A Randomized Trial Evaluating the Effects of Exercise on Psychological Outcomes in Adult Patients with Epilepsy
Abstract number :
2.117
Submission category :
Year :
2000
Submission ID :
520
Source :
www.aesnet.org
Presentation date :
12/2/2000 12:00:00 AM
Published date :
Dec 1, 2000, 06:00 AM
Authors :
Lucretia K Long, James W McAuley, Jennifer Heise, Janet Buckworth, Moore L James, Reeves L Andrew, The Ohio State Univ, Columbus, OH; The Ohio State Univ Medical Ctr, Columbus, OH.
RATIONALE:The physiological benefits of physical activity are well documented. However,limited data exist evaluating the impact of exercise on psychological parameters. While previous studies in patients with epilepsy (PWE) have reported subjective psychological improvements, there are no objective data to support this. The current study was undertaken to objectively evaluate the effects of a structured exercise program on self-esteem, mood, self-concept, and quality of life (QOL) in adult PWE. METHODS:Twenty-eight PWE were randomized to a structured exercise group(SEG) or control group (CG). Patients in the SEG participated in an individualized exercise progam involving cardiovascular, strength training, and flexibility three days a week for twelve weeks. Subjects in the CG maintained their current level of exercise. The Rosenberg Self Esteem Instrument, Profile of Mood States, Physical Self Description Questionnaire, and Quality of Life in Epilepsy Inventory-89 were administered at baseline and week 12 to assess self-esteem, mood, self-concept and QOL, respectively. RESULTS:Twenty-three PWE were included in study analysis. Fourteen were randomized into the SEG and nine into the CG. Five were excluded due to non-adherence with study visits (N=3) and increased seizure frequency (N=2). At baseline, groups were similiar in physical activity (p=0.18), self esteem (p=0.78), physical concept (p=0.84), mood (p=0.990)and QOL (p=0.56). At week 12, there were no statistically significant differences betweeen groups in total scores on self-esteem (p=0.78) or QOL (p=0.34). However, subjects in the SEG demonstrated statistically significant improvements in total mood scores (p=0.035)and self-concept (p=0.004). CONCLUSIONS: PWE who exercised did not experience significant improvements in total scores of self-esttem or QOL. There were statistically significant improvements in specific domains of self esteem and mood, and statistically significant improvements in total scores related to self concept and moods. Future large studies are needed to assess the effects of exercise on psychological outcomes in PWE.