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Description : Check out this medical PowerPoint presentation titled "Sport, exercise and mental health" to learn about the effects of sports and exercise on mental health.

Tags : Sport, exercise, mental health, Psychological effects of sports on mental health

Published on : Mar 15, 2023 | Views : 857 | Downloads : 3

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Slide 1-

Sport, exercise and mental health
Slide 2-

Exercise and mental health Psychological Self esteem Self-confidence/mastery Mindful Social Confidence Social skills Networks and support Biological Endorphins and endo-cannibinoids Stress hormone regulation Inflammatory molecules Reduced oxidative stress BDNF and neuroplasticity
Slide 3-

3 Inactivity Public Health England (2014) Everybody Active, Every Day; Based on Hallal PC et al. (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet. International comparison of physical inactivity (at ages 15 and over) Note: Comparator = Not meeting any of the following per week: (a) 5 x 30 mins moderate-intensity activity; (b) 3 x 20 mins vigorous-intensity activity; (c) equivalent combination achieving 600 metabolic equivalent-min.
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4 Exercise data – 1441 adult IP (age 30-69)
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Physical activity and SMI ‘People with psychosis or schizophrenia, especially those taking antipsychotics, should be offered... a physical activity programme by their mental health provider’ (NICE, 2014)
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A survey of community mental health staff Barriers to Physical Activity
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Lack of training Competing priorities Patient motivation Happell et al., 2012; Soundy et al., 2014 Barriers to Physical Activity Moderators of Physical Activity Trained professionals Continuous support Vancampfort et al., 2015
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Dr Sandra D. Leyland Dr Steven D Anderson Dr Eddie Bradley Prof Jonathan Ling Faculty of Health Sciences and Wellbeing University of Sunderland
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Design Facilitated discussion Exploring staff beliefs around behaviour change 2 researchers unknown to participants 4 community teams 3 randomly selected ‘generic’ adult teams 1 randomly selected EIP team Team manager invites all clinicians
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Participants 28% offered PA advice ‘almost always/most of the time’ 72% offered advice ‘occasionally or never’ 87% had no specific training regarding PA guidelines
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Control beliefs Barriers Patient’s motivation Patient’s age and fitness Funding. Pruning of services Competing priorities Lack of expertise
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Using sport/exercise to improve mental health outcomes in schizophrenia Metabolic syndrome Social Exclusion Disease modifying 12
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Metabolic syndrome & severe mental illness Lethal association Contributed to by Genetics Inflammatory molecules Hypothalamic-pituitary adrenal axis abnormalities Drug effects on sedation and metabolism Lifestyle 13
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Metabolic syndrome & severe mental illness – where might physical activity help? Contributed to by Genetics Inflammatory molecules Hypothalamic-pituitary adrenal axis abnormalities Drug effects on sedation and metabolism Lifestyle – e.g. circadian rhythms, diet, lipid profile, weight, BP, sugar levels etc 14
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Social Exclusion A cause and a consequence of mental illness Often multiple Cumulative Friendships and support networks Education & employment Housing Leisure 15
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Sport & Social Inclusion Social Confidence Self-management skills Socialisation Co-operative skills ‘Normal’ interactions (away from health services) ‘Recovery’ 16
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Exercise and Schizophrenia Pathophysiology Altered mono-amine system Altered neurogenesis Neuro-immune disturbance HPA axis disturbance Exercise effects Mono-amine effects (DA mainly). No studies. Improved neurogenesis (via BDNF). Few studies. Neuroimmune changes (reduction in inflammatory markers and oxidative stress). No studies. HPA axis changes. No studies. Vancampfort, 2014. Review.
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Sport and mental health Athletes attain high levels of success in spite of a co-existing primary psychiatric disorder Athletes chose the athletic arena as a means of coping with disorder Athletes have a psychiatric illness precipitated or exacerbated by sport Baum, 2003
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471 male and female footballers Comparable rates of depression Associated with injury Injury rate = 20% Most depression is untreated 19
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224 elite Australian athletes (many sports) Mental health problems at population levels Strong association with injury Injury rate = 25% 20
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Prevalence of psychiatric morbidity in elite sport
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Prevalence of psychiatric morbidity in elite sport No formal data in England Desire to provide appropriate support
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Prevalence of psychiatric morbidity in elite sport 1500 athletes receiving support and funding Winter and summer Olympic and Paralympic sports A 5 minute on-line survey
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Prevalence of psychiatric morbidity in elite sport Population data for comparison 3 measures GHQ 12 Kesler’s Psychological Distress Scale (K10) WHO-5 well being scale
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Sport, exercise and mental health Exercise Good for your mental health Almost without exception In many ways Sport Exposed to risks Need to acknowledged Need to be managed Barriers to exercise in SMI Prevalence of morbidity in elite sport