Daniel D. Callow , Vadim Zipunnikov , Adam P. Spira , Sarah K. Wanigatunga , Corinne Pettigrew , Marilyn Albert , Anja Soldan , the BIOCARD Research Team
{"title":"Actigraphy estimated sleep moderates the relationship between physical activity and cognition in older adults","authors":"Daniel D. Callow , Vadim Zipunnikov , Adam P. Spira , Sarah K. Wanigatunga , Corinne Pettigrew , Marilyn Albert , Anja Soldan , the BIOCARD Research Team","doi":"10.1016/j.mhpa.2023.100573","DOIUrl":"10.1016/j.mhpa.2023.100573","url":null,"abstract":"<div><h3>Background and aims</h3><p>Physical inactivity<span> and poor sleep are common in older adults and may interact to contribute to age- and disease-related cognitive decline. However, prior work regarding the associations among physical activity<span>, sleep, and cognition in older adults is primarily limited to subjective questionnaires that are susceptible to inaccuracies and recall bias. Therefore, this study examined whether objectively measured physical activity and sleep characteristics, each estimated using actigraphy, are independently or interactively associated with cognitive performance.</span></span></p></div><div><h3>Methods</h3><p>The study included 157 older adults free of dementia (136 cognitively unimpaired; 21 MCI; M age = 71.7) from the BIOCARD cohort.</p></div><div><h3>Results</h3><p><span>Using multiple linear regression, cognition was regressed on estimated total volume of physical activity (TVPA), sleep efficiency (SE), wake after sleep onset (WASO), and total sleep time (TST) (adjusted for age, sex, education, diagnosis, vascular risk factors, and </span><span><em>Apolipoprotein E</em><em> (</em></span><span>APOE)-e4 genetic status). Models were also run for domain-specific cognitive composite scores. TVPA and SE each were positively associated with a global cognitive composite score. TVPA was positively associated with executive function and language composites, and SE was positively related to executive function, visuospatial, and language composites. Importantly, a TVPA by SE interaction (p = .015) suggested that adults with the poorest SE experienced the greatest benefit from physical activity in relation to global cognition. The other sleep metrics were unrelated to cognitive performance.</span></p></div><div><h3>Conclusion</h3><p>These results suggest that TVPA and SE may synergistically benefit cognition in older adults.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100573"},"PeriodicalIF":4.7,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139036666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masha Remskar , Max J. Western , Emma L. Osborne , Olivia M. Maynard , Ben Ainsworth
{"title":"Effects of combining physical activity with mindfulness on mental health and wellbeing: Systematic review of complex interventions","authors":"Masha Remskar , Max J. Western , Emma L. Osborne , Olivia M. Maynard , Ben Ainsworth","doi":"10.1016/j.mhpa.2023.100575","DOIUrl":"10.1016/j.mhpa.2023.100575","url":null,"abstract":"<div><h3>Background</h3><p>Physical activity and mindfulness practice both have established psychological benefits, yet research into their interaction and combined use is sparse. This systematic review aimed to pool the evidence examining the impact of interventions that combined physical activity and mindfulness on mental health and wellbeing outcomes, and their potential mechanisms of action.</p></div><div><h3>Methods</h3><p>Six databases (PubMed, Scopus, EMBASE, PsychINFO, Web of Science, Cochrane Library) were searched for trials reporting interventions that included 1) physical activity and mindfulness as primary treatments, 2) comparative control condition(s), 3) an adult sample, and 4) at least one mental health or wellbeing outcome. Screening, data extraction and quality assessment were conducted by two researchers. Findings are presented narratively due to clinical and methodological heterogeneity.</p></div><div><h3>Results</h3><p>Out of 7682 search results, 35 trials were included. Most eligible studies had pilot or feasibility designs (<em>n</em> = 19, 54%) or small sample sizes. Combined interventions were feasible to deliver and improved psychological health relative to passive controls (25/33 outcome comparisons reported across trials). Effects on psychological health outcomes compared to active controls were mixed (12/38 comparisons favoured combination over physical activity only, 5/18 favoured combination over mindfulness only), as were results regarding physical activity engagement.</p></div><div><h3>Conclusions</h3><p>Interventions combining physical activity with mindfulness are effective for improving mental health and wellbeing, possibly more so than either approach alone. Further research, including larger randomised controlled trials, is required to determine effectiveness and optimal intervention parameters. Exploring mechanisms of change will clarify their effects on mental health, wellbeing, and potential for behaviour change.