Exercise is medicine… when you enjoy it: Exercise enjoyment,relapse prevention efficacy,and health outcomes for youth within a drug and alcohol treatment service

ObjectiveEvidence for the effectiveness of exercise as therapy for youth substance use disorder (SUD) is scarce. In this study, we investigated associations between exercise enjoyment and recovery outcomes for youth undergoing residential SUD treatment.MethodUsing ecological momentary assessment, each week participants reported perceptions of exercise enjoyment, relapse prevention efficacy, self-esteem, and physical health, and associations between these variables were assessed at both between- and within-person levels. There were 97 participants (age: M = 17.5, SD = 1.57, range = 14 to 21; 37 female, 60 male), with a final sample of 64 due to participants (n = 33) discontinuing treatment within 2 weeks of commencement. Of the remaining sample, 50% (n = 32) completed 3 or more assessments, 40% (n = 26) completed 5 or more, and 25% (n = 16) completed 7 or more.ResultsRelapse prevention efficacy, self-esteem, and perceived physical health increased over time in the program. Youth who, on average, enjoyed exercise more had higher self-esteem, perceived physical health, and relapse prevention efficacy than those who enjoyed it less. Additionally, on occasions when youth enjoyed exercise more (relative to their own average), they reported higher self-esteem, perceived physical health, and relapse prevention efficacy than on occasions when they reported enjoying it less.ConclusionParticipation in—and importantly, enjoyment of—exercise was linked to key health indices and predictors of relapse for youth during SUD treatment. These findings demonstrate that participation in enjoyable structured exercise may provide an important component of successful SUD treatment.     

Effects of behaviour change interventions on physical activity in people with spinal cord injury: A systematic review and meta-analysis

ObjectivesThis review investigated the effectiveness of behaviour-change interventions to improve physical activity (PA) participation in individuals with a spinal cord injury. Additionally, the review sought to analyse the change in PA behaviour that might be expected by utilising behaviour change in PA interventions and what specific intervention characteristics, application of behaviour change theories, and behaviour change techniques are most efficacious.MethodsThe protocol was prospectively registered on PROSPERO: CRD42021252744, and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed in this review. Eight databases were comprehensively searched using a well-defined strategy developed in collaboration with an academic liaison librarian. Randomised, non-randomised controlled, and non-controlled studies were included in this review; however, controlled and non-controlled studies were analysed separately. Studies were included if participants were older than 16 years and had an SCI of any cause, level or severity, regardless of the time since injury. The behaviour change technique taxonomy version 1 was used to code the intervention characteristics for behaviour modification. The combined effects across studies were pooled in a meta-analysis, and the risk of bias was assessed using the Cochrane Risk of Bias 2 tool.ResultsThe search retrieved 10,155 titles and abstracts. After duplicate removal and screening against the eligibility criteria, 23 studies were included. The overall effect estimate of the change in PA participation in the controlled trials post-intervention was medium (d = 0.50, 95% CI = 0.31–0.70) in favour of behaviour-targeted interventions. The mean difference in PA volume between pre- and post-intervention was an increase of 22 minutes per week (95% CI = 5.96–38.90). Interventions that provided practical support (d = 0.81, 95% CI = 0.46–1.16), which were individualised (d = 0.62, 95% CI = 0.34–0.90) and that utilised monitoring (d = 0.59, 95% CI = 0.34–0.83) had a greater effect on change to PA than those that were group-based and did not utilise those specific techniques.ConclusionsInterventions that target behaviour change to increase PA in people with SCI appear effective. Utilising behaviour change frameworks and specific behaviour change techniques augments PA uptake and levels, and interventions aimed at improving PA in people with SCI should incorporate a behaviour modification component. More research is needed on the isolated effect of intervention structure parameters and specific behaviour change techniques.     

