A systematic review of correlates of physical activity in patients with schizophrenia

Vancampfort, Davy; Knapen, Jan; Probst, Michel; Scheewe, Thomas W.; Remans, Sander; Hert, Marc De

doi:10.1111/j.1600-0447.2011.01814.x

Cited by 278 publications

(217 citation statements)

References 60 publications

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“…2015;37 (4) Schizophrenia and physical exercise Rev Bras Psiquiatr. 2015;37 (4) sets of 10 to 15 maximum repetitions of resistance exercises for six different muscle groups per week. 35 These sessions lasted 1 hour and took place twice a week for 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…5 These authors also advocated the use of concurrent training to optimize the regulation of glucose metabolism, increase lean body mass, and improve body composition, as well as prevent the bone loss that is prevalent among patients with schizophrenia. 4,38 A recent pilot study assigned patients with schizophrenia to a maximum strength-training program for their legs to investigate whether this type of training would improve the mechanical efficiency of walking. The intervention protocol consisted of four sets of four repetitions of 85 to 90% 1RM leg-press exercises three times a week over 8 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 A recent systematic review demonstrated that patients with schizophrenia who participate less in physical activities have experience more negative symptoms, antipsychotic side effects, low selfefficacy, and other unhealthy lifestyle habits. 4 The important mental and physical benefits of exercise in patients with schizophrenia include improvement of symptoms, 5,6 a decreased need for care, 7 improved quality of life, 8 increased cardiorespiratory capacity, 9 increased muscle strength, 10 and increased functional capacity. 5 Studies of physical exercise among patients with schizophrenia have examined aerobic exercise, 6,9,11 which is characterized by repeated rhythmic movements of the large muscle groups of the body, such as those in the arms and legs.…”

Section: Introductionmentioning

confidence: 99%

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A 20-week program of resistance or concurrent exercise improves symptoms of schizophrenia: results of a blind, randomized controlled trial

Silva

Cassilhas

Àttux

et al. 2015

Rev. Bras. Psiquiatr.

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Objective: To evaluate the effects of 20 weeks of resistance and concurrent training on psychotic and depressive symptoms, quality of life outcomes, and serum IGF-1, IGFBP-3, and brain-derived neurotrophic factor (BDNF) concentrations in patients with schizophrenia. Methods: In this blind, randomized controlled clinical trial, 34 patients with schizophrenia were assigned to one of three groups: control (CTRL, n=13), resistance exercise (RESEX, n=12), or concurrent exercise (CONCEX, n=9). Symptoms, quality of life, strength, and other variables were assessed. Results: A significant time-by-group interaction was found for the RESEX and CONCEX groups on the Positive and Negative Syndrome Scale (PANSS) total score for disease symptoms (p = 0.007), positive symptoms (p = 0.003), and on the arm extension one-repetition maximum (1RM) test (p = 0.016). In addition, significant improvements on negative symptoms (p = 0.027), on the role-physical domain of the Short Form-36 Health Survey (p = 0.019), and on the chest press 1RM test (p = 0.040) were observed in the RESEX group. No changes were observed for the other variables investigated. Conclusions: In this sample of patients with schizophrenia, 20 weeks of resistance or concurrent exercise program improved disease symptoms, strength, and quality of life. ClinicalTrials.gov: NCT01674543.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A 20-week program of resistance or concurrent exercise improves symptoms of schizophrenia: results of a blind, randomized controlled trial

Silva

Cassilhas

Àttux

et al. 2015

Rev. Bras. Psiquiatr.

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“…Previous research on physical activity correlates in patients with schizophrenia and schizoaffective disorder showed that longer illness duration and more severe negative symptoms are associated with a sedentary lifestyle and lack of physical activity (Vancampfort et al, 2012e;Vancampfort et al, 2013a).…”

Section: Factors Associated With the Astrand-rhyming Test Performancementioning