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100575"},"PeriodicalIF":4.7,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S175529662300073X/pdfft?md5=bf24cd4b91a3035fef22df2057ee5632&pid=1-s2.0-S175529662300073X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138820174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physical activity following discharge from inpatient adult mental health settings","authors":"Philip Hodgson , Jack Haywood , Alex Benham","doi":"10.1016/j.mhpa.2023.100574","DOIUrl":"10.1016/j.mhpa.2023.100574","url":null,"abstract":"<div><h3>Background</h3><p>People with severe mental illness are considerably less physically active than the general population and experience a premature mortality<span> of 10–20 years, often attributed to modifiable behaviours<span>, including physical activity. Inpatient environments provide opportunities for people with SMI to become more physically active, however evidence is limited on its sustainability following discharge to community settings.</span></span></p></div><div><h3>Objective</h3><p>This review aimed to summarise the published evidence relating to physical activity interventions following discharge from inpatient adult mental health settings.</p></div><div><h3>Design</h3><p>MEDLINE, CINAHL, PsycINFO and AMED databases were searched to identify articles considering physical activity interventions taking place following discharge from an adult (>18) inpatient mental health setting, published after 2007.</p></div><div><h3>Results</h3><p>Of 3412 unique results, 5 studies were eligible for inclusion. Despite all included studies involving some transition between inpatient and community mental health settings, to-date no study has focused exclusively on physical activity interventions delivered following discharge from inpatient mental health settings.</p></div><div><h3>Conclusions</h3><p>This review has found insufficient evidence to guide the delivery of physical activity following discharge from inpatient mental health services. Future research is required to improve our knowledge of the optimal forms and delivery of physical activity interventions during this time, alongside quantifying the impact on readmission rates and clinical presentation.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100574"},"PeriodicalIF":4.7,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138820127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Markus J. Duncan , Nicholas Kuzik , Diego Augusto Santos Silva , Richard E. Bélanger , Valerie Carson , Jean-Philippe Chaput , Guy Faulkner , Mark A. Ferro , Anne-Marie Turcotte-Tremblay , Scott T. Leatherdale , Karen A. Patte , Mark S. Tremblay
{"title":"“Goldilocks days” for adolescent mental health: Movement behaviour combinations for well-being, anxiety and depression by gender","authors":"Markus J. Duncan , Nicholas Kuzik , Diego Augusto Santos Silva , Richard E. Bélanger , Valerie Carson , Jean-Philippe Chaput , Guy Faulkner , Mark A. Ferro , Anne-Marie Turcotte-Tremblay , Scott T. Leatherdale , Karen A. Patte , Mark S. Tremblay","doi":"10.1016/j.mhpa.2023.100572","DOIUrl":"10.1016/j.mhpa.2023.100572","url":null,"abstract":"","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100572"},"PeriodicalIF":4.7,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138680770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesca Malagodi , Eleanor J. Dommett , James L. Findon , Benjamin Gardner
{"title":"Physical activity interventions to improve mental health and wellbeing in university students in the UK: A service mapping study","authors":"Francesca Malagodi , Eleanor J. Dommett , James L. Findon , Benjamin Gardner","doi":"10.1016/j.mhpa.2023.100563","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100563","url":null,"abstract":"<div><h3>Background and aims</h3><p>Student mental health is of increasing concern: over a quarter of UK students report a mental health issue, and reactive support services cannot cope with increasing demand. Physical activity (PA) is associated with improved mental health in higher education settings. Universities are well placed to offer PA to promote students’ mental health and wellbeing. This study represents the first attempt to establish how many UK universities offer PA-based interventions to improve mental health and wellbeing of students, and what these interventions entail. We sought to identify, and code the characteristics of, interventions regarding how to encourage regular PA.