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Open AccessArticle

The Associations between Mental Well-Being and Adherence to Physical Activity Guidelines in Patients with Cardiovascular Disease: Results from the Scottish Health Survey

1
College of Health Sciences, QU Health, Qatar University, 2713 Doha, Qatar
2
Department of Health Sciences, University of York, York YO10 5DD, UK
3
Kuwait Public Policy Centre, General Secretariat of the Supreme Council for Planning and Development, 13001 Safat, Kuwait
4
Sport Science Program (SSP), College of Arts and Sciences (CAS), Qatar University,2713 Doha, Qatar
5
Research and Scientific Support Department; Aspetar, Orthopaedic and Sports Medicine Hospital, 29222 Doha, Qatar
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(19), 3596; https://doi.org/10.3390/ijerph16193596
Received: 15 August 2019 / Revised: 20 September 2019 / Accepted: 23 September 2019 / Published: 26 September 2019
(This article belongs to the Special Issue Physical Activity and Health)
The association between physical activity (PA) and mental well-being in individuals with a cardiovascular disease (CVD) is poorly studied. The objective of this study was to assess the association between mental well-being and adherence to the recommended guidelines for PA in a Scottish adult population with CVD. The study used data from 3128 adults who had CVD conditions (1547 men and 1581 women; mean age 63.29 years) who participated in the Scottish Health Survey between 2014 and 2017. The Warwick–Edinburgh Mental Well-Being Scale (WEMWBS) was used as a surrogate measure of mental health. PA was classified as “met” or “unmet” on the basis of the recommended PA guidelines (150 min of moderate activity or 75 min of vigorous activity per week). The relationship between PA guidelines being met and the WEMWBS score was explored using hierarchical linear regression accounting for a set of health and sociodemographic characteristics. Of the participants, ~41.8% met the recommended PA levels. Among those with CVD, the mean (SD) WEMWBS scores of individuals who did not have a long-standing illness (51.14 ± 7.65 vs 47.07 ± 9.54; p < 0.05), diabetes (48.44 ± 9.05 vs 46.04 ± 10.25; p < 0.05), or high blood pressure (48.63 ± 9.08 vs 47.52 ± 9.47; p < 0.05) were significantly higher than those of individuals with such conditions. Meeting PA recommendations was significantly associated with a higher mean WEMWBS score (50.64 ± 7.97 vs 46.06 ± 9.75; p < 0.05). Multiple regression analysis of health-related behaviors improved the prediction of mental well-being over and above meeting the recommended PA levels. Mental well-being was strongly correlated with PA adherence in CVD patients. It seems that for patients with CVD, PA should be tailored to meet patients’ health conditions in order to promote mental well-being and improve overall health. View Full-Text
Keywords: physical activity; mental well-being; health-related behavior physical activity; mental well-being; health-related behavior
MDPI and ACS Style

Salman, A.; Sellami, M.; AL-Mohannadi, A.S.; Chun, S. The Associations between Mental Well-Being and Adherence to Physical Activity Guidelines in Patients with Cardiovascular Disease: Results from the Scottish Health Survey. Int. J. Environ. Res. Public Health 2019, 16, 3596.

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