Article

People with posttraumatic stress disorder (PTSD) have an increased risk
of cardiovascular diseases (CVD). Physical fitness is a key modifiable risk
factor for CVD and associated mortality. We reviewed the evidence-base regarding
physical fitness in people with PTSD. METHODS: Two independent reviewers searched
PubMed, CINAHL, PsycARTICLES, PEDro, and SPORTDiscus from inception until May
2016 using the key words "fitness" OR "exercise"
AND "posttraumatic stress
disorder" OR "PTSD". RESULTS: In total, 5 studies involving 192 (44 female)
individuals with PTSD met the inclusion criteria. Lower baseline physical fitness
are associated with greater reductions in avoidance and hyperarousal symptoms, as
well as with total, physical, and social symptoms of anxiety sensitivity.
Rigorous data comparing physical fitness with age- and gender matched general
population controls are currently lacking. CONCLUSIONS: The research field
regarding physical fitness in people with PTSD is still in its infancy. Given the
established relationships between physical fitness, morbidity and mortality in
the general population and the current gaps in the PTSD literature, targets for
future research include exploring: (a) whether people with PTSD are at risk of
low physical fitness and therefore in need of intensified assessment, treatment
and follow-up, (b) the relationships among physical fitness, overall health
status, chronic disease risk reduction, disability, and mortality in individuals
PTSD, (c) psychometric properties of submaximal physical fitness tests in PTSD,
(d) physical fitness changes following physical activity in PTSD, and (e) optimal
methods of integrating physical activity programs within current treatment models
for PTSD. Implications for Rehabilitation People with PTSD should aim to achieve
150 minutes of moderate or 75 minutes vigorous physical activity per week while
also engaging in resistance training exercises at least twice a week. Health care
professionals should assist people with PTSD to overcome barriers to physical
activity such as physical pain, loss of energy, lack of interest and motivation,
generalized fatigue and feelings of hyperarousal.

Langue : ANGLAIS