The Relationship Between Physical Activity Level and Quality of Life in Individuals with Bipolar Disorder

Year 2022, Volume: 5 Issue: 2, 83 - 89, 20.12.2022

Selma Ercan Doğu , Ayşe Gökçen Gündoğmuş

https://doi.org/10.33438/ijdshs.1137254

Abstract

Bipolar disorder (BD) is a serious mental illness that leads to poor quality of life (QOL). Lack of physical activity (PA) and sedentary behavior are among the risk factors that cause this condition. This study explored the relationship between PA levels and QOL in individuals diagnosed with bipolar disorder. 27 individuals with BD who received service from a Community Mental Health Center (CMHC) participated to the study. Inclusion criteria were being 18-59 years of age, regularly using of medication, and being in remission. The individuals with psychiatric comorbidities such as intellectual disability, organic brain disease, alcohol/substance abuse, and circadian rhythm disorder were omitted. All participants filled out Sociodemographic Data Form, International Physical Activity Questionnaire-Short Form (IPAQ-SF), and World Health Organization Quality of Life Scale-Short Form (WHOQOL-BREF). Most participants were not physically active (77.8%), and 22.2% had low physical activity levels. The mean IPAQ-SF score (MET minutes per week) was 363.87±337.06. The QOL-general health mean score was 6.88±1.62. The IPAQ-total score was significantly positively correlated with WHOQOL-BREF Psychological (p<0.05) and WHOQOL-BREF General mean scores (p<0.01). The correlation between IPAQ-total score and physical, social, and environment subscales was not statistically significant. Study findings revealed that there was a need to increase the PA levels of individuals with BD. Also, it has been found that as PA increases, individuals' psychological QOL increases. For this reason, it is essential to implement healthy life groups and follow up in terms of metabolic syndrome and chronic disorders in CMHCs for improving QOL.

