Abstract
Background
Physical activity represents a modifiable behaviour which may be associated with increased likelihood of experiencing positive mental health.
Aims
The aim of this study was to examine the association between self-rated physical activity and subjective indicators of both positive and negative mental health in an Irish adult population.
Methods
Based on data from a population-based, observational, cross-sectional study, participants were categorised using the International Physical Activity Questionnaire (IPAQ) into those who reported that they did and did not meet recommended physical activity requirements. Self-reported positive and negative mental health indicators were assessed using the Energy and Vitality Index (EVI) and the Mental Health Index-5 (MHI-5) from the SF-36 Health Survey Instrument, respectively. Binary logistic regression was used to identify variables independently associated with self-reported positive and negative mental health.
Results
A total of 7539 respondents were included in analysis. Overall, 32% reported that they met recommended minimal physical activity requirements. Self-reported positive and negative mental health were reported by 16 and 9% of respondents, respectively. Compared with those who reported meeting-recommended physical activity requirements, those performing no physical activity were three times less likely to report positive mental health (adjusted odds ratio (OR) 0.39, 95% confidence interval (CI) 0.28–0.55) and three times more likely to report negative mental health (OR 3.27, 95% CI 2.38–4.50).
Conclusion
Compared with those who do not, those who report meeting-recommended physical activity requirements are more and less likely to report experiencing positive and negative mental health, respectively. Future policy development around physical activity should take cognisance of the impact of this activity on both physical and mental health outcomes.
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References
World Health Report (2001) Mental health: new understanding, new hope. Geneva
Lavikainen JFT, Lehtinen V (2006) Improving mental health information in Europe. Proposal of the MINDFUL project, Helsinki
Keyes CL (2005) Mental illness and/or mental health? Investigating axioms of the complete state model of health. J Consult Clin Psychol 73(3):539–548. https://doi.org/10.1037/0022-006x.73.3.539
Barry MMVL, E. Molcho, M. Morgan, K. McGee, H. Conroy, R.M. Watson, D. Shelley, E. Perry (2009) I. SLÁN 2007: survey of lifestyle, attitudes and nutrition in Ireland. Mental health and social well-being report. In: Children DoHa, ed.
Ireland RCoPo (2016) Physical activity: a prescription for a wonder drug
Deslandes A, Moraes H, Ferreira C et al (2009) Exercise and mental health: many reasons to move. Neuropsychobiology 59(4):191–198. https://doi.org/10.1159/000223730
Dunn AL, Jewell JS (2010) The effect of exercise on mental health. Curr Sports Med Rep 9(4):202–207. https://doi.org/10.1249/JSR.0b013e3181e7d9af
Hardman AE (2001) Physical activity and health: current issues and research needs. Int J Epidemiol 30(5):1193–1197. https://doi.org/10.1093/ije/30.5.1193
Griffiths A, Kouvonen A, Pentti J et al (2014) Association of physical activity with future mental health in older, mid-life and younger women. Eur J Public Health 24(5):813–818. https://doi.org/10.1093/eurpub/ckt199
Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA (2002) Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 156(4):328–334. https://doi.org/10.1093/aje/kwf047
Cooney GM, Dwan K, Greig CA, et al. Exercise for depression. Cochrane Database Syst Rev 2013(9). https://doi.org/10.1002/14651858.CD004366.pub6
Diehl JJ, Choi H (2008) Exercise: the data on its role in health, mental health, disease prevention, and productivity. Primary Care 35(4):803–816. https://doi.org/10.1016/j.pop.2008.07.014
Dimeo F, Bauer M, Varahram I, Proest G, Halter U (2001) Benefits from aerobic exercise in patients with major depression: a pilot study. Br J Sports Med 35(2):114–117
Richards J, Jiang X, Kelly P, Chau J, Bauman A, Ding D (2015) Don’t worry, be happy: cross-sectional associations between physical activity and happiness in 15 European countries. BMC Public Health 15:53. https://doi.org/10.1186/s12889-015-1391-4
Department of Health. Health and Wellbeing Programme. Healthy Ireland Survey, 2015 [computer file]. Irish Social Science Data Archive [distributor], Dublin. March 2016. Accessed via the Irish Social Science Data Archive - www.ucd.ie/issda
Department of Health. Health and Wellbeing Programme. Healthy Ireland Survey: Technical Report, 2015 [computer file]. Irish Social Science Data Archive [distributor], Dublin. March 2016. Accessed via the Irish Social Science Data Archive - www.ucd.ie/issda
Department of Health. Health and Wellbeing Programme. Healthy Ireland Survey: Summary of Findings, 2015 [computer file]. Irish Social Science Data Archive [distributor], Dublin. March 2016. Accessed via the Irish Social Science Data Archive - www.ucd.ie/issda
Ware E, Gandek B (1998) Overview of the SF-36 survey and the international quality of life assessment (IQOLA). J Clin Epidemiol 51. https://doi.org/10.1016/s0895-4356(98)00081-x
Ware J, Kosinksi M, Dewey J (2000) How to score version 2 of the SF-36® health survey. Quality Metric Incorporated, Lincoln
Ware J, Kosinksi M, Gandek B (2000) SF-36® health survey: manual & interpretation guide. Quality Metric Incorporated, Lincoln
Ware JE Jr, Gandek B (1998) Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol 51(11):903–912