The effects of goal types on psychological outcomes in active and insufficiently active adults in a walking task: Further evidence for open goals

ObjectivesThis study aimed to extend recent work on the effects of goal types in physical activity (PA; Swann, Hooper et al., 2020) by comparing the effects of SMART, open, and do-your-best (DYB) goals on performance and psychological responses in active and insufficiently active adults in a walking task.Design4 (goal condition) x 3 (attempt) x 2 (group) mixed design.MethodsActive (n = 18) and insufficiently active (n = 18) participants completed baseline and two experimental attempts of a 6-minute walking test in four conditions: SMART goal; open goal; DYB goal; and control. A range of measures were taken during and following each attempt, and after each session. A series of mixed ANOVA’s were conducted for all measures assessed between groups.ResultsInsufficiently active participants achieved greater distances in the open condition compared to the SMART condition (p < .001), whereas active participants achieved greater distances in the SMART condition compared to the open condition (p < .001). Additionally, exploratory analyses revealed that insufficiently active participants reported greater pleasure and enjoyment (p < .05) in the open condition compared to active participants, who conversely reported more pleasure and enjoyment (p < .05) in the SMART condition than insufficiently active participants.ConclusionsFindings provide initial evidence that PA and psychological responses differ between active and insufficiently active individuals depending on goal type. This work has potential implications for goal setting strategies in PA promotion and raises further questions about current practices of setting SMART goals for insufficiently active participants.     

Diverse multi-week physical activity programs reduce ADHD symptoms: A systematic review and meta-analysis

ObjectivePhysical activity (PA) has been proposed as an adjunct treatment and secondary prevention intervention for attention-deficit hyperactivity/impulsivity disorder (ADHD) and oppositional defiant disorder (ODD). However, meta-analyses testing effects on symptoms and functional impairment have yielded conflicting results.MethodsA systematic search of eight databases yielded 15 randomized controlled trial and 2 quasi-experimental design studies—including N = 881 youth (M = 9.75 years, 71% male)—that tested the effects of multi-week PA programs on symptoms and impairment of children with [or at-risk for] ADHD and/or ODD.ResultsRandom effects meta-analyses favored PA groups on omnibus ADHD measures (g = −0.42, 95%CI[-0.62;-0.21]), combined ADHD symptoms (g = −0.50, 95%CI[-0.82;-0.17]), inattention (g = −0.41,95%CI[-0.82; 0.00]), and hyperactivity/impulsivity (g = −0.30, 95%CI[-0.56;-0.04]). Heterogeneity was moderate across studies (I² = 49%, 95%CI[12%-to-70%]). Significant differences favored PA programs whether inclusion required diagnosis, programs augmented frontline treatments, and active or passive comparison groups were utilized.ConclusionDiverse PA programs can reduce ADHD symptoms, especially where they intentionally pursue this end.     

Motivation and physical activity levels in bariatric patients involved in a self-determination theory-based physical activity program

ObjectiveThis study examines the associations between pre-to post-intervention changes in motivation and physical activity (PA) levels of bariatric patients involved in a 6-month postoperative PA program based on self-determination theory (SDT). We also explore the extent to which patients’ perception of autonomy support and basic psychological need satisfaction during the program were associated with changes in their motivation to exercise.MethodForty patients were assigned to a motivational PA intervention (MPAI-G) or to a control group (CG). Both groups completed questionnaires assessing the variables of interest and wore GT3X accelerometers before surgery and after the program.ResultsThirty-two participants (78.1% female) completed all measures and were included in the present analyses. CG showed greater increases in integrated (d = −1.60, 95% CI [−2.40, −0.81]) and identified regulation (d = −0.75, 95% CI [−1.47, −0.03]) than MPAI-G. However, the MPAI-G experienced increases in introjected regulation (d = 1.95, 95% CI [1.11, 2.79]) and greater decreases in external regulation (d = −1.00, 95% CI [−1.74, −0.27]) than CG, which were associated with decreases in sedentary activity and increases in light and total PA. Oppositely to the CG, amotivation decreased in the MPAI-G (d = −2.98, 95% CI [−3.98, −1.97]) and it was related to increases in light and total PA. Changes in exercise motivation were associated with perceived autonomy support and basic psychological need satisfaction during the program.ConclusionThe SDT-based PA program gave rise to greater changes in controlled forms of motivation and amotivation than in autonomous motivation in post-bariatric surgery patients.     

