Implementation Science,
Год журнала:
2015,
Номер
11(1)
Опубликована: Дек. 1, 2015
Relative
to
the
general
population,
people
with
a
mental
illness
are
more
likely
have
modifiable
chronic
disease
health
risk
behaviours.
Care
reduce
such
risks
is
not
routinely
provided
by
community
clinicians.
This
study
aimed
determine
effectiveness
of
an
intervention
in
increasing
provision
preventive
care
clinicians
addressing
four
A
multiple
baseline
trial
was
undertaken
two
groups
services
New
South
Wales,
Australia
(2011–2014).
12-month
practice
change
sequentially
implemented
each
group.
Outcome
data
were
collected
continuously
via
telephone
interviews
random
sample
clients
over
3-year
period,
from
6
months
pre-intervention
first
group,
post
second
Outcomes
client-reported
receipt
assessment,
advice
and
referral
for
tobacco
smoking,
harmful
alcohol
consumption,
inadequate
fruit
and/or
vegetable
consumption
physical
activity
behaviours
combined.
Logistic
regression
analyses
examined
care.
There
increase
assessment
all
combined
following
(18
29
%;
OR
3.55,
p
=
0.002:
n
805
at
baseline,
982
follow-up).
No
significant
or
individual
found.
The
had
limited
effect
on
Further
research
required
how
services.
Australian
Zealand
Clinical
Trials
Registry
ACTRN12613000693729
Health Psychology,
Год журнала:
2018,
Номер
37(5), С. 407 - 416
Опубликована: Апрель 27, 2018
Research
has
shown
that
posttraumatic
stress
disorder
(PTSD)
increases
the
risk
of
development
cardiometabolic
disease
(CMD)
including
cardiovascular
and
diabetes.
Whether
PTSD
is
also
associated
with
behavioral
factors
(e.g.,
diet,
exercise,
smoking
obesity)
for
CMD,
less
clear.PubMed,
Web
Science,
Scopus
databases
were
searched
to
obtain
papers
published
between
1980-2016.
Studies
reviewed
quality
using
Quality
Cohort
screen.
Significance
values,
odds
ratios
(OR),
95%
confidence
intervals
(CI),
tests
homogeneity
variance
calculated.A
total
1,349
studies
identified
from
our
search
29
met
all
eligibility
criteria.
Individuals
5%
likely
have
healthy
diets
(pooled
adjusted
OR
=
0.95;
CI:
0.92,
0.98),
9%
engage
in
physical
activity
0.91;
0.88,
0.93),
31%
more
be
obese
1.31;
CI:1.25,
1.38),
about
22%
current
smokers
1.22;
1.19,
1.26),
than
individuals
without
PTSD.Evidence
shows
reduced
eating
activity,
increased
obesity
smoking.
The
well-established
association
metabolic
may
partly
due
poor
sedentary
lifestyle,
high
prevalence
obesity,
co-occurring
this
population.
CMD
part
health
behaviors
patient
(PsycINFO
Database
Record
Epidemiologic Reviews,
Год журнала:
2015,
Номер
37(1), С. 103 - 115
Опубликована: Янв. 1, 2015
Post-traumatic
stress
disorder
(PTSD),
a
prevalent
and
costly
psychiatric
disorder,
is
associated
with
high
rates
of
obesity
cardiometabolic
diseases.
Many
studies
have
examined
PTSD
risky
behaviors
(e.g.,
smoking,
alcohol/substance
abuse);
far
fewer
the
relationship
between
health-promoting
behaviors.
Physical
activity
eating
are
2
lifestyle
factors
that
impact
risk
long-term
health.
This
comprehensive
review
literature
(1980–2014)
reported
physical
in
adults
or
symptoms.
A
systematic
search
electronic
databases
identified
15
articles
on
PTSD–physical
10
PTSD–eating
adults.
These
suggest
there
may
be
negative
association
among
PTSD,
activity,
Preliminary
evidence
from
3
pilot
intervention
suggests
changes
diet
beneficial
effects
There
was
considerable
heterogeneity
study
designs
sample
populations,
many
had
methodological
reporting
limitations.
More
representative
samples,
using
multivariable
analytical
techniques,
needed
to
identify
definitive
these
health
Intervention
for
examine
secondary
activity/eating
behaviors,
as
well
interventions
change
also
interest.
Psychological Medicine,
Год журнала:
2016,
Номер
47(2), С. 209 - 225
Опубликована: Окт. 4, 2016
Post-traumatic
stress
disorder
(PTSD)
has
been
declared
‘a
life
sentence’
based
on
evidence
that
the
leads
to
a
host
of
physical
health
problems.
