Schilling René, Cody Robyn, Kreppke Jan-Niklas, Faude Oliver, Beck Johannes, Brand Serge, Donath Lars, Hatzinger Martin, Imboden Christian, Lang Undine, Mans Sarah, Mikoteit Thorsten, Oswald Anja, Schweinfurth-Keck Nina, Gerber Markus
Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Psychiatric Clinic Sonnenhalde, Riehen, Switzerland.
Front Sports Act Living. 2024 Sep 6;6:1447821. doi: 10.3389/fspor.2024.1447821. eCollection 2024.
Major depressive disorders (MDD) are a leading health concern worldwide. While first line medication treatments may fall short of desired therapeutic outcomes, physical activity (PA) interventions appear to be a promising and cost-effective add-on to improve symptoms of depression. This study aimed to address challenges in the assessment of PA in inpatients treated for MDD by examining the correspondence of self-reported and accelerometer-based PA.
In 178 inpatients treated for MDD (mean age: = 41.11 years, SD = 12.84; 45.5% female) and 97 non-depressed controls (mean age: = 35.24 years, SD = 13.40; 36.1% female), we assessed self-reported PA via the Simple Physical Activity Questionnaire (SIMPAQ) for one week, followed by a week where PA was monitored using an accelerometer device (Actigraph wGT3x-BT). Additionally, we examined correlations between PA levels assessed with the SIMPAQ and exercise determinants in both groups.
Descriptively, inpatients treated for MDD showed lower levels of light PA on accelerometer-based measures, whereas they self-reported increased levels of certain types of PA on the SIMPAQ. More importantly, there was only a small degree of correspondence between self-reported and actigraphy-based PA levels in both in patients ( = 0.15, < 0.05) and controls ( = 0.03, ns). Only few significant correlations were found for self-reported PA (SIMPAQ subscores) and perceived fitness, whereas self-reported PA and estimated VOmax were unrelated. Furthermore, only weak (and mostly statistically non-significant) correlations were found between exercise determinants and SIMPAQ-based exercise behavior in both populations.
Our findings emphasize the intricate challenges in the assessment of PA, not only in inpatients treated for MDD, but also in non-depressed controls. Our findings also underline the necessity for a diversified data assessment. Further efforts are needed to refine and improve PA questionnaires for a more accurate data assessment in psychiatric patients and healthy controls.
重度抑郁症（MDD）是全球主要的健康问题。虽然一线药物治疗可能无法达到理想的治疗效果，但体育活动（PA）干预似乎是一种有前景且具有成本效益的辅助治疗方法，可改善抑郁症状。本研究旨在通过检查自我报告的PA与基于加速度计的PA之间的对应关系，解决MDD住院患者PA评估中的挑战。
在178例接受MDD治疗的住院患者（平均年龄：41.11岁，标准差=12.84；45.5%为女性）和97例非抑郁对照者（平均年龄：35.24岁，标准差=13.40；36.1%为女性）中，我们通过简单体育活动问卷（SIMPAQ）评估了一周的自我报告PA，随后使用加速度计设备（Actigraph wGT3x-BT）监测PA一周。此外，我们还检查了两组中用SIMPAQ评估的PA水平与运动决定因素之间的相关性。
从描述性角度来看，接受MDD治疗的住院患者在基于加速度计的测量中显示出较低水平的轻度PA，而他们在SIMPAQ上自我报告某些类型的PA水平有所增加。更重要的是，在患者（=0.15，<0.05）和对照者（=0.03，无显著性差异）中，自我报告的PA水平与基于活动记录仪的PA水平之间只有很小程度的对应关系。自我报告的PA（SIMPAQ子分数）与感知健康状况之间仅发现少数显著相关性，而自我报告的PA与估计的最大摄氧量无关。此外，在这两个人群中，运动决定因素与基于SIMPAQ的运动行为之间仅发现微弱（且大多在统计学上无显著性差异）的相关性。
我们的研究结果强调了PA评估中的复杂挑战，不仅在接受MDD治疗的住院患者中如此，在非抑郁对照者中也是如此。我们的研究结果还强调了多样化数据评估的必要性。需要进一步努力完善和改进PA问卷，以便在精神科患者和健康对照者中进行更准确的数据评估。
