EVALUATION OF THE EXERCISE PARTICIPATION STATUS OF OBESE INDIVIDUALS WITH MENTAL DISORDERS

Year 2019, Volume: 2 Issue: 2, 1 - 12, 31.12.2019

Mustafa Deniz Dindar , Fuat Erduğan , Özdemir Atar

Abstract

Purpose: Mental Disorders have become one of the most
concerning issues of today. Drug therapies, one of treatment methods conducted
on mental disorders contribute to weight gain and as a result of this these
type of treatments may expose these individuals to obesity. However, either
physically or mentally, these individuals don’t seem to participate
sufficiently in physical activity. In this review, exercise participations of
obese individuals having mental disorders will be assessed in consideration of
literature data, and causes posing an obstacle for physical activity
participation, factors motivating these individuals for physical activity were
discussed.

Method: Literature data were obtained from the library database of
Çanakkale Onsekiz Mart University, Trakya University and Google Scholar using
‘’Obesity and Mental Disorders’’, Exercise participation and Mental Disorders’’
and ‘’Obesity and Exercise Participation’’ keywords.

Results: As a result of this review, obese individuals with
mental disorders were observed to refrain from physical activity because of
stigmatization and safety problems during physical activity.

Conclusion: it can be suggested that planning  intervention programs for these individuals
by sports psychologists, psychiatrists and sports experts which may fulfill
social, mental and physical needs, may have benefits on both physical and
mental improvements and reintegrate them into society.

Keywords

Obesity, Exercise Participation, Mental Disorders

Mental Bozukluklara Sahip Obez Bireylerin Egzersize Katılım Durumlarının Değerlendirilmesi

Abstract

Amaç: Mental rahatsızlıklar çağımızın en büyük sağlık sorunlarından bir
tanesi haline gelmiştir. Mental rahatsızlıklar üzerinde uygulanmakta olan
tedavi yöntemlerinden birisi olan ilaç tedavileri mental hastalıklara sahip
bireylerin kilo almalarına sebep olmakta ve bunun sonucu olarak bu bireyleri
obeziteye maruz bırakmaktadır. Bununla birlikte, gerek psikolojik anlamda gerek
bedensel olarak bu bireylerin egzersize katılım oranları bir hayli az olduğu
gözlemlenmektedir. Bu derleme çalışmasında; mental rahatsızlıklara sahip
obezite ile mücadele eden bireylerin egzersize katılım durumları yapılan
literatür taramasından elde edilen veriler ışığında değerlendirilerek, bu
bireylerin egzersize katılmalarına engel olan ve egzersiz katılım
motivasyonlarına etki eden unsurlar incelenmiştir.

Yöntem: Çalışmaya ait literatür verileri, Çanakkale Onsekiz
Mart Üniversitesi ve Trakya Üniversitesi kütüphane veri tabanları ve Google
Scholar arama motorlarında; “Obesity and Mental Disorders’’, “Exercise
Participation and Mental Disorders’’ ve “Obesity and Exercise Participation
anahtar kelimeleri aratılarak gerçekleştirilmiştir.

Bulgular: Çalışmanın sonucunda mevcut literatür verilerinden
yola çıkarak mental rahatsızlıklara sahip obez bireylerin özellikle fiziksel
aktivite esnasındaki güvenlik problemlerinden ve toplumda olumsuz anlamda
damgalanmaktan çekinmeleri bu bireylerin fiziksel aktiviteye katılım
motivasyonunu olumsuz etkilediği anlaşılmaktadır.

Sonuç: bu bireyler için spor psikologları veya imkanlar
dahilinde psikolog, psikiyatrist ve spor uzmanları eşliğinde oluşturulacak,
sosyal, ruhsal ve fiziksel ihtiyaçlarına cevap verebilecek, egzersize katılımı
teşvik edici müdahale ve terapi programlarının oluşturulması, bu bireylerin hem
sosyal hayata kazandırılması, hem de fiziksel, ruhsal açıdan iyileşme
göstermesi açısından faydalı olabileceği ileri sürülebilir.

