ABSTRACT
This pilot study examined feasibility of an unsupervised, facility-based exercise programme for promoting exercise adherence among depressed adult outpatients. The potential effect of adding physical activity counselling on depressive symptoms and physical activity was also explored. Participants were randomly assigned to a 12-week programme comprising an orientation and access to fitness centre resources (control, n = 18) or that programme plus 6 physical activity counselling sessions (intervention, n = 18). Outcome measures were feasibility (fitness centre attendance over 12 weeks); Beck Depression Inventory (BDI-II) and International Physical Activity Questionnaire (IPAQ) completed at baseline and week 12; and qualitative programme feedback. Fitness centre attendance averaged only 12 days (14% of all possible days) with no differences between study groups. No group differences were found on IPAQ or BDI-II scores at week 12. Increases from baseline in IPAQ moderate/vigorous activity minutes were associated with decreases in BDI-II scores at week 12 (p < 0.001). The most helpful programme aspect reported was connecting participants to fitness centre resources. In this pilot study of depressed outpatients, an unsupervised fitness centre based program was not feasible for promoting exercise adherence and adding physical activity counselling was not useful for increasing physical activity levels or reducing depression.
Subject(s)
Depressive Disorder/therapy , Exercise Therapy/methods , Fitness Centers , Outcome and Process Assessment, Health Care , Outpatients , Program Evaluation , Adult , Feasibility Studies , Female , Humans , Male , Middle Aged , Pilot ProjectsABSTRACT
The purpose of this study was to identify patterns of weight belt use in a population of recreational weight trainers. We hypothesized that the majority of weight belt users utilized weight belts to reduce injury risk and/or improve performance while lifting submaximal loads. Three hundred fifty-two strength training health center members (189 men, 156 women, 7 gender not indicated) aged 20-72 years (36.5 +/- 10.5 years) completed a voluntary weight belt use survey. Overall, 27% (94/352) were weight belt users and 73% (258/352) were nonusers. Ninety percent (85/94) of belt users and 63% (55/88) of former belt users utilized belts to prevent injury, whereas 22% (21/94) of belt users and 28% (25/88) of former belt users utilized belts to improve performance. Many belt users were found to utilize belts during inappropriate situations such as lifting light loads or during exercises that do not typically stress the trunk musculature. Based on these findings we suggest that specific educational interventions be developed at health and fitness facilities to help provide a foundation for more informed decision-making regarding weight belt use.