Women's exercise identity increases after a 16-week exercise RCT and is linked to behavior maintenance at follow-up

BackgroundRegular exercise is critical for disease prevention, but adherence to public health guidelines is poor. Exercise identity is purported to be associated with exercise behavior maintenance, but the extant literature is largely cross-sectional and of low/modest quality.PurposeTo examine change in exercise identity after completion of a supervised exercise intervention, as well as associations between change in exercise identity and exercise maintenance at 6-months follow-up.MethodsN = 276 insufficiently physically active women were randomized to a 16-week, supervised exercise training intervention with 4 conditions fully crossed on intensity (vigorous/moderate) and duration (long/short). Exercise identity was measured pre- and post-intervention and assessments of exercise motivation and behavior frequency were collected at 6-months post-intervention follow-up.ResultsOn average, participants experienced a statistically significant change in exercise identity over the course of the intervention, t (128) = 7.94, p < .001, but identity change scores did not differ across training conditions, p = .91. Identity change was significantly positively related to changes in other theory-informed, motivation-based determinants of exercise, and predicted an additional 16.17 min of exercise per week, on average, at follow-up, b = 16.76, t (103) = 2.30, p = .023.ConclusionsParticipants experienced increased self-identification with exercise after 16-weeks of training, but training volume did not influence the amount of identity change. As expected, greater change in exercise identity was associated with higher levels of exercise behavior at 6-months post-intervention follow-up (ClinicalTrials.gov number NCT02032628 ).     

Overweight and obese men’s experiences in a sport-based weight loss intervention for men

In Western countries, such as Australia and the UK, a significantly greater proportion of men (relative to women) are overweight and obese, yet relatively few weight loss interventions have been developed that sufficiently target men. This lack of male-focused programming may be in part because ‘traditional’ weight loss programs are unappealing for what is considered a ‘hard-to-reach’ population. One program that appears to have such appeal for men is the MAN v FAT Football (MVFF) program, based out of the United Kingdom, which is designed for men with a body mass index of (or greater than) 27.5. MVFF encourages men’s participation in a community-based weight loss program that incentivizes weight loss through participation in a football league, and since 2016 MVFF has supported the weight loss efforts of several thousand men. Using MVFF as an exemplar, our aim was to derive insight into how men experience a male-only competitive, sport-based weight loss program. We recruited twenty-seven players (Mage = 41.13, SD = 9.93), and ten coaches (Mage = 31.8, SD = 11.55) from program locations throughout the United Kingdom. Using semi-structured interviews and thematic analysis, we identified several appraisal aspects of the program that players and coaches considered important, including the appeal of sport, competition on a level playing field, being part of a team, camaraderie, accountability, men sharing issues with other men, gender-sensitized environment, likeminded and similar men, and perceptions that traditional weight loss programs are tailored towards women. Player experiences (i.e., competence and enjoyment) and functional supports in the program (e.g., player handbook, weight loss coach) were reported to drive outcomes of effective weight loss and program retention. Interventions aiming to target men may be more successful working with rather than against formulations of identity such as masculinities, and this can be achieved by tailoring program content (e.g., messaging), settings (e.g., among men sharing similar characteristics such as body-type or goals), and mode of delivery (e.g., through organized sports, and leveraging competition to drive healthy behaviours).     

Exercise video games are associated with more positive affective response,which predicts physical activity adherence

BackgroundA more positive affective valence during exercise is predictive of adherence to physical activity programs. This study examines the relationship between affective response during exercise and longer-term maintenance of physical activity among individuals using exercise video games (EVGs) and standard modalities of physical activity (i.e., walking, cycling).MethodsHealthy adults (mean age 45.4, SD = 14.5) were randomly assigned to a 12-week supervised, thrice weekly program of EVGs (n = 93) or Standard exercise (n = 96), and were assessed for affect immediately before, at the mid-point, and immediately after one exercise session per week. Participation in moderate-to-vigorous physical activity (MVPA) was conducted at end of treatment (EOT) and 6-month follow up.ResultsEVG participants reported more positive affective valence during exercise compared to Standard participants (b = 0.63, SE = 0.08, p < .001), and perceived less exertion (b = 0.52, SE = 0.36, p = .04) compared to Standard participants. For both groups, a more positive affective valence during exercise was significantly predictive of continued physical activity at 6-months (b = 6.64, SE = 2.50, p = .01). EVG participants also showed a significant chronic effect such that week-to-week there were improvements in affect prior to exercise and this effect was significantly associated with greater MPVA at EOT and follow-up (b = 21.96, SE = 10.10, p = .03 at EOT). Among Standard participants no significant chronic effect was seen over time.ConclusionsEVGs may provide an effective means of promoting more positive shifts in affective valence both during, and in anticipation of, physical activity that encourages longer-term participation.     

