Correlation between phq-9 score and physical activity level, risk factors and non-communicable diseases in patients in family medicine clinic

• Authors: Zivana Gavric , Anna Culafic , Brankica Markovic
• Languages of publication: EN

Abstracts

EN

The work of physicians in primary health care is essential in prevention and early detection of health risk factors. To determine the incidence of depression among patients in family medicine clinics, as well as the correlation between depression, risk factors and NCDs, and to determine correlation between depression (PHQ-9 score) and the level of physical activity. The pilot study was conducted from January to March 2010 on 100 patients using the Patient Health Questionnaire (PHQ-9) and the International Physical Activity Questionnaire (IPAQ). The family doctor randomly interviewed and measured patients’ weight, height, blood pressure, fasting blood glucose and cholesterol and noted the presence of earlier diagnosed non-communicable diseases. The data for 92 patients were processed according to PHQ-9 and IPAQ guidelines. Out of 92 patients, 59 (64,1%) had PHQ-9 score ≤ 4 which suggests the absence of depression. The PHQ-9 score median was within normal limits, therefore, treatment was not required and there was no difference in PHQ-9 score median between patients with respect to age and sex. The level of physical activity was moderate in 39,1%, heavy in 35,9% and walking as physical activity in 25,0% of patients. Correlation coefficient between PHQ-9 score and MET score (r=−0,241) was statistically significant (p<0,05), as well as between PHQ -9 score and anxiety (r=0,27; p<0,01). Most studies show a correlation between depression and physical activity. It is essential to promote physical activity in order to prevent anxiety, depression and non-communicable diseases.

Keywords

EN

Depression; Physical activity; Family medicine; PHQ-9 score; MET score

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2011
• Volume: 6
• Issue: 3
• Pages: 372-377

Dates

published

1 - 6 - 2011

online

8 - 4 - 2011

Contributors

author

Zivana Gavric

• Department of Social Medicine, Medical Faculty, University of Banja Luka, 78000, Banja Luka, Bosnia and Hezegovina

author

Anna Culafic

• Primary Health Care Center of Banjaluka/Family Medicine Clinic, 78000, Banja Luka, Bosnia and Hezegovina

author

Brankica Markovic

• Primary Health Care Center of Banjaluka/Family Medicine Clinic, 78000, Banja Luka, Bosnia and Hezegovina

References

• [1] Murray CJL, Lopez AD, eds. The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability From Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Cambridge, MA: Harvard University Press; 1996
• [2] Murphy JM, Laird NM, Monson RR, Sobol AM, Leighton AH. A 40-year perspective on the prevalence of depression: the Stirling County Study. Arch Gen Psychiatry. 2000;57(3):209–215 http://dx.doi.org/10.1001/archpsyc.57.3.209[Crossref]
• [3] Hankin BL. Adolescent depression: description, causes, and interventions. Epilepsy Behav. 2006 Feb; 8(1):102–114. Epub 2005 Dec 13 http://dx.doi.org/10.1016/j.yebeh.2005.10.012[Crossref]
• [4] Alexopoulos GS. Depression in the elderly. Lancet. 2005;365(9475):1961–1970 http://dx.doi.org/10.1016/S0140-6736(05)66665-2[Crossref]
• [5] Kates N, Mach M. Chronic disease management for depression in primary care: a summary of the current literature and implications for practice. Can J Psychiatry. 2007;52(2):77–85
• [6] Whooley MA, Simon GE. Managing depression in medical outpatients. N Engl J Med. 2000;343(26):1942–1950 http://dx.doi.org/10.1056/NEJM200012283432607[Crossref]
• [7] Kessler RC, Berglund P, Demler et al. The epidemiology of major depressive disorder: results from the National Co morbidity Survey Replication NCS-R). JAMA. 2003;289(23):3095–3105 http://dx.doi.org/10.1001/jama.289.23.3095[Crossref]
• [8] Sadock BJ, Sadock VA, Kaplan. National Comorbidity Survey: Comphrensive Textbook of Psychiatry, UK, 2000
• [9] Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ). Short and Long Forms. Revised November 2005. http://www.ipaq.ki.se
• [10] Craig CL, Marshall A, Sjostrom M et al. International Physical Activity Questionnaire: 12 country reliability and validity Med Sci Sports Exerc 2003 [WoS]
• [11] Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606–613 http://dx.doi.org/10.1046/j.1525-1497.2001.016009606.x[Crossref]
• [12] Dietrich AJ, Oxman TE, Burns MR et al. Application of a depression management office system in community practice: a demonstration. J Am Board Fam Pract. 2003 Mar–Apr; 16(2):107–114 http://dx.doi.org/10.3122/jabfm.16.2.107[Crossref]
• [13] Pinto-Meza A, Serrano-Blanco A, Penarrubia MT et al. Assessing depression in primary care with the PHQ-9: can it be carried out over the telephone? J Gen Intern Med. 2005 Aug; 20(8):738–42 http://dx.doi.org/10.1111/j.1525-1497.2005.0144.x[Crossref]
• [14] Suija K, Pechter U, Maaroos J, Kalda R, Ratsep A, Oona M, Maaroos HI. Physical activity of Estonian family doctors and their counseling for a healthy lifestyle: a cross-sectional study. BMC Fam Pract. 2010 Jun 18;11(1):48 http://dx.doi.org/10.1186/1471-2296-11-48[Crossref][WoS]
• [15] Martins MD, Ricarte IF, Rocha CH, Maia RB, Silva VB, Veras AB, Souza Filho MD. Blood pressure, excess weight and level of physical activity in students of public university. Arq Bras Cardiol. 2010 Jun 18. pii: S0066-782X2010005000069 [WoS]
• [16] Jun Maa, Lan Xiao. Obesity and Depression in US Women: Results From the 2005–2006 National Health and Nutritional Examination Survey Obesity (2010) 182, 347–353. doi:10.1038/oby.2009.213 [Crossref]
• [17] Heckbert SR, Rutter CM, Oliver M, Williams LH, Ciechanowski P, Lin EH et al. Depression in relation to long-term control of glycemia, blood pressure and lipids in patients with diabetes. J Gen Intern Med. 2010 Feb 24 [Crossref][WoS]
• [18] Abu-Omar K, Rutten A, Lehtinen V. Mental health and physical activity in the European Union. Soz Praventivmed. 2004;49(5):301–309
• [19] Fox KR. The influence of physical activity on mental well-being. Public Health Nutr. 1999 Sep;2(3A):441–448 http://dx.doi.org/10.1017/S1368980099000567[Crossref]

Identifiers

DOI

10.2478/s11536-011-0022-4