Impact of the Healthy Eating and Exercise Lifestyle Programme on depressive symptoms in overweight people with heart disease and diabetes

Gallagher, R; Zelestis, E; Hollams, D; Denney-Wilson, E; Kirkness, A

Impact of the Healthy Eating and Exercise Lifestyle Programme on depressive symptoms in overweight people with heart disease and diabetes

Gallagher, R

Zelestis, E Hollams, D Denney-Wilson, E

Kirkness, A

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Publication Type:: Journal Article
Citation:: European Journal of Preventive Cardiology, 2014, 21 (9), pp. 1117 - 1124
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	Zelestis, E	en_US
dc.contributor.author	Hollams, D	en_US
dc.contributor.author	Denney-Wilson, E https://orcid.org/0000-0001-9879-4969	en_US
dc.contributor.author	Kirkness, A	en_US
dc.date.issued	2014-01-01	en_US
dc.identifier.citation	European Journal of Preventive Cardiology, 2014, 21 (9), pp. 1117 - 1124	en_US
dc.identifier.issn	2047-4873	en_US
dc.identifier.uri	http://hdl.handle.net/10453/36924
dc.description.abstract	Background: The Healthy Eating and Exercise Lifestyle Program (HEELP) is a secondary risk factor intervention programme for people with heart disease and/or type 2 diabetes, which has proven benefits for weight loss and exercise. This secondary analysis evaluated the effects of HEELP on achieving recommended levels of exercise and the prevalence of depressive symptoms, and whether meeting exercise recommendations had an independent effect on depressive symptoms. Design: A randomized parallel controlled trial of patients (n=147) with body mass index 27-39 kg/m2 were recruited from cardiac rehabilitation and diabetes education programmes. Methods: HEELP participants received a 16-week group-based lifestyle intervention of twice-weekly supervised exercise and five information sessions; the control group received usual care. At 16 weeks, achievement of recommended levels of exercise (≥5 days/week, moderate or higher intensity, and total duration of ≥150 minutes/week) and depressive symptoms (Hospital Anxiety and Depression Scale) were assessed. Results: More HEELP participants met the recommendations for exercise frequency (71 vs. 50%, p=0.036), intensity (76 vs. 60%, p=0.05), and total duration (65 vs. 43%, p=0.047). The prevalence of depressive symptoms in HEELP was half that of the control group (17 vs. 34%; OR 0.397, 95% CI 0.18-0.86). Participants who met recommendations for total duration of exercise were less likely to report depressive symptoms (OR 0.29, 95% CI 0.112-0.717) after adjusting for treatment group and weight change. Conclusions: A group-based lifestyle intervention improves exercise and reduces depressive symptoms despite multiple risk factors. © 2013 The European Society of Cardiology.	en_US
dc.relation.ispartof	European Journal of Preventive Cardiology	en_US
dc.relation.isbasedon	10.1177/2047487313486043	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Diabetes Mellitus, Type 2	en_US
dc.subject.mesh	Weight Loss	en_US
dc.subject.mesh	Body Mass Index	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Life Style	en_US
dc.subject.mesh	Counseling	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Overweight	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Feeding Behavior	en_US
dc.title	Impact of the Healthy Eating and Exercise Lifestyle Programme on depressive symptoms in overweight people with heart disease and diabetes	en_US
dc.type	Journal Article
utslib.citation.volume	9	en_US
utslib.citation.volume	21	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	9	en_US
pubs.publication-status	Published	en_US
pubs.volume	21	en_US

Abstract:

Background: The Healthy Eating and Exercise Lifestyle Program (HEELP) is a secondary risk factor intervention programme for people with heart disease and/or type 2 diabetes, which has proven benefits for weight loss and exercise. This secondary analysis evaluated the effects of HEELP on achieving recommended levels of exercise and the prevalence of depressive symptoms, and whether meeting exercise recommendations had an independent effect on depressive symptoms. Design: A randomized parallel controlled trial of patients (n=147) with body mass index 27-39 kg/m2 were recruited from cardiac rehabilitation and diabetes education programmes. Methods: HEELP participants received a 16-week group-based lifestyle intervention of twice-weekly supervised exercise and five information sessions; the control group received usual care. At 16 weeks, achievement of recommended levels of exercise (≥5 days/week, moderate or higher intensity, and total duration of ≥150 minutes/week) and depressive symptoms (Hospital Anxiety and Depression Scale) were assessed. Results: More HEELP participants met the recommendations for exercise frequency (71 vs. 50%, p=0.036), intensity (76 vs. 60%, p=0.05), and total duration (65 vs. 43%, p=0.047). The prevalence of depressive symptoms in HEELP was half that of the control group (17 vs. 34%; OR 0.397, 95% CI 0.18-0.86). Participants who met recommendations for total duration of exercise were less likely to report depressive symptoms (OR 0.29, 95% CI 0.112-0.717) after adjusting for treatment group and weight change. Conclusions: A group-based lifestyle intervention improves exercise and reduces depressive symptoms despite multiple risk factors. © 2013 The European Society of Cardiology.

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http://hdl.handle.net/10453/36924