The relationship between aging expectations and various modes of physical activity among aging adults

ObjectivePrevious research has indicated that older adults who expect decline and disease with age are less likely to engage in aerobic exercise. This study explores the influence that different types of aging expectations have on various modes of physical activity (PA) among aging adults.Design & methodsCommunity-dwelling adults aged 41–97 years (M = 70.8, SD = 12.8, n = 247) completed a questionnaire including the Physical Activity Scale for the Elderly, the Expectations Regarding Aging (ERA) Survey, and a number of demographic, socio-economic, and medical covariates.ResultsBivariate analyses revealed significant relationships between overall ERA scores and multiple modes of PA, but not at multivariate levels. Bivariate analyses of the ERA sub-scales revealed significant associations among PA and the physical health ERA sub-scale but not mental health or cognitive function ERA sub-scales. In the multivariate analyses, higher physical health ERA was correlated with strenuous sport and recreational physical activities after adjusting for all covariates among aging adults without restrictions of daily activity (OR = 1.01, CI = 1.00–1.02, n = 194).ConclusionsThe association between aging expectations and PA appears to be dependent on the type of aging expectation (i.e., physical health), the mode or intensity of PA, and the functional abilities of the aging adult.     

Attachment relationships and physical activity in adolescents: The mediation role of physical self-concept

ObjectivesBased on the integration of attachment and physical self-perception perspectives, the present study examined links between adolescents' engagement in physical activity and their attachment relationships with mothers, fathers, and friends, respectively, and assessed the potential mediation role of physical self-perception in this link.Design and methodsUsing a cross-sectional design, questionnaire data was obtained from 767 adolescents (49% boys, M_age = 12.92, SD = .86) and structural equation modeling was used to examine relationships among variables.ResultsAttachment security with parents and friend was associated with higher levels of physical activity. There was partial support of the mediation role of physical self-perception, as adolescents who were securely attached to mother and friend perceived themselves as having better physical condition, which in turn predicted greater engagement in physical activity. The mediation role of physical self-perception between mother attachment and PA was stronger for female adolescents. Secure attachment to father had a direct positive effect on physical activity. The direct effect was strongest for male adolescents.ConclusionsOur findings highlight the importance of relationship-based intervention strategies to enhance and maintain healthy regular physical activity among adolescents.     

Effects of school-based interventions on motivation towards physical activity in children and adolescents: A systematic review and meta-analysis

IntroductionAssuming that motivation is the key to initiate and sustain beneficial health behaviors, the aim of this systematic review was to analyze the effects of school-based physical activity interventions on a variety of motivational outcomes towards PA in school-aged children and adolescents.MethodsA comprehensive literature search was carried out in six electronic databases to identify randomized controlled trials and quasi-experimental trials examining the effects of PA interventions implemented during the regular school day, e.g., during physical education lessons or lunch breaks. Primary outcomes of interest were students' motivation, basic psychological needs, goal orientation, enjoyment, and motivational teaching climate in physical education. Meta-analyses were conducted for these outcomes using Comprehensive Meta-analysis software. Secondarily, intervention effects on students' PA behaviors were examined and the findings summarized narratively. Methodological quality of studies was evaluated using the Cochrane Collaboration's tool for assessing risk of bias for randomized trials; certainty of evidence on outcome level was evaluated using the GRADE approach.ResultsIn total, 57 studies carried out between 2001 and 2018 were included in this review. Sixteen individual meta-analyses were performed and revealed significant pooled effects for the outcomes enjoyment (g = 0.310), perceived autonomy (g = 0.152), identified regulation (g = 0.378), intrinsic motivation (g = 0.419), self-determination index (g = 0.672), task/mastery climate (g = 0.254), ego/performance climate (g = −0.438), autonomy supportive climate (g = 0.262), task goal orientation (g = 1.370), ego goal orientation (g = −0.188). The narrative data synthesis indicated an increase in students' PA behavior. The overall risk of bias was high across all studies and certainty of evidence of meta-analyzed outcomes ranged from very low to moderate. Moderate certainty of evidence was found for ego/performance climate and ego goal orientation. Conclusions: Meta-analyses suggest that school-based PA interventions may be effective in increasing a variety of motivational outcomes. However, the certainty of evidence was limited in the majority of outcomes. Further research is needed to identify effective intervention strategies that increase students’ motivation towards PA.     