</p></div><div><h3>Methods</h3><p>All UK universities were contacted and asked to report PA provisions available to students. We extracted key information from intervention descriptions, including using the Behaviour Change Technique (BCT) Taxonomy v1, to characterise component behaviour change strategies.</p></div><div><h3>Results</h3><p>Of 143 public UK universities identified, 125 (87%) responded to our request. Of these, only 45 (36%) universities had PA provisions in place, with a total of 54 interventions available across the country, each delivered for between 6 and 12 weeks. Most interventions were tailored (82%) and used BCTs focused on instructing students on how to perform physical activity (61%), restructuring the environment to facilitate activity (54%), and behavioural goal setting (46%).</p></div><div><h3>Conclusions</h3><p>Only a minority of UK universities offer PA interventions to students. These offerings focus on enhancing students' <em>capabilities</em> and giving greater <em>opportunities</em> for PA. Universities should consider offering greater PA provision to students, and address students’ <em>motivation</em> to engage in PA.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100563"},"PeriodicalIF":4.7,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296623000613/pdfft?md5=12843897aedc89924e13a2d284a2dac3&pid=1-s2.0-S1755296623000613-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Fernandez-del-Valle , Margarita Pérez Ruiz , Danika A. Quesnel , Alejandro F. San Juan , Andrea Barrios-Hernández , Montserrat Graell-Berna , Fernando Martínez-Abad
{"title":"Cross-cultural adaptation and validation of the Spanish version of the Exercise and Eating Disorders Questionnaire","authors":"María Fernandez-del-Valle , Margarita Pérez Ruiz , Danika A. Quesnel , Alejandro F. San Juan , Andrea Barrios-Hernández , Montserrat Graell-Berna , Fernando Martínez-Abad","doi":"10.1016/j.mhpa.2023.100564","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100564","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to adapt and assess the validity and reliability of the Spanish version of the Exercise in Eating Disorders Questionnaire (EED-Q) in order to diversify and offer a more comprehensive, effective, and standardized assessment of maladaptive exercise (ME) in ED.</p></div><div><h3>Methods</h3><p>The EED-Q is a self-reported questionnaire that assesses eating disorders (ED) patients' attitudes towards exercise. Based on the four-factor model of the original version, the EED-Q was adapted through forward and back-translation and inconsistencies were addressed through a committee of experts. Then, the EED-Q Spanish version (S-EED-Q) was administered to 172 patients with eating disorders (age = 15.28 ± 1.64 years). An exploratory factor analysis was computed to assess the construct validity. Inter-item correlations, item-factor correlations, McDonald's Omega, and Cronbach's Alpha were estimated to test the internal consistency (reliability). In addition, convergent validity was tested by relating EED-Q and the Eating Disorders Inventory 2 (EDI-2) scores, discriminant validity was assessed comparing EED-Q item-factor correlations, and divergent validity was conducted by analyzing EED-Q factor correlations.</p></div><div><h3>Results</h3><p>The S-EED-Q revealed significant generalized correlations among the scale items and showed good reliability scores (McDonald's Omega and Cronbach's alpha >0.7) except for Factor 2 (McDonald's Omega = 0.63 and Cronbach's alpha = 0.58). After eliminating items 8 and 15 due to their low factor loadings, the EFA revealed a robust empirical factor structure, adequate to the theoretical model, with good levels of total explained variance (65%). Convergent, discriminant and divergent validity showed good performance: results showed expected correlations between EED-Q and EDI-2, all items achieved higher item-factor correlations in their theoretical factor than in the others, and all factor-factor correlations were as expected.</p></div><div><h3>Conclusion</h3><p>This study is the first to adapt and validate the S-EED-Q. The psychometric properties of the S-EED-Q compared to the original version were supported with some limitations. Although the psychometric properties of the scale are adequate and the construct, convergent, discriminant and divergent validity are endorsed, some of the original items are questionable. Likewise, the items of the positive and healthy exercise factor require an in-depth revision.