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The association between adequate amount of physical activity and good health is well established and for children and young people, and sufficient physical activity is an important factor for normal growth and development. Contrary, physical inactivity is associated with higher symptom pressure of mental disorders. Adolescents with mental disorders report to be less active compare the general population, with potentially increased risk of health and lifestyle diseases. This project aims to provide new knowledge on the degree of physical activity, motivation for physical activity and subjective perception of health in adolescents in need of mental health care. Further, this project aim to provide possible solution on how to increase physical activity in this patient group. Thus, this project has the potential to impact future guidelines for mental health services for adolescents in need of mental health care.
Children and adolescents are recommended to perform at least 60 minutes per day of moderate-to-vigorous intensity. Further the guidelines state that children and adolescents should, incorporate vigorous-intensity aerobic activities that strengthens muscle and skeleton at least three times a week. High intensity training has been reported to have a positive effect on mental health variables in adults with mental disorders. However, the literature lacks studies on how this exercise regime affect the degree of and motivation for physical activity in inactive adolescents suffering from mental disorders. There are few studies, especially Norwegians, that have been done on this field, and more research on how we can follow up on these guidelines is urgently needed. This project is divided into three research questions:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | The participants in the exercise group will be encouraged to follow the Norwegian Health authority's recommendation of being physically active for an average of 60 minutes a day, but they will also be offered a three-part intervention as a supplement to ordinary treatment. Supervised exercise will be offered once a week and they're encouraged to perform two additional exercise sessions per week. |
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| Control group | Active Comparator | The control group will receive treatment as usual |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise training | Behavioral | Session 1: Consist of high intensity interval training performed on spinning bikes. An exercise physiologist will supervise the participants to perform a light 10 min warm-up, followed by 4 min working periods (intervals) interspersed by 3 min active breaks. The intensity should be 85-95% of estimated peak heart rate, corresponding to approximately 16 on the Borg scale (17). There will be a maximum of 10 participants in each group, depending on how many patients who are recruited for each of the two inclusion periods.I In addition, participants are encouraged to participate in the physical education at school and encouraged to perform exercise during the weekend, either with their family or friends. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity level | Obejctively measured total physical activity level | after 12 weeks intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Psychiatric symptom pressure and quality of life | Psychiatric symptom pressure and quality of life will be measured using questionaires | after 12 weeks intervention |
| Physical activity level, Psychiatric symptom pressure and quality of life |
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Inclusion Criteria:
Inclusion criteria is low levels of physical activity, defined as not participating in any sport activity and/or drop-out of PE in school.
Exclusion Criteria:
Exclusion criteria are patients with a serious eating disorder or other health condition where exercise is not recommended.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dorthe Stensvold | Contact | 4792092856 | dorthe.stensvold@ntnu.no |
| Name | Affiliation | Role |
|---|---|---|
| Dorthe Stensvold Stensvold | Dorthe Stensvold, Professor, NTNU | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Norwegian University of Science and Technology, Faculty of medicine, Department of circulation and medical imaging, | Recruiting | Trondheim | 7006 | Norway |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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RCT
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|
Same outcome as Outcome 1 and Outcome 2 post intervention
| 6 months after intervention |