The Daily Mile™: Acute effects on children’s cognitive function and factors affecting their enjoyment

The Daily Mile™ is a widely implemented school-based physical activity initiative. However, only two studies have explored the acute effects of participation in The Daily Mile on children’s cognitive functioning, reporting conflicting findings. Moreover, enjoyment of exercise is a determining factor in children’s motivation for, and adherence to, initiatives. However, factors affecting children’s enjoyment of The Daily Mile are unknown. Therefore, this study examined the acute effects of The Daily Mile on cognition and explored children’s enjoyment of participation in the initiative. Following familiarisation, 104 children (10.4 ± 0.7 years) completed a Daily Mile and resting control trial in a randomised, counterbalanced order. Prior to, immediately following and 45 min following The Daily Mile and resting, children completed the Stroop test (inhibitory control), Sternberg paradigm (visual working memory) and Flanker task (inhibitory control and cognitive flexibility). Additionally, 87 children took part in focus groups to explore factors affecting enjoyment. Cognitive data were analysed using two-way (trial*time) and three-way (trial*time*sex; trial*time*fitness) repeated measures analysis of variance (ANOVA). Focus group data were analysed using qualitative content analysis. There were no statistically significant effects of The Daily Mile on cognition, compared to rest (all p > 0.05). However, accuracy on the one-item level of Sternberg paradigm (p = 0.073, η_p² = 0.028) and complex level of the Stroop test (p = 0.057; η_p² = 0.031) tended to improve immediately following The Daily Mile, compared to resting; though this did not reach statistical significance. Children enjoyed participating in The Daily Mile, particularly due to its outdoor location, social context, and self-paced nature. However, some children found The Daily Mile boring due to its repetitive nature. Findings suggest that The Daily Mile does not significantly influence children’s immediate or delayed (45 min) cognition. However, there was a tendency for improved accuracy in visual working memory and inhibitory control immediately following The Daily Mile. Moreover, the findings demonstrate that The Daily Mile promotes enjoyment, particularly through social relatedness and autonomy. However, future research could consider whether adding variety into the initiative may help to sustain engagement in the children experiencing boredom.     

The impact of E-diaries and accelerometers on young adults' perceived and objectively assessed physical activity

ObjectiveE-diaries and accelerometers promise more objective, real-time measurements of health behavior. However, social-psychological theory suggests that using electronic behavioral monitoring may influence rather than just record physical activity (PA), especially when a device is novel.DesignParticipants (n = 146) were randomly assigned to either an accelerometer-only, e-diary-only, accelerometer + e-diary, or a no-technology control group for one week to assess how these technologies influenced PA, both perceived and actual, in young adults.MethodParticipants reported their PA, overall and number of discrete exercise sessions (DES) at baseline and follow-up; accelerometers provided daily step counts and e-diaries captured daily reports of PA for the active week of the study.ResultsAverage daily steps in the accelerometer-only and accelerometer + e-diary groups did not differ nor did daily reports of PA via e-diary compared to accelerometer + e-diary group, showing that neither technology affected actual PA. ANCOVAS tested group differences in perceived PA; The accelerometer-only group had increased perceived overall PA but not DES compared to no-technology control.ConclusionsAccelerometers may increase perceived overall PA, but the tested technologies did not increase DES or actual PA, suggesting that they may be viable unbiased measures of PA.     

