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Exercise preference and tolerance in youth with bipolar disorder
Randa Shickh1, Megan Mio2, Diana Khoubaeva1
1Centre for Youth Bipolar Disorder, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Journal of Psychosomatic Research
|January 20, 2023
Summary
Youth with bipolar disorder (BD) have lower exercise tolerance and cardiorespiratory fitness (CRF) but similar exercise preferences compared to healthy peers. These findings can inform future exercise interventions for adolescents with BD.
Area of Science:
- Psychiatry
- Exercise Science
- Adolescent Health
Background:
- Individuals with bipolar disorder (BD) often exhibit lower engagement in moderate-to-vigorous physical activity, despite its known benefits.
- Understanding exercise preference and tolerance in youth with BD is crucial for developing effective interventions.
Purpose of the Study:
- To examine the correlates of exercise preference and tolerance in adolescents diagnosed with bipolar disorder.
- To identify factors influencing exercise engagement in youth with BD to guide future intervention strategies.
Main Methods:
- A cross-sectional study involving 107 adolescents (54 with BD, 53 healthy controls) was conducted.
- Participants completed questionnaires on exercise preference and tolerance, underwent a moderate-intensity aerobic exercise bout, and had perceived exertion and cardiorespiratory fitness (CRF) assessed.
- Statistical analyses included univariate and multivariable models to identify significant correlates of exercise preference and tolerance.
Main Results:
- Adolescents with BD demonstrated significantly lower exercise tolerance and CRF compared to healthy controls, with no significant difference in exercise preference.
- Lower exercise preference in the BD group was linked to lower CRF and higher perceived exertion.
- Factors associated with lower exercise tolerance in youth with BD included female sex, higher perceived exertion, and non-Caucasian race.
Conclusions:
- This study contributes to the limited research on exercise preference and tolerance in youth with bipolar disorder.
- The identified correlates provide a foundation for further investigation in clinical and exercise-based intervention studies for this population.
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