Association of Physical Fitness with Depression in Women with Fibromyalgia

Alberto Soriano-Maldonado; Fernando Estévez-López; Víctor Segura-Jiménez; Virginia A Aparicio; Inmaculada C Álvarez-Gallardo; Manuel Herrador-Colmenero; Jonatan R Ruiz; Marius Henriksen; Kirstine Amris; Manuel Delgado-Fernández; al-Ándalus Project

doi:10.1093/pm/pnv036

Association of Physical Fitness with Depression in Women with Fibromyalgia

Alberto Soriano-Maldonado, Fernando Estévez-López, Víctor Segura-Jiménez, Virginia A Aparicio, Inmaculada C Álvarez-Gallardo, Manuel Herrador-Colmenero, Jonatan R Ruiz, Marius Henriksen, Kirstine Amris, Manuel Delgado-Fernández, al-Ándalus Project

15 Citations (Scopus)

Abstract

Objective. The aim of this study was to examine the association between physical fitness and depressive symptoms in women with fibromyalgia (FM). We also assessed whether different fitness components present independent relationships with depressive symptoms. Design. Cross-sectional study. Setting. University facilities and FM associations. Subjects. Four hundred and forty-four patients with FM according to the 1990 American College of Rheumatology criteria. Methods. Depressive symptoms were assessed using the Beck Depression Inventory (BDI-II). Physical fitness (aerobic fitness, muscle strength, flexibility, and motor agility) was assessed using the standardized Senior Fitness Test battery and the handgrip strength test. A standardized composite score for fitness was computed and divided into quintiles. Results. Overall, the fitness tests presented inverse associations with the total BDI-II score (P < 0.05). The patients in the highest fitness quintile had 8.4% lower depressive symptoms than the patients in the lowest fitness quintile (P = 0.014). The odds of severe symptoms of depression were between 3.7% and 16.9% lower for each performance unit in the back-scratch, handgrip, arm-curl, and eight-feet up-and-go tests. When all the fitness tests were simultaneously considered, the back-scratch test was the only one independently associated with the total BDI-II score (P = 0.001; R² = 0.023). Conclusions. Although higher physical fitness was generally associated with lower symptoms of depression in women with FM, the observed associations were somewhat weak and inconsistent, differing from those previously observed in healthy adults. Further research to determine the clinical relevance of the association between physical fitness and depression in FM is warranted.

Original language	English
Journal	Pain Medicine
Volume	17
Issue number	8
Pages (from-to)	1542-52
Number of pages	11
ISSN	1526-2375
DOIs	https://doi.org/10.1093/pm/pnv036
Publication status	Published - 1 Aug 2016
Externally published	Yes

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Journal Article

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https://academic.oup.com/painmedicine/article-pdf/17/8/1542/7968516/pnv036.pdf

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title = "Association of Physical Fitness with Depression in Women with Fibromyalgia",

abstract = "Objective. The aim of this study was to examine the association between physical fitness and depressive symptoms in women with fibromyalgia (FM). We also assessed whether different fitness components present independent relationships with depressive symptoms. Design. Cross-sectional study. Setting. University facilities and FM associations. Subjects. Four hundred and forty-four patients with FM according to the 1990 American College of Rheumatology criteria. Methods. Depressive symptoms were assessed using the Beck Depression Inventory (BDI-II). Physical fitness (aerobic fitness, muscle strength, flexibility, and motor agility) was assessed using the standardized Senior Fitness Test battery and the handgrip strength test. A standardized composite score for fitness was computed and divided into quintiles. Results. Overall, the fitness tests presented inverse associations with the total BDI-II score (P < 0.05). The patients in the highest fitness quintile had 8.4% lower depressive symptoms than the patients in the lowest fitness quintile (P = 0.014). The odds of severe symptoms of depression were between 3.7% and 16.9% lower for each performance unit in the back-scratch, handgrip, arm-curl, and eight-feet up-and-go tests. When all the fitness tests were simultaneously considered, the back-scratch test was the only one independently associated with the total BDI-II score (P = 0.001; R2 = 0.023). Conclusions. Although higher physical fitness was generally associated with lower symptoms of depression in women with FM, the observed associations were somewhat weak and inconsistent, differing from those previously observed in healthy adults. Further research to determine the clinical relevance of the association between physical fitness and depression in FM is warranted.",