Predicting changes in student engagement in university physical education: Application of control-value theory of achievement emotions

ObjectivesBased on Pekrun’s (2006) control value theory of achievement emotions, this study examined both distal and proximal predictors of change in students' behavioral and emotional engagement during one semester of university physical education classes.DesignShort-term longitudinal design.MethodStudents (N = 202) completed questionnaires on three separate occasions during one semester. At the beginning of the semester, demographic information and behavioral and emotional engagement were reported. At the mid-point in the semester, control beliefs, extrinsic value beliefs, and discrete activity emotions toward the physical education context (i.e., enjoyment; anger; boredom) were completed. At the end of the semester, behavioral and emotional engagement were measured once again.ResultsA series of confirmatory factor analyses provided evidence for factor validity and reliability in the measured constructs and longitudinal measurement invariance tests established that any detected change in student engagement was associated with true change. Findings from a path analysis revealed that initial emotional engagement was a predictor of control and extrinsic value appraisals as well as enjoyment and boredom, but not anger. Extrinsic value positively predicted enjoyment while control negatively predicted anger. Finally, a distinct pattern of relations was established between enjoyment, boredom, and changes in engagement.ConclusionsDifferences in the predictive relations of boredom and anger on changes in student engagement highlights the unique contributions of measuring discrete emotions. Overall, findings partially support the applicability of using Pekrun's control value framework in physical activity settings.     

A randomized controlled trial evaluating the efficacy of Triple P Online with parents of children with early-onset conduct problems

ObjectiveThis study examined the efficacy of Triple P Online (TPOL), an eight-module intensive online positive parenting program for parents of children with early-onset disruptive behavior problems.MethodOne hundred and sixteen parents with 2–9-year-old children displaying early-onset disruptive behavior difficulties were randomly assigned to either the intervention condition (N = 60) or an internet-use-as-usual control group (N = 56).ResultsAt post-intervention assessment, parents receiving the internet intervention TPOL had significantly better outcomes on measures of problem child behavior, dysfunctional parenting styles, parents’ confidence in their parenting role, and parental anger. At 6-month follow-up assessment intervention gains were generally maintained, and in some cases enhanced. Consumer satisfaction ratings for the program were high.ConclusionsInternet-delivered self-help parenting programs appear to make a valuable contribution to a comprehensive public health approach to parenting support.     

The effects of an authentic coaching intervention on athlete outcomes: A pilot randomised controlled trial

ObjectivesAuthentic leadership has been found to be related to promising outcomes in sport. However, no intervention designed to increase coaches' authentic leadership exists. The aim of this study was to develop and evaluate such an intervention.DesignThe study was a pilot randomised controlled trial. We used a mixed design with Group (Intervention, Control) as between- and Time (pre, post) as within-participants factors.MethodA total of 18 coaches (M_age = 37.89; 83% males) and their athletes (N = 153; M_age = 20.48; 50.3% females) were randomly allocated, via block randomisation, into either an intervention (coaches n = 9, athletes n = 90) or a control group (coaches n = 9, athletes n = 63). The coaches in the intervention group received a 2-h-long workshop and completed weekly coaching logs. Data were collected via questionnaires, which were administered to both the coaches and their athletes prior to the workshop and two months after the workshop.ResultsThe results revealed that the intervention group reported higher authentic leadership compared to the control group. A mixed-design analysis of variance indicated that athletes in the intervention group reported significantly higher enjoyment and prosocial behaviour from pre- to post-intervention compared to the control group.ConclusionsThe findings suggest that an authentic coaching intervention can be effective in improving coaches' authentic behaviours and promoting positive athlete outcomes.     

