Article

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/m(2) 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.
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Langue : ANGLAIS