Keywords

Bipolar Disorder, Physical Activity, Quality of Life

References

• Akvardar, Y., Akdede, B.B., Özerdem, A., Eser, E., Topkaya, Ş., & Alptekin, K. (2006). Assessment of quality of life with the WHOQOL-BREF in a group of Turkish psychiatric patients compared with diabetic and healthy subjects. Psychiatry Clin. Neurosci, 60(6), 693-699.
• Anyayo, L., Ashaba, S., Kaggwa, M. M., Maling, S., & Nakimuli-Mpungu, E. (2021). Health-related quality of life among patients with bipolar disorder in rural southwestern Uganda: a hospital based cross sectional study. Health Qual Life Outcomes, 19(1), 1-8.
• Ashton, M.M., Mohebbi, M., Turner, A., Marx, W., Berk, M., Malhi, G.S., et al. (2020). Physical activity as a predictor of clinical trial outcomes in bipolar depression: a subanalysis of a mitochondrial-enhancing nutraceutical randomized controlled trial. Can J Psychiatry, 65(5), 306-18.
• Bauer, I.E., Galvez, J.F., Hamilton, J.E., Balanza-Martinez, V., Zunta-Soares, G.B., Soares, J.C., et al. (2016). Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: a systematic review. J Psychiatr Res, 74, 1-7.
• Biddle, S., & Mutrie, N. (2007). Psychology of physical activity: Determinants, well-being and interventions. Routledge.
• Craig, C.L., Marshall, A.L., Sjöström, M., Bauman, A.E., Booth, M.L., Ainsworth, B.E., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Med. Sci. Sports Exerc., 35(8), 1381-95.
• De Hert, M., Detraux, J., & Vancampfort, D. (2022). The intriguing relationship between coronary heart disease and mental disorders. Dialogues in Clinical Neuroscience.
• D'Angelantonio, M., Collins, J.L., Manchia, M., Baldessarini, R.J., & Tondo, L. (2022). Physical exercise, depression, and anxiety in 2190 affective disorder subjects. J. Affect. Disord., 309, 172-177.
• Erdoğan, M., Certel, Z., & Güvenç, A. (2011). Assessment of physical activity level in office workers according to obesity and some variables (The akdeniz university hospital example). Journal of Sports Medicine, 46(3), 097-107.
• Eser, E., Fidaner, H., Fidaner, C., Eser, S.Y., Elbi, H., & Göker, E. (1999). Psychometric properties of the WHOQOL-1OO and WHOQOL-BREF. Journal of Psychiatry Psychology Psychopharmacology (3P), (Suppl 2), 23-40.
• Goodwin, G. M., Haddad, P. M., Ferrier, I. N., Aronson, J. K., Barnes, T. R. H., Cipriani, A., et al. (2016). Evidence-based guidelines for treating bipolar disorder: revised third edition recommendations from the British Association for Psychopharmacology. J. Psychopharmacol., 30(6), 495-553.
• Health, N. C. C. f. M. (2014). Bipolar disorder: the NICE guideline on the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care. London, United Kingdom: British Psychological Society.
• Hoertel, N., Rotenberg, L., Blanco, C., Camus, V., Dubertret, C., Charlot, V., Schürhoff, F., Vandel, P., & Limosin, F. (2021). A comprehensive model of predictors of quality of life in older adults with schizophrenia: results from the CSA study. Soc Psychiatry Psychiatr Epidemiol., 56(8), 1411-1425.
• Marquez, D.X., Aguiñaga, S., Vásquez, P.M., Conroy, D.E., Erickson, K. I., Hillman, C., Stillman, C.M., Ballard, R.M., Sheppard, B. B., & Petruzzello, S. J. (2020). A systematic review of physical activity and quality of life and well-being. Transl Behav Med, 10(5), 1098-1109.
• Melo, M.C.A., Daher, E.D.F., Albuquerque, S.G. C., & de Bruin, V.M.S. (2016). Exercise in bipolar patients: a systematic review. J. Affect. Disord., 198, 32-38.
• Michalak, E.E., Yatham, L.N., & Lam, R.W. (2005). Quality of life in bipolar disorder: a review of the literature. Health Qual Life Outcomes, 3(1), 1-17.
• Ng, F., Dodd, S., & Berk, M. (2007). The effects of physical activity in the acute treatment of bipolar disorder: a pilot study. J. Affect. Disord., 101(1-3), 259-262.
• Organization, W.H. (1996). WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996.
• Rosenbaum, S., Tiedemann, A., Sherrington, C., Curtis, J., & Ward, P.B. (2014). Physical activity interventions for people with mental illness: a systematic review and meta-analysis. J Clin Psychiatry, 75(9), 14465.
• Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills, 111(1), 278-284.
• Sylvia, L. G., Nierenberg, A. A., Stange, J. P., Peckham, A. D., & Deckersbach, T. (2011). Development of an integrated psychosocial treatment to address the medical burden associated with bipolar disorder. J. Psychiatr. Pract., 17(3), 224.
• Sylvia, L.G., Friedman, E.S., Kocsis, J.H., Bernstein, E.E., Brody, B.D., Kinrys, G., Kemp, D.E., Shelton, R.C., McElroy, S.L., & Bobo, W.V. (2013a). Association of exercise with quality of life and mood symptoms in a comparative effectiveness study of bipolar disorder. J. Affect. Disord., 151(2), 722-727.
• Sylvia, L.G., Salcedo, S., Bernstein, E.E., Baek, J.H., Nierenberg, A.A., & Deckersbach, T. (2013b). Nutrition, exercise, and wellness treatment in bipolar disorder: proof of concept for a consolidated intervention. Int. J. Bipolar Disord, 1(1), 1-7.
• Thomson, D., Turner, A., Lauder, S., Gigler, M. E., Berk, L., Singh, A.B., & Sylvia, L. (2015). A brief review of exercise, bipolar disorder, and mechanistic pathways. Front. Psychol., 6, 147.
• Wright, K., Armstrong, T., Taylor, A., & Dean, S. (2012). ‘It's a double edged sword’: A qualitative analysis of the experiences of exercise amongst people with Bipolar Disorder. J. Affect. Disord., 136(3), 634-642.
• Van Citters, A.D., Pratt, S.I., Jue, K., Williams, G., Miller, P.T., Xie, H., & Bartels, S.J. (2010). A pilot evaluation of the In SHAPE individualized health promotion intervention for adults with mental illness. Community Ment. Health J., 46(6), 540-552.
• Vancampfort, D., Correll, C.U., Probst, M., Sienaert, P., Wyckaert, S., De Herdt, A., Knapen, J., De Wachter, D., & De Hert, M. (2013). A review of physical activity correlates in patients with bipolar disorder. J. Affect. Disord., 145(3), 285-291.
• Vancampfort, D., Firth, J., Schuch, F., Rosenbaum, S., De Hert, M., Mugisha, J., ... & Stubbs, B. (2016). Physical activity and sedentary behavior in people with bipolar disorder: a systematic review and meta-analysis. J. Affect. Disord., 201, 145-152