Integrated mindfulness-based intervention: Effects on mindfulness skills,cognitive interference and performance satisfaction of young elite badminton players

ObjectivesMindfulness- and acceptance-based interventions (MABI) in sport settings need further development and validation to fulfil the desired outcomes related to sport performance. The current study aimed to design and implement a MABI integrated into the badminton training of young elite players (MBI programme), and to investigate its impact on sport performance-related outcomes.DesignTwo stages: (a) design and implementation of the MBI programme, and (b) evaluation using a mixed methods approach.MethodParticipants were young elite badminton players, assigned either to the 8-week MBI programme (n = 18; M_age = 16.22), or the 8-week placebo programme (n = 11; M_age = 16.64). Participants completed pre- and post-intervention measures of mindfulness skills, cognitive interference, and performance satisfaction. Social validation interviews were conducted with MBI participants to collect their overall perceptions of the programme.ResultsMANCOVA indicated a large intervention effect on the main outcome variables (partial η² = 0.58). The results of univariate ANCOVAs showed that post-intervention awareness, performance worries and task-irrelevant thoughts differed significantly across the groups. In addition, follow-up t-tests provided additional information regarding changes from pre- to post-intervention among the MBI and control groups separately. Social validation data gave further insights into what athletes had retained and applied from the MBI programme.ConclusionsContrasting results highlighted the need to better explore mindfulness mechanisms in MABI and the way they are inter-related, in order to strengthen changes in sport performance-related outcomes.     

Changes in physical activity and sedentary behavior associated with an exercise intervention in depressed adults

BackgroundExercise is beneficial for depression, but less is known about its impact on post-intervention physical activity and sedentary behavior. The aim of this paper was to determine the extent to which participation in light-, moderate- and vigorous-intensity exercise intervention influenced habitual physical activity and sedentary behavior patterns in depressed adults.MethodsAccelerometer data was collected pre- and post-intervention from depressed participants randomized to one of three 12-week intervention groups: light (n = 21), moderate (n = 25) and vigorous (n = 22) exercise. Mixed models examined changes in time spent sedentary and in light and moderate-to-vigorous physical activity (MVPA); time accumulated in sedentary and MVPA bouts; and, number of MVPA bouts and interruptions in sedentary time.ResultsOverall sedentary time decreased while light activity time increased across all intervention groups but not significantly so. The light exercise intervention group reduced MVPA minutes (−8.22, 95% CI: −16.44, −0.01), time in MVPA bouts (−8.44, 95% CI: −14.27, −2.62), and number of activity bouts (−0.43, 95% CI: −0.77, −0.09). The moderate exercise intervention group reduced time in MVPA bouts (−6.27, 95% CI: −11.71, −0.82) and number of sedentary interruptions (−6.07, 95% CI: −9.30, −2.84). No changes were observed for the vigorous exercise intervention group.ConclusionsThe exercise intervention led to an increase in overall light physical activity and decrease in sedentary time, though neither change was statistically significant. Participation in the light and moderate exercise intervention groups was associated with reductions of time in MVPA bouts, but this was not evident for the vigorous exercise intervention group.     

Relationships among behavioural regulations,physical activity,and mental health pre- and during COVID–19 UK lockdown

A nationwide survey was conducted during the first UK lockdown to further understanding of the degree to which motives for exercise were associated with physical activity (PA) behaviours and, in turn, how PA behaviours were associated with mental health. A cross-sectional design was employed and data were collected by use of a one-off online survey (N = 392; 18–85 years; MBMI = 25.48; SD_BMI = 5.05; 314 women). Exercise motives, PA, and mental health were measured by use of the Behavioural Regulations in Exercise Questionnaire-3, Brunel Lifestyle Physical Activity Questionnaire, and General Health Questionnaire-12, respectively. Participants were also asked to specify their average step count per day, if they used a mobile device for this purpose (n = 190). Analyses comprised hierarchical regressions and partial correlations. Results indicated that behavioural regulations were more strongly associated with planned PA pre-lockdown, compared to during lockdown. There were no differences observed in explained variance between pre- and during lockdown for unplanned PA and steps per day. Planned and unplanned PA were significant explanatory variables for mental health both pre- and during lockdown, but sedentary behaviour was not. Partial correlations, with BMI and age partialled out, showed that steps per day were not correlated with mental health either pre- or during lockdown. The range of variables used to explain planned and unplanned PA and mental health suggest that people's motives to exercise were tempered by lockdown. For those who routinely measured their steps per day, the step count was unrelated to their mental health scores both pre- and during lockdown. It appears that engagement in regular PA confers some minor benefits for mental health.