Korkeila J, Lehtinen V, Bijl R et al (2003) Establishing a set of mental health indicators for Europe. Scand J Public Health 31(6):451–459. https://doi.org/10.1080/14034940210165208
Kelly MJ, Dunstan FD, Lloyd K, Fone DL (2008) Evaluating cutpoints for the MHI-5 and MCS using the GHQ-12: a comparison of five different methods. BMC Psychiatry 8(1):10. https://doi.org/10.1186/1471-244x-8-10
Craig CL, Marshall AL, Sjostrom M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35(8):1381–1395. https://doi.org/10.1249/01.mss.0000078924.61453.fb
Ainsworth BE, Haskell WL, Herrmann SD et al (2011) 2011 Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 43(8):1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12
Organisation WH. Global strategy on diet, physical activity and health. Secondary global strategy on diet. Phys Act Health http://www.who.int/dietphysicalactivity/physical_activity_intensity/en/
Bauman A, Ainsworth BE, Bull F, Craig CL, Hagströmer M, Sallis JF, Pratt M, Sjöström M (2009) Progress and pitfalls in the use of the international physical activity questionnaire (IPAQ) for adult physical activity surveillance. J Phys Act Health 6(Suppl 1):S5–S8
Bauman A, Bull F, Chey T et al (2009) The international prevalence study on physical activity: results from 20 countries. Int J Behav Nutr Phys Act 6:21–21. https://doi.org/10.1186/1479-5868-6-21
Health Do (2016) Get Ireland active. The National Physical Activity Plan for Ireland. www.getirelandactive.ie
Commission E (2014) Sports and Physical Activity. Special Eurobarometer 412/Wave EB80.2
Ireland S Women in Sport Programme. Secondary Women in Sport Programme 2005. http://www.sportireland.ie/Participation/Women_in_Sport/
MRBI I (2015) Irish sports monitor annual report
Orna Donoghue MOC (2016) Physical activity in community-dwelling older Irish adults. In: (Tilda) TILSoA, ed.
Sparling PB, Howard BJ, Dunstan DW, Owen N (2015) Recommendations for physical activity in older adults. Br Med J 350. https://doi.org/10.1136/bmj.h100
Health Do (2011) Start active, stay active: a report on physical activity from the four home countries chief medical officers. . www.gov.uk/government/uploads/system/uploads/attachment_data/file/216370/dh_128210.pdf
Garber CE, Blissmer B, Deschenes MR et al (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43(7):1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Huppert FA, So TTC (2013) Flourishing across Europe: application of a new conceptual framework for defining well-being. Social Indic Res 110(3):837–861. https://doi.org/10.1007/s11205-011-9966-7
Van Hal G (2015) The true cost of the economic crisis on psychological well-being: a review. Psychol Res Behav Manag 8:17–25. https://doi.org/10.2147/PRBM.S44732
Thekiso TB, Heron EA, Masood B, Murphy M, McLoughlin DM, Kennedy N (2013) Mauling of the “Celtic Tiger”: clinical characteristics and outcome of first-episode depression secondary to the economic recession in Ireland. J Affect Disord 151(2):455–460. https://doi.org/10.1016/j.jad.2013.06.024
Murray JL, Lopez AD (1996) The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. Summary. Harvard School of Public Health, World Health Organization, Boston
Piccinelli M, Homen FG (1997) Gender differences in the epidemiology of affective disorders and schizophrenia. World Health Organization, Geneva
Organisation WH (2009) Gender disparities in mental health. In: Depenence DoMHaS, ed. http://www.who.int/mental_health/media/en/242.pdf
Hassmen P, Koivula N, Uutela A (2000) Physical exercise and psychological well-being: a population study in Finland. Prev Med 30(1):17–25. https://doi.org/10.1006/pmed.1999.0597
McMahon EM, Corcoran P, O’Regan G et al (2017) Physical activity in European adolescents and associations with anxiety, depression and well-being. Eur Child Adolesc Psychiatry 26(1):111–122. https://doi.org/10.1007/s00787-016-0875-9
Wang F, Orpana HM, Morrison H, de Groh M, Dai S, Luo W (2012) Long-term association between leisure-time physical activity and changes in happiness: analysis of the prospective national population health survey. Am J Epidemiol 176(12):1095–1100. https://doi.org/10.1093/aje/kws199
White RL, Babic MJ, Parker PD, Lubans DR, Astell-Burt T, Lonsdale C (2017) Domain-specific physical activity and mental health: a meta-analysis. Am J Prev Med 52(5):653–666. https://doi.org/10.1016/j.amepre.2016.12.008
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Ethical approval
This study is an observational study using publicly available data which was collected as part of the Healthy Ireland Survey 2015. This survey was ethically approved by the Research Ethics Committee at the Royal College of Physicians of Ireland.
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Key Points
• One third (32%) of the Irish population engage in high levels of physical activity
• Positive mental health is reported by 16% of the population and negative mental health by 9%.
• Compared with those who meet recommended physical activity requirements, those who do not engage in physical activity are three times less likely to report positive mental health and three times more likely to report negative mental health.
• These associations suggest that policy developments around physical activity should take cognisance of the impact on both physical and mental health outcomes.
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Bowe, A.K., Owens, M., Codd, M.B. et al. Physical activity and mental health in an Irish population. Ir J Med Sci 188, 625–631 (2019). https://doi.org/10.1007/s11845-018-1863-5
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DOI: https://doi.org/10.1007/s11845-018-1863-5