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100564"},"PeriodicalIF":4.7,"publicationDate":"2023-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296623000625/pdfft?md5=2d291aa07b5ba40c1b1a13800769e602&pid=1-s2.0-S1755296623000625-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138467350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physical activity and mental health: Comparing between-person and within-person associations in longitudinal analysis","authors":"Chloe Sher , Cary Wu","doi":"10.1016/j.mhpa.2023.100546","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100546","url":null,"abstract":"<div><h3>Background</h3><p>Extensive research has consistently highlighted the strong association between physical activity and mental health. But few have examined how this association may differ at the between-person and the within-person level. This longitudinal study compares how within-person and between-person changes in physical activity are associated mental health during the COVID-19 pandemic among the American population.</p></div><div><h3>Methods</h3><p>We analyzed data from the Understanding Coronavirus in America (UCA) survey, a probability-based online panel of American adults. An average of more than 6000 panel members repeatedly participated across 33 waves from the start of the pandemic in March 2020 to January 2023. Measures of physical activity include 1) number of days exercised in the past week (0–7), and 2) whether gone outside to walk, hike, and exercise in the past week (0 = no, 1 = yes), capturing both the frequency and the context (e.g., outdoor) of physical activity. Mental health is indicated using the four-item Patient Health Questionnaire (PHQ-4). We used multilevel Within-Between Random Effects models (REWB) that provide coefficients for both between-individual as well as within-individual associations.</p></div><div><h3>Results</h3><p>We reported three main findings. First, both within-person and between-person increases in physical activity are significantly associated with lower levels of anxiety and depression regardless of the measure. Second, between-person changes in physical activity are more strongly associated with mental health than within-person changes. Third, a large share of the between-person association (about 32%) can be attributed to structural inequalities captured by status markers such as gender, race, and SES.</p></div><div><h3>Conclusions</h3><p>Our findings indicate the value of physical activity as a mental health intervention and highlight that both between-individual inequality in physical activity, as well as within-individual changes in physical activity, should be considered. The finding of a stronger between-person association that is largely related to status markers such as gender, race, and SES can be used to develop targeted intervention and prevention strategies to improve mental health through physical activity among the most vulnerable populations.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100546"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa Klamert , Gillinder Bedi , Melinda Craike , Susan Kidd , Michaela C. Pascoe , Alexandra G. Parker
{"title":"Physical activity interventions for young people with increased risk of problematic substance use: A systematic review including different intervention formats","authors":"Lisa Klamert , Gillinder Bedi , Melinda Craike , Susan Kidd , Michaela C. Pascoe , Alexandra G. Parker","doi":"10.1016/j.mhpa.2023.100551","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100551","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review investigates physical activity (PA) interventions for (1) reducing substance use and associated outcomes, (2) increasing physical activity, and (3) improving mental health in young people aged 12–25 years at increased risk for problematic substance use.</p></div><div><h3>Method</h3><p>Four databases (PsycINFO, CINAHL, SPORTDiscus, and Medline) and grey literature, including hand searches, were searched (2021–2022). Non-randomized controlled or randomized controlled trials of a) multimodal or unimodal, short or long-term physical activity interventions in young people at increased risk of problematic substance use that b) investigated substance use outcomes were included. PA and mental health outcomes were explored where possible.</p></div><div><h3>Results</h3><p>Sixty-one percent of the studies (k = 17/28) reported a significant improvement in outcomes related to tobacco (e.g., abstinence, cravings, withdrawal symptoms, smoking pattern), alcohol (e.g., quantity, frequency), or other substance use (e.g., frequency, quantity, recent use). Eight studies reported an increase in PA participation; two reported a beneficial effect on depression symptoms. The certainty of the evidence, i.e., the confidence in the reported effect estimates, was downgraded based on the risk of bias assessment. Findings should therefore be interpreted cautiously.</p></div><div><h3>Conclusions</h3><p>A range of physical activity intervention formats and modalities may decrease substance use and associated outcomes and increase physical activity participation among people at risk for problematic substance use. Future research is warranted to better establish efficacy and investigate the effectiveness of implementing physical activity as part of treatment for substance use in young people.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100551"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Peckham , Garry Tew , Ben Lorimer , Laura Bailey , Rebecca Beeken , Cindy Cooper , Samantha Gascoyne , Simon Gilbody , Gareth Jones , Katarzyna Machaczek , Katie Pickering , Gemma Traviss-Turner , Brendon Stubbs
