Home > Riviste > The Journal of Sports Medicine and Physical Fitness > Fascicoli precedenti > Articles online first > The Journal of Sports Medicine and Physical Fitness 2016 Apr 05

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS

Rivista di Medicina, Traumatologia e Psicologia dello Sport


Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111


eTOC

 

The Journal of Sports Medicine and Physical Fitness 2016 Apr 05

lingua: Inglese

The effects of health counselling and exercise training on self-rated health and well-being in middle-aged men: a randomised trial

Elina ENGBERG 1, 2, Helena LIIRA 3, 4, Katriina KUKKONEN-HARJULA 5, Svetlana FROM 3, Hannu KAUTIAINEN 3, 6, Kaisu PITKÄLÄ 3, Heikki TIKKANEN 1, 2, 7

1 Department of Sports and Exercise Medicine, University of Helsinki, Helsinki, Finland; 2 Foundation for Sports and Exercise Medicine, Clinic for Sports and Exercise Medicine, Helsinki, Finland; 3 Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; 4 School of Primary, Aboriginal and Rural Health Care, General Practice, University of Western Australia, Crawley, Australia; 5 UKK Institute for Health Promotion Research, Tampere, Finland; 6 Unit of Primary Health Care, Kuopio University Hospital, Kuopio, Finland; 7 Institute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland


PDF  


BACKGROUND: Few community-based lifestyle interventions have examined subjective well-being. We examined the effects of health counselling and exercise training on self-rated health (SRH), self-rated well-being (SRW) and depressive symptoms in middle-aged men at increased risk for cardiovascular disease (CVD) in a randomized controlled trial.
METHODS: Men (n = 168) with at least two CVD risk factors engaging in leisure-time physical activity less than 3 times/week were randomized into: A) a group receiving single-session health counselling, B) a group receiving single-session health counselling and three months of weekly structured group exercise training or C) a control group. We assessed SRH and SRW using visual analogue scales and depressive symptoms using a brief depression screener (the Patient Health Questionnaire-2, PHQ-2).
RESULTS: Generalised estimating equation (GEE) models showed that, after 3 and 12 months, SRH (P = 0.024) and SRW (P = 0.014) improved across all groups. We found no differences between the groups (group by time effect, P = 0.44 and P = 0.80). The proportion of men with PHQ-2 scores ≥3 (positive depression screen) decreased in groups A (from 27% to 13%) and B (from 34% to 18%), but increased among controls (from 26% to 31%) (group by time effect, P = 0.078).
CONCLUSIONS: We found improvements in SRH and SRW, with a diminishing proportion of men screening positive for depression one year after a single health counselling session and a three-month exercise-training programme. We detected, however, no statistically significant differences when comparing men who received health counselling or health counselling combined with exercise training to controls.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail

elina.engberg@helsinki.fi