Home > Journals > The Journal of Sports Medicine and Physical Fitness > Past Issues > The Journal of Sports Medicine and Physical Fitness 2017 June;57(6) > The Journal of Sports Medicine and Physical Fitness 2017 June;57(6):916-22

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

ORIGINAL ARTICLE  PSYCHOLOGY 

The Journal of Sports Medicine and Physical Fitness 2017 June;57(6):916-22

DOI: 10.23736/S0022-4707.16.06278-2

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

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

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

1 Department of Sports and Exercise Medicine, Clinicum, 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, 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 counseling 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 three times/week were randomized into: A) a group receiving single-session health counseling; B) a group receiving single-session health counseling 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: Generalized 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 counseling session and a three-month exercise-training program. We detected, however, no statistically significant differences when comparing men who received health counseling or health counseling combined with exercise training to controls.


KEY WORDS: Randomized controlled trial - Health status - Men - Exercise

top of page