{"title":"Interventions to increase physical activity and reduce sedentary behaviour in severe mental ill health: How effective are they?’- A systematic review","authors":"Emily Peckham , Garry Tew , Ben Lorimer , Laura Bailey , Rebecca Beeken , Cindy Cooper , Samantha Gascoyne , Simon Gilbody , Gareth Jones , Katarzyna Machaczek , Katie Pickering , Gemma Traviss-Turner , Brendon Stubbs","doi":"10.1016/j.mhpa.2023.100547","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100547","url":null,"abstract":"<div><h3>Background</h3><p>People with severe mental ill health experience a mortality gap of 15–20 years and one of the main reasons for this is due to preventable physical health conditions. Physical activity can reduce the risk of developing physical health conditions such as diabetes and cardiovascular disease yet people with severe mental ill health are less physically active and more sedentary than the general population.</p></div><div><h3>Methods</h3><p>A systematic review was conducted to investigate the effectiveness of interventions aimed at increasing physical activity and reducing sedentary behaviour in people with severe mental ill health. The protocol was published with PROSPERO (CRD42021277579). Randomised controlled trials conducted in any country in any setting and published in English with an aim of increasing physical activity or reducing sedentary behaviour were included.</p></div><div><h3>Results</h3><p>Eleven unique studies were identified for inclusion. Due to the variability between interventions, outcome measures, and time points, it was not possible to conduct a meta-analysis. Effect estimates suggested that three of the interventions were effective at increasing physical activity. However, the certainty of the evidence was rated as low using the GRADE approach.</p></div><div><h3>Conclusions</h3><p>The evidence on interventions to increase activity shows promise but is insufficiently robust for an intervention to be recommended in clinical guidelines. More high-quality and statistically powered trials are needed to guide best practice and policy.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100547"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of different exercise patterns on drug craving in female methamphetamine-dependent patients: Evidence from behavior and fNIRS","authors":"Yifan Chen , Xuru Wang , Chenglin Zhou","doi":"10.1016/j.mhpa.2023.100534","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100534","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the effects of short-term moderate-intensity cycle ergometer and aerobic calisthenics training on drug craving and brain activity.</p></div><div><h3>Methods</h3><p>Forty female methamphetamine (MA)-dependent patients were randomly assigned to receive 30 min of either moderate-intensity cycle ergometer or aerobic calisthenics training. Before and after exercise, drug-cue exposure task was used to assess changes in subjective drug craving, and functional near-infrared spectroscopy (fNIRS) was used to assess activation of prefrontal cortex.</p></div><div><h3>Results</h3><p>After the intervention, drug craving was significantly decreased in both groups, and activation of frontal polar area (FPA) was significantly decreased in the cycle ergometer group. Functional connectivity between right dorsolateral prefrontal cortex (DLPFC) and FPA in the aerobic calisthenics group was significantly reduced. Pre-exercise levels of drug craving correlated positively with FPA activation.</p></div><div><h3>Conclusion</h3><p>Both short-term moderate-intensity cycle ergometer and aerobic calisthenics training effectively reduced subjective drug craving in female MA-dependent patients. Cycle ergometer training mainly decreased neural activity in FPA, and likely suppressed drug craving by reducing the episodic memory and pleasure experience of drug-related cues. Aerobic calisthenics training reduced functional connectivity between FPA and right DLPFC, and likely helped subjects reduce the motivation for drug-related behavior and inhibit drug craving.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"25 ","pages":"Article 100534"},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}