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Associations Between Physical Activity and Changes in Depressive Symptoms and Health-related Quality of Life Across 7 Years After Roux-en-Y Gastric Bypass Surgery
- Source :
- Annals of Surgery. 276:e777-e783
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- To examine associations of objectively-measured free-living physical activity (PA) with changes in depressive symptoms and mental and physical health-related quality of life (HRQoL) over 7 years after Roux-en-Y gastric bypass surgery (RYGB).The contributions of PA to improvements in mental and physical health after RYGB, independent of weight loss, are unclear.Adults undergoing RYGB in a US multi-center cohort study wore an activity monitor and completed the Beck depression inventory (BDI) and 36-Item Short Form Health Survey (SF-36) annually ≤7 years (N = 646; 78% female, median age 47 years, median body mass index 46kg/m 2 ). Linear mixed models estimated associations of quartiles of steps, sedentary behavior (SB), and moderate-to-vigorous intensity physical activity (MVPA), respectively, with pre-to-post-surgery changes in the BDI and SF-36 mental component summary and physical component summary scores, respectively, over 1-7 years post-surgery, with adjustment for sex, age, race, pre-surgerybody mass index, the respective pre-surgery score, treatment for depression (time-varying) and pre-to-post-surgery weight change (time-varying).There were dose-response associations between steps, SB (inverse) and MVPA quartiles, respectively, with improvements in each score. Across follow-up, mean improvements in the BDI, Mental Component Summary and physical component summary scores, were 1.9 [95% confidence interval (CI), 1.0-2.8], 3.1 (95% CI, 1.5-4.7), and 4.0 (95% CI, 2.7-5.4) points higher, respectively, in the highest versus lowest steps quartile.Among adults who underwent RYGB, multiple objective PA measures were associated with decreases in depressive symptoms and improvements in mental and physical HRQoL throughout 7 years, independent of weight loss, indicating PA is a modifiable behavior to augment outcomes.
- Subjects :
- Adult
Male
medicine.medical_specialty
Gastric Bypass
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Quality of life
Weight loss
Internal medicine
Weight Loss
medicine
Humans
Prospective Studies
Prospective cohort study
Exercise
Depression
business.industry
Weight change
Beck Depression Inventory
Middle Aged
Obesity, Morbid
Quartile
030220 oncology & carcinogenesis
Quality of Life
Female
030211 gastroenterology & hepatology
Surgery
medicine.symptom
business
Body mass index
Cohort study
Subjects
Details
- ISSN :
- 00034932
- Volume :
- 276
- Database :
- OpenAIRE
- Journal :
- Annals of Surgery
- Accession number :
- edsair.doi.dedup.....2c52a686655fbeb59b1e8b9670a9b108