keywords = "Journal Article",

author = "Alberto Soriano-Maldonado and Fernando Est{\'e}vez-L{\'o}pez and V{\'i}ctor Segura-Jim{\'e}nez and Aparicio, {Virginia A} and {\'A}lvarez-Gallardo, {Inmaculada C} and Manuel Herrador-Colmenero and Ruiz, {Jonatan R} and Marius Henriksen and Kirstine Amris and Manuel Delgado-Fern{\'a}ndez and {al-{\'A}ndalus Project}",

year = "2016",

month = aug,

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doi = "10.1093/pm/pnv036",

language = "English",

volume = "17",

pages = "1542--52",

journal = "Pain Medicine",

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T1 - Association of Physical Fitness with Depression in Women with Fibromyalgia

AU - Soriano-Maldonado, Alberto

AU - Estévez-López, Fernando

AU - Segura-Jiménez, Víctor

AU - Aparicio, Virginia A

AU - Álvarez-Gallardo, Inmaculada C

AU - Herrador-Colmenero, Manuel

AU - Ruiz, Jonatan R

AU - Henriksen, Marius

AU - Amris, Kirstine

AU - Delgado-Fernández, Manuel

AU - al-Ándalus Project

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Objective. The aim of this study was to examine the association between physical fitness and depressive symptoms in women with fibromyalgia (FM). We also assessed whether different fitness components present independent relationships with depressive symptoms. Design. Cross-sectional study. Setting. University facilities and FM associations. Subjects. Four hundred and forty-four patients with FM according to the 1990 American College of Rheumatology criteria. Methods. Depressive symptoms were assessed using the Beck Depression Inventory (BDI-II). Physical fitness (aerobic fitness, muscle strength, flexibility, and motor agility) was assessed using the standardized Senior Fitness Test battery and the handgrip strength test. A standardized composite score for fitness was computed and divided into quintiles. Results. Overall, the fitness tests presented inverse associations with the total BDI-II score (P < 0.05). The patients in the highest fitness quintile had 8.4% lower depressive symptoms than the patients in the lowest fitness quintile (P = 0.014). The odds of severe symptoms of depression were between 3.7% and 16.9% lower for each performance unit in the back-scratch, handgrip, arm-curl, and eight-feet up-and-go tests. When all the fitness tests were simultaneously considered, the back-scratch test was the only one independently associated with the total BDI-II score (P = 0.001; R2 = 0.023). Conclusions. Although higher physical fitness was generally associated with lower symptoms of depression in women with FM, the observed associations were somewhat weak and inconsistent, differing from those previously observed in healthy adults. Further research to determine the clinical relevance of the association between physical fitness and depression in FM is warranted.

AB - Objective. The aim of this study was to examine the association between physical fitness and depressive symptoms in women with fibromyalgia (FM). We also assessed whether different fitness components present independent relationships with depressive symptoms. Design. Cross-sectional study. Setting. University facilities and FM associations. Subjects. Four hundred and forty-four patients with FM according to the 1990 American College of Rheumatology criteria. Methods. Depressive symptoms were assessed using the Beck Depression Inventory (BDI-II). Physical fitness (aerobic fitness, muscle strength, flexibility, and motor agility) was assessed using the standardized Senior Fitness Test battery and the handgrip strength test. A standardized composite score for fitness was computed and divided into quintiles. Results. Overall, the fitness tests presented inverse associations with the total BDI-II score (P < 0.05). The patients in the highest fitness quintile had 8.4% lower depressive symptoms than the patients in the lowest fitness quintile (P = 0.014). The odds of severe symptoms of depression were between 3.7% and 16.9% lower for each performance unit in the back-scratch, handgrip, arm-curl, and eight-feet up-and-go tests. When all the fitness tests were simultaneously considered, the back-scratch test was the only one independently associated with the total BDI-II score (P = 0.001; R2 = 0.023). Conclusions. Although higher physical fitness was generally associated with lower symptoms of depression in women with FM, the observed associations were somewhat weak and inconsistent, differing from those previously observed in healthy adults. Further research to determine the clinical relevance of the association between physical fitness and depression in FM is warranted.

KW - Journal Article

U2 - 10.1093/pm/pnv036

DO - 10.1093/pm/pnv036

M3 - Journal article

C2 - 26814271

SN - 1526-2375

VL - 17

SP - 1542

EP - 1552

JO - Pain Medicine

JF - Pain Medicine

IS - 8

ER -

Association of Physical Fitness with Depression in Women with Fibromyalgia

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