Some
strongest
empirical
research
–
in
terms
methodology
and
findings
shown
PTSD
predicts
higher
risk
cardiometabolic
diseases,
specifically
cardiovascular
disease
(CVD)
type
2
diabetes
(T2D).
Despite
mounting
evidence,
is
not
currently
acknowledged
as
factor
by
or
endocrinological
medicine.
This
view
unlikely
change
absent
compelling
causally
contributes
disease.
review
suggests
with
developments
methods
for
epidemiological
rapidly
expanding
knowledge
behavioral
biological
effects
field
poised
provide
more
definitive
answers
questions
causality.
First,
we
discuss
improve
causal
inference
using
observational
data
most
often
used
studies
health,
particular
reference
issues
temporality
confounding.
Second,
consider
recent
work
linking
specific
behaviors
processes,
evaluate
whether
these
may
plausibly
serve
mechanisms
which
Third,
how
looking
comprehensively
into
phenotype
provides
insight
aspects
phenomenology
are
particularly
relevant
Finally,
new
areas
feasible
could
enhance
understanding
PTSD–cardiometabolic
relationship,
such
testing
treatment
can
halt
even
reverse
factors
related
CVD
T2D.
Military Medicine,
Год журнала:
2021,
Номер
187(9-10), С. e1103 - e1113
Опубликована: Ноя. 26, 2021
ABSTRACT
Introduction
Post-traumatic
stress
disorder
(PTSD)
is
a
cluster
of
physical
and
psychiatric
symptoms
following
military
or
civilian
trauma.
The
effect
exercise
on
PTSD
has
previously
been
investigated
in
several
studies.
However,
it
not
fully
determined
what
type
most
impacts
symptoms.
aim
the
present
study
was
to
systematically
review
effects
different
types
symptom
severity
coexisting
conditions
adults.
Materials
Methods
Electronic
searches
were
conducted
databases
PubMed,
APA
PsycInfo,
SportDiscus,
from
database
inception
up
until
February
1,
2021.
Inclusion
criteria
randomized
controlled
trials
published
English,
participants
having
diagnosis
clinically
relevant
symptoms,
randomly
allocated
either
non-exercising
control
group
an
group.
Data
concerning
number
participants,
age,
duration,
(primary
outcome),
(secondary
outcomes)
extracted.
subgroup
analysis
included
high
low
training
dose,
trauma
versus
non-military
trauma,
intervention
(yoga
other
exercise),
active
passive
condition,
individual
exercise,
quality.
quality
risk
bias
assessed
using
grading
recommendation
assessment,
development
evaluation
(GRADE)
guidelines.
A
meta-analysis
performed
with
mixed-effects
model
restricted
maximum
likelihood
as
estimator,
size
calculated
standardized
difference
mean
95%
CI.
Results
Eleven
studies
review.
showed
main
random
(0.46;
CI:
0.18
0.74)
borderline
significant
interaction
between
more
voluminous
(>20
hours
total)
less
(≤20
interventions
(P
=
.07).
No
findings
reported.
secondary
outcome
small
but
depressive
(0.20,
0.01
0.38),
larger
sleep
(0.51,
0.29
0.73).
For
substance
use
(alcohol
drugs
combined)
life,
we
found
0.52
(95%
0.06
0.98)
0.51
0.34
0.69),
respectively.
for
anxiety
(0.18,
−0.15
0.51),
no
sign
publication
found.
Conclusions
Exercise
can
be
effective
addition
treatment,
greater
amounts
may
provide
benefits.
there
differences
type,
possibly
due
inclusion
methodologies,
further
research
should
investigate
optimal
duration
activity
that
are
beneficial
persons
PTSD.
Journal of Physical Activity and Health,
Год журнала:
2016,
Номер
13(8), С. 910 - 918
Опубликована: Май 4, 2016
People
with
posttraumatic
stress
disorder
(PTSD)
are
more
likely
than
the
general
population
to
be
physically
inactive.
The
present
review
systematically
evaluated
correlates
of
physical
activity
across
socioecological
model
for
people
PTSD.Two
independent
reviewers
searched
Embase,
PubMed,
PsycARTICLES,
and
CINAHL
from
inception
until
June
2015,
combining
medical
subject
heading
"posttraumatic
disorder"
or
"PTSD,"
"physical
activity"
"exercise."
Data
were
extracted
by
same
researchers
summarized
according
model.Eight
papers
involving
1368
(994
men)
participants
(age
range
=
18-70
years)
eligible
enabled
evaluation
21
correlates.
only
correlate
(n
≥
4)
consistently
associated
lower
participation
in
PTSD
was
symptoms
hyperarousal.
No
consistent
facilitators
identified.Hyperarousal
among
should
considered
design
delivery
individualized
exercise
programs
targeting
this
population.
role
social,
environmental,
policy
factors
on
is
unknown
addressed
future
research.