@article{b54ee0e725ed4d66b12a3f1f9fe87dfc,
title = "Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study",
abstract = "Objective: This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking. Methods: In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms. Results: The overall prevalence of elevated depressive symptoms in this sample was 12% with significant differences in rates between countries (p <.001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38% decreased probability of depressive symptoms (p <.001). Conclusions: Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.",
keywords = "Adult congenital heart disease, Depression, Perceived health, Physical activity, Prognosis",
author = "{on behalf of the APPROACH-IS consortium and International Society for Adult Congenital Heart Disease (ISACHD)} and Ko, {Jong Mi} and White, {Kamila S.} and Kovacs, {Adrienne H.} and Tecson, {Kristen M.} and Silke Apers and Koen Luyckx and Corina Thomet and Werner Budts and Junko Enomoto and Sluman, {Maayke A.} and Wang, {Jou Kou} and Jackson, {Jamie L.} and Paul Khairy and Cook, {Stephen C.} and Shanthi Chidambarathanu and Luis Alday and Katrine Eriksen and Mikael Dellborg and Malin Berghammer and Bengt Johansson and Mackie, {Andrew S.} and Samuel Menahem and Maryanne Caruana and Gruschen Veldtman and Alexandra Soufi and Fernandes, {Susan M.} and Edward Callus and Shelby Kutty and Philip Moons and Cedars, {Ari M.}",
note = "Funding Information: We are grateful to the study participants who made this study possible as well as all individuals at the participating centers who made substantial contributions to this international study. This work was supported by the Research Fund – KU Leuven (Leuven, Belgium) through grant OT/11/033 to K.L. and P.M.; by the Swedish Heart-Lung Foundation (Sweden) through grant number 20130607 to M.D.; by the University of Gothenburg Centre for Person-centred Care (Gothenburg, Sweden) to M.D. and P.M.; and by the Cardiac Children's Foundation (Taiwan) through grant CCF2013_02 to J.K.W. Furthermore, this work was endorsed by and conducted in collaboration with the International Society for Adult Congenital Heart Disease. This work was also funded, in part, by the Baylor Health Care System Foundation and the Department of Internal Medicine at the University of Texas Southwestern Medical Center . Funding Information: We are grateful to the study participants who made this study possible as well as all individuals at the participating centers who made substantial contributions to this international study. This work was supported by the Research Fund ? KU Leuven (Leuven, Belgium) through grant OT/11/033 to K.L. and P.M.; by the Swedish Heart-Lung Foundation (Sweden) through grant number 20130607 to M.D.; by the University of Gothenburg Centre for Person-centred Care (Gothenburg, Sweden) to M.D. and P.M.; and by the Cardiac Children's Foundation (Taiwan) through grant CCF2013_02 to J.K.W. Furthermore, this work was endorsed by and conducted in collaboration with the International Society for Adult Congenital Heart Disease. This work was also funded, in part, by the Baylor Health Care System Foundation and the Department of Internal Medicine at the University of Texas Southwestern Medical Center. Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",
year = "2019",
month = sep,
doi = "10.1016/j.jpsychores.2019.109762",
language = "English (US)",
volume = "124",
journal = "Journal of Psychosomatic Research",
issn = "0022-3999",
publisher = "Elsevier Inc.",
}