Improved cardiorespiratory fitness after occupational rehabilitation in merged diagnostic groups
10.1186/s40557-018-0227-y
- Author:
Anne Lovise NORDSTOGA
1
;
Paul Jarle MORK
;
Marius STEIRO FIMLAND
Author Information
1. Department of Public Health and General Practice, Faculty of Medicine, NTNU, Norwegian University of Science and Technology, 7491 Trondheim, Norway. anne.l.nordstoga@ntnu.no.
- Publication Type:Original Article
- Keywords:
Acceptance and commitment therapy;
Exercise;
Mental disorders;
Musculoskeletal disease
- MeSH:
Acceptance and Commitment Therapy;
Anxiety;
Cognitive Therapy;
Depression;
Exercise;
Female;
Follow-Up Studies;
Humans;
Inpatients;
Male;
Mental Disorders;
Mental Health;
Musculoskeletal Diseases;
Norway;
Oxygen;
Quality of Life;
Rehabilitation;
Return to Work;
Sick Leave
- From:Annals of Occupational and Environmental Medicine
2018;30(1):16-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Various occupational inpatient rehabilitation programs are established in Norway. This study aimed to assess change in cardiorespiratory fitness, pain, anxiety, depression, and quality of life in persons on long-term sick leave due to musculoskeletal-, mental or unspecific disorders after participation in multicomponent inpatient occupational rehabilitation. METHODS: Twenty-five women and five men (mean age 45.2 years, SD 6.7, range 30–57) volunteered to participate in the study. The participants attended either 8 or 17 full days of occupational multicomponent rehabilitation including physical exercise, cognitive behavioral therapy in the form of acceptance and commitment therapy (ACT), and development of a tailored plan for return to work. Cardiorespiratory fitness was assessed by the Åstrand/Ryhming cycle test at the start and end of rehabilitation program, and at one-year follow-up. Changes in somatic and mental health were measured by questionnaires up to 4 months after start of the program. RESULTS: Linear mixed models showed that the maximal oxygen uptake increased by 1.1 mL°kg-1°min− 1 during the rehabilitation program and by 3.7 mL°kg-1°min− 1 at one-year follow-up. There were minor improvements in somatic and mental health, and quality of life. CONCLUSIONS: This study indicates that occupational inpatient multicomponent rehabilitation including physical exercise and ACT may promote a long-term increase in physical exercise that is sufficient to induce a significant increase in cardiorespiratory fitness. TRIAL REGISTRATION: The current study is not registered, but is part of a larger trial registered at clinicaltrials.gov (No.: NCT01926574, registered 21. Aug 2013).