Abstract
Objective
To investigate (1) changes in life satisfaction and mental health during 5 months
of training for the HandbikeBattle and 4 months of follow-up; (2) associations between
changes in handcycling cardiorespiratory fitness and changes in life satisfaction
and mental health during the training period.
Design
This is a multicenter prospective cohort study with the following measurements: the
start of the training (T1), after the 5-month training period, before the event (T2),
and after 4 months of follow-up (T3). At T1, T2, and T3, questionnaires were filled
out. At T1 and T2, a graded exercise test was performed to measure cardiorespiratory
fitness (peak oxygen consumption [Vo2peak] and peak power output [POpeak]).
Setting
Ten Dutch rehabilitation centers training for the HandbikeBattle event.
Participants
Patients with a rehabilitation history (N=136) and health conditions such as spinal
cord injury, amputation, or multiple trauma history.
Interventions
Not applicable.
Main Outcome Measure
Life satisfaction as the sum score of 2 questions (range, 2-13) and the Mental Health
subscale of the 36-item Short Form Health Survey (range, 0-100).
Results
Multilevel regression analyses showed that life satisfaction increased during the
training period and did not significantly change during follow-up (mean ± SD, T1:
8.2±2.2; T2: 8.6±2.3; T3: 8.5±2.4). Mental health showed no change over time (T1:
77.7±14.5; T2: 77.8±14.5; T3: 75.7±16.5). An improvement in cardiorespiratory fitness
was associated with an increase in life satisfaction (POpeak, ß=0.014, P=.046; Vo2peak, ß=1.068, P=.04). There were no associations between improvement in cardiorespiratory fitness
and an increase in mental health (POpeak, P=.66; Vo2peak, P=.33).
Conclusions
This study shows a positive course of life satisfaction during training for the HandbikeBattle.
An improvement in cardiorespiratory fitness was longitudinally associated with an
increase in life satisfaction. Mental health showed no changes over time.
Keywords
List of abbreviations:
GXT (graded exercise test), LS (life satisfaction), MHI-5 (Mental Health Inventory), PO (power output), POpeak (peak power output), QoL (quality of life), SCI (spinal cord injury), Vo2peak (peak oxygen consumption)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 28, 2020
Footnotes
Supported by HandicapNL (project no. R2015028), Stichting Mitialto, Stichting Beatrixoord Noord-Nederland (project no. 210.175), University Medical Center Groningen, Heliomare Rehabilitation Center, and Stichting Handbike Events.
Disclosures: none.
HandbikeBattle Group: Paul Grandjean Perrenod Comtesse, Adelante Zorggroep, Hoensbroek, the Netherlands; Eric Helmantel, University Medical Center Groningen, Center for Rehabilitation Beatrixoord, Groningen, the Netherlands; Mark van de Mijll Dekker, Heliomare Rehabilitation Center, Wijk aan Zee, the Netherlands; Maremka Zwinkels, Rehabilitation Center De Hoogstraat, Utrecht, the Netherlands; Misha Metsaars, Libra Rehabilitation and Audiology, Eindhoven, the Netherlands; Lise Wilders, Sint Maartenskliniek, Nijmegen, the Netherlands; Linda van Vliet, Amsterdam Rehabilitation Research Center Reade, Amsterdam, the Netherlands; Karin Postma, Rijndam Rehabilitation Center, Rotterdam, the Netherlands; Bram van Gemeren, Roessingh Rehabilitation Center, Enschede, the Netherlands; Alinda Gjaltema, Vogellanden, Zwolle, the Netherlands.
Identification
Copyright
© 2020 by the American Congress of Rehabilitation Medicine
