Abstract
Objective
To test hypothesized associations between depression and physical activity among adults
with multiple sclerosis (MS), spinal cord injury (SCI), muscular dystrophy (MD), and
postpolio syndrome (PPS).
Design
Cross-sectional survey.
Setting
Survey responses collected from individuals in the Washington state area (participants
with SCI) and across the United States (participants with MS, MD, and PPS).
Participants
Convenience sample of participants were surveyed (N=1676; MD, n=321; PPS, n=388; MS,
n=556; SCI, n=411).
Interventions
Not applicable.
Main Outcome Measures
The Patient Health Questionnaire-9 (PHQ-9) assessing depressive symptoms and the International
Physical Activity Questionnaire (IPAQ) and Godin Leisure Time Exercise Questionnaire
(GLTEQ) assessing physical activity.
Results
The average age was 56 years, 64% were women, 92% were white, 86% had a high school
degree or higher, and 56% walked with an assistive device or had limited self-mobility.
The IPAQ and GLTEQ explained a small but statistically significant and unique amount
of the variance in PHQ-9 scores in all diagnostic groups, with no significant differences
in the relation by condition, age, or mobility status (IPAQ R2=.004; GLTEQ R2=.02; both P<.02).
Conclusions
Both physical activity measures demonstrated a small but statistically significant
association with depression in all 4 diagnostic groups. Research is needed to determine
longitudinal relations and whether physical activity interventions could promote improved
mood in adults with physical disabilities.
Keywords
List of abbreviations:
BMI (body mass index), GLTEQ (Godin Leisure Time Exercise Questionnaire), IPAQ (International Physical Activity Questionnaire), MD (muscular dystrophy), MET (metabolic equivalent), MS (multiple sclerosis), PHQ-9 (Patient Health Questionnaire-9), PPS (postpolio syndrome), SCI (spinal cord injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 19, 2012
Footnotes
Supported by the Department of Education, National Institute on Disability and Rehabilitation Research (grant no. H133B080024). However, the contents of this article do not necessarily represent the policy of the Department of Education, and endorsement by the Federal Government should not be assumed.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
