Stress-induced complaints included measures of negative mood, distress, somatic complaints, general health complaints, illness severity, and health care use. The impact of physical activity was determined as the proportion of significant interaction effects between stress, activity and complaint in each study, with categories of full support (>2/3 of all interactions significant), partial support (>1/3 of all interactions significant) and no support (<1/3 of all interactions significant). Of the 12 cross sectional studies, 4 were classified as providing full support, 3 as partial support, and 5 as no support. Of the three longitudinal studies, 2 were classified as providing full support and one as providing partial support. No information was provided on dose-response relationships. PHYSICAL ACTIVITY AND PSYCHOSOCIAL WELLBEING As previously stated, The US Department of Health and Human Services report combined evidence for psychological wellbeing and distress, with the conclusion was that the available evidence from prospective cohort studies indicated a small to moderate association that favours people who are physically active. These results have been reported in the previous section on physical activity and stress. The report also identified enhanced self-esteem and reduced chronic fatigue as significant aspects of mental health that could benefit from physical activity. Results were cited from a meta-analysis of approximately 50, mostly small, RCTs of exercise and self-esteem: this demonstrated an average increase in self-esteem of 0.25SD. There was little evidence on the relationship between physical activity and chronic fatigue syndrome. Five RCTs were described as showing a small positive effect, and population-based observational studies suggested a protective effect against feelings of fatigue or low energy (OR=0.61, 95%CI 0.52-0.72). We identified five quantitative reviews that examined the results of studies of physical activity and psychological wellbeing. Two of these (one systematic review, one focussed on quality of life, one meta-analysis focussed on positive affect, and one review focussed on feelings of energy and fatigue. Bize et al., conducted a systematic review of studies (published 1996-2006) on the association between physical activity and health related quality of life (HRQoL). Of the 14 studies identified, 12 included a psychological subcomponent of HRQoL (vs for
Stress-induced complaints included measures of negative mood, distress, somatic complaints, general health complaints, illness severity, and health care use. The impact of physical activity was determined as the proportion of significant interaction effects between stress, activity and complaint in each study, with categories of full support (>2/3 of all interactions significant), partial support (>1/3 of all interactions significant) and no support (<1/3 of all interactions significant). Of the 12 cross sectional studies, 4 were classified as providing full support, 3 as partial support, and 5 as no support. Of the three longitudinal studies, 2 were classified as providing full support and one as providing partial support. No information was provided on dose-response relationships. PHYSICAL ACTIVITY AND PSYCHOSOCIAL WELLBEING As previously stated, The US Department of Health and Human Services report combined evidence for psychological wellbeing and distress, with the conclusion was that the available evidence from prospective cohort studies indicated a small to moderate association that favours people who are physically active. These results have been reported in the previous section on physical activity and stress. The report also identified enhanced self-esteem and reduced chronic fatigue as significant aspects of mental health that could benefit from physical activity. Results were cited from a meta-analysis of approximately 50, mostly small, RCTs of exercise and self-esteem: this demonstrated an average increase in self-esteem of 0.25SD. There was little evidence on the relationship between physical activity and chronic fatigue syndrome. Five RCTs were described as showing a small positive effect, and population-based observational studies suggested a protective effect against feelings of fatigue or low energy (OR=0.61, 95%CI 0.52-0.72). We identified five quantitative reviews that examined the results of studies of physical activity and psychological wellbeing. Two of these (one systematic review, one focussed on quality of life, one meta-analysis focussed on positive affect, and one review focussed on feelings of energy and fatigue. Bize et al., conducted a systematic review of studies (published 1996-2006) on the association between physical activity and health related quality of life (HRQoL). Of the 14 studies identified, 12 included a psychological subcomponent of HRQoL (vs for
DEB-PAR-Adults-18-64years.DOCX