Keywords

Obezite, Egzersize Katılım, Mental Bozukluklar

References

• Ali, MK., Echouffo-Tcheugui, J, & Williamson, DF. (2012). How effective were lifestyle interventions in real-world settings that were modeled on the Diabetes Prevention Program?. HealthAff.; 31(1), 67–75.
• American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision. Washington: American Psychiatric Press; 2000.
• Bair, MJ., Robinson, RL., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity ‑ a literature review. Archives of Internal Medicine, 163, 2433-45.
• Beydoun, MA., Beydoun, HA., & Wang, Y. (2008). Obesity and central obesity as risk factors for incident dementia and its subtypes: A systematic review and meta-analysis. Obesity Reviews. 9, 204-218.
• Bombak, A. E. (2015). Obese persons’ physical activity experiences and motivations across weight changes: a qualitative exploratory study. BMC public health, 15(1), 11-29.
• Brown, JD., Buscemi, J., Milsom, V., Malcolm, R., & O’Neil PM. (2016). Effects on cardiovascular risk factors of weight losses limited to 5–10%. Behav Med Pract Policy Res.; 6(3),339-46.
• Bruins, J., Jörg, F., Bruggeman, R., Slooff, C., Corpeleijn, E., & Pijnenborg M. (2014). The effects of lifestyle interventions on (long-term) weight management, cardiometabolic risk and depressive symptoms in people with psychotic disorders: a meta-analysis. PLoS One.; 9(12), e112276.
• Cabassa, LJ., Ezell, JM., & Roberto Lewis-Fernández, M. (2010). Lifestyle interventions for adults with serious mental illness: a systematic literature review. Psychiatr Serv, 61(8),774-82.
• Daumit, G. L., Goldberg, R. W., Anthony, C., Dickerson, F., Brown, C. H., Kreyenbuhl, J., ... & Dixon, L. B. (2005). Physical activity patterns in adults with severe mental illness. The Journal of nervous and mental disease, 193(10), 641-646.
• Farholm, A. (2017). Motivation and physical activity in individuals with severe mental illness.
• Firth, J., Rosenbaum, S., Stubbs, B., Gorczynski, P., Yung, A. R., & Vancampfort, D. (2016). Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis. Psychological medicine, 46(14), 2869-2881.
• Flegal, KM., Carroll, MD., Kit BK., & Ogden, CL. (2012). Prevalence of obesity and trends in the distribution of body mass index among U.S. adults. JAMA; 307(5),491-7.
• Friedman, MA., & Brownell, KD. (1995). Psychological correlates of obesity moving to the next research generation. Psychological Bulletin; 117,3-20.
• Friedman, KE., Reichmann, SK., Costanzo, PR., & Musante GJ. (2002). Body image partially mediates the relationship between obesity and psychological distress. Obesity Research; 10, 33‑41.
• Himes, CL. (2000). Obesity, disease, and functional limitation in later life. Demography, 37, 73-82.
• Horm, J., & Anderson, K. (1993). Who in america is trying to lose weight. Annals of Internal Medicine; 119, 672-676.
• Huang, IC., Frangakis, C., & Wu, AW. (2006). The relationship of excess body weight and health related quality of life: Evidence from a population study in Taiwan. International Journal of Obesity; 30, 1250-59.
• Jinks, C., Jordan, KP., Blagojevic, M., & Croft, P. (2008). Predictors of onset and progression of knee pain in adults living in the community. A prospective study. Rheumatology, 47, 368-374.
• Kafkas, M.,& Özen, G., (2014), Obezite Farkındalık Ölçeğinin (OFÖ) Türkçeye Uyarlanması: Bir Geçerlik ve Güvenirlik Çalışması. İnönü Üniversitesi, Beden Eğitimi ve Spor Bilimleri Dergisi, 1(2), 1-15.
• Kann, L. (2013). Obesity and other correlates of physical activity and sedentary behaviors among US high school students. Journal of obesity, 1-10.
• Kopczynski, S., Chen-Stute, A., & Kellmann, M. (2014). Attitudes Towards Physical Activity and Exercise Participation--a Comparison of Healthy-Weight and Obese Adolescents. German Journal of Sports Medicine/Deutsche Zeitschrift fur Sportmedizin, 65(5).
• Markowi` S, Friedman, MA, Arent, SM. (2008). Understanding the relation between obesity and depression: Causal mechanisms and implications for treatment. Clinical Psychology--‐‑Science and Practice; 15, 1-20.
• McDevitt, J., Snyder, M., Miller, A., & Wilbur, J. (2006). Perceptions of barriers and benefits to physical activity among outpatients in psychiatric rehabilitation. Journal of Nursing Scholarship, 38(1), 50-55.
• McGinty EE, Baller J, Azrin ST, Juliano-Bult D, Daumit GL. (2016). Interventions to address medical conditions and health-risk behaviors among persons with serious mental illness: a comprehensive review. Schizophr Bull., 42(1),96–124.
• Naslund, J. A., Whiteman, K. L., McHugo, G. J., Aschbrenner, K. A., Marsch, L. A., & Bartels, S. J. (2017). Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: a systematic review and meta-analysis. General hospital psychiatry, 47, 83-102.
• Ozen, G., Kafkas, M. E., & Akalan, C. (2017). Urban and rural adolescents' behavioral regulation in exercise according to body weight status. Pamukkale Journal of Sport Sciences, 8(3).
• Papas M, Alberg A, Ewing R, Helzlsouer K, Gary T, Klassen A. (2007). The built environment and obesity. Epidemiol Rev. 29(1),29-43.
• Petersen, L., Schnohr, P. & Sorensen, T.I. (2004). Longitudinal study of the long-term relation between physical activity and obesity in adults. International Journal of Obesity Related Metabolic Disorders, 28, 105–112.
• Profenno LA, Porsteinsson AP, Faraone SV. (2010). Meta-analysis of alzheimer’s disease risk with obesity, diabetes, and related disorders. Biol Psychiat, 67, 505-512.
• Ross, CE. (1994). Overweight and depression. Journal of Health and Social Behavior; 35:63-79.
• Saris, W.H., Blair, S.N., van Baak, M.A., Eaton, S.B., Davies, P.S., Di Pietro, L., Fogelholm,M., Rissanen, A., Schoeller, D., Swinburn, B.,
• Tremblay, A., Westerterp, K.R. & Wyatt,H. (2003). How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obesity Review, 4(2),101–14.
• Smith, KA, Williams C, Cowen PJ. (2000). Impaired regulation of brain serotonin function during dieting in women recovered from depression. British Journal of Psychiatry, 176,72-75.
• Willer C, Speliotes E, Loos R, Shengxu L, Lingren C, Heid I. (2009). Six new loci associated with body mass index highlight a neuronal influence on body weight regulation. Nat Genet; 41(1), 25-34.
• Wing RR, Lang W, Wadden TA, Safford M, Knowler WC, Bertoni AG, et al. (2011). Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 34(7),1481–6.
• World_Health_Organization, (2000). Obesity: Preventing and managing the global epidemic, Technical report series 894; Geneva: WHO.
• Xu, WL., AGi, AR., Ga` M., Pedersen, NL., Johansson, B., & Fratiglioni, L. (2011). Midlife overweight and obesity increase late--‐‑life dementia risk a population--‐‑based twin study. Neurology, 76, 1568-74.