.1161/CIRCULATIONAHA.107.185649

[8]   Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606-613. doi:10.1046/j.1525-1497.2001.016009606.x

[9]   Dietrich, A. J., Oxman, T. E., Burns, M. R. et al. (2003). Application of a depression management office system in community practice: A demonstration. Journal of the American Board of Family Medicine, 16, 107-114. doi:10.3122/jabfm.16.2.107

[10]   Pinto-Meza, A., Serrano-Blanco, A., Penarrubia, M. T. et al. (2005). Assessing depression in primary care with the PHQ-9: Can it be carried out over the telephone? Journal of General Internal Medicine, 20, 738-742. doi:10.1111/j.1525-1497.2005.0144.x

[11]   Brosse, A., Sheets, E., Lett, H., & Blumenthal, J. (2002). Exercise and the treatment of clinical depression in adults: Recent findings and future directions. Sports Medicine, 32, 741-760. doi:10.2165/00007256-200232120-00001

[12]   Salmon, P. (2001). Effects of physical exercise on anxiety, depression, and sensitivity to stress: A unifying theory. Clinical Psychology Review, 21, 33-61. doi:10.1016/S0272-7358(99)00032-X

[13]   Babyaket, M. et al. (2000). Exercise treatment for major depression: Maintenance of therapeutic benefit at 10 months. Psychosomatic Medicine, 62, 633-638.

[14]   Ainsworth, B. E. et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine & Science in Sports & Exercise, 32, S498-S504. doi:10.1097/00005768-200009001-00009

[15]   Fox, R. K. (1999). The influence of physical activity on mental wellbeing. Public Health Nutrition, 2, 411-418. doi:10.1017/S1368980099000567

[16]   Bucksch, J. (2005). Physical activity of moderate intensity in leisure time and the risk of all cause mortality. British Journal of Sports Medicine, 39, 632-638. doi:10.1136/bjsm.2004.015768

[17]   Richard, J. S., Kristin, S., & Vickers, K. S. (2006). The challenges of treating depression with exercise: From evidence to practice. Clinical Psychology: Science and Practice, 13, 194-197. doi:10.1111/j.1468-2850.2006.00022.x

[18]   James, A. B. et al. (1999). Effects of exercise training on older patients with major depression. Archives of Internal Medicine, 159, 2349- 2356. doi:10.1001/archinte.159.19.2349

[19]   Fumi, H., Andy, H. L., & Colin, W. B. (2008). Physical activity of adults aged 55 to 75 years in Japan. Journal of Physical Therapy Science, 20, 217-220. doi:10.1589/jpts.20.217

[20]   Haapanen, N., Miilunpalo, S., Vuori, I., Oja, P., & Pasanen, M. (1997). Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middleaged men and women. International Journal of Epidemiology, 26, 739-747. doi:10.1093/ije/26.4.739

[21]   Nocon, M., Hiemann, T., Müller-Riemenschneider, F., Thalau, F., Roll, S., & Willich, S. N. (2008). Association of physical activity with all-cause and cardiovascular mortality: A systematic review and metaanalysis. European Journal of Preventive Cardiology, 15, 239-246. doi:10.1097/HJR.0b013e3282f55e09

[22]   Tanasescu, M., Leitzmann, M. F., Rimm, E. B., Willett, W. C., Stampfer, M. J., & Hu, F. B. (2002). Exercise type and intensity in relation to coronary heart disease in men. JAMA, 288, 1994-2000. doi:10.1001/jama.288.16.1994.

[23]   Lindwall, M., Rennemark, M., Halling, A., Berglund, J., & Hassmen, P. (2007). Depression and exercise in elderly men and women: Findings from the Swedish national study on aging and care. Journal of Aging and Physical Activity, 15, 41-55.

[24]   Suija, K., Pechter, U., Maaroos, J., Kalda, R., Ratsep, A., Oona, M., & Maaroos, H. I. (2010). Physical activity of Estonian family doctors and their counseling for a healthy lifestyle: A cross-sectional study. BMC Family Practice, 11, 48.

[25]   Jun, M., & Lan, X. (2010). Obesity and depression in US women: Results from the 2005-2006 National Health and Nutritional Examination Survey. Obesity, 18, 347-353.

[26]   Song, M. R., Lee, Y. S., Baek, J. D., & Miller, M. (2012). Physical activity status in adults with depression in the National Health and Nutrition Examination Survey, 2005-2006. Public Health Nursing, 29, 208-217. doi:10.1111/j.1525-1446.2011.00986.x

[27]   Faulkner, G. (2006). Physical activity and mental health: A win-win consideration? PowerPoint Presentation and Lecture at the Alberta Centre for Active Living: Mental Health and Physical Activity Workshop, Banff. http://www.centre4activeliving.ca

[28]   Richardson, C. R., Faulkner, G., McDevitt, J., Skirinar, G. S., Hutchinson, D. S., & Piette, J. D. (2005). Integrating physical activity into mental health services for persons with serious mental illness. Psychiatric Services, 56, 324-331. doi:10.1176/appi.ps.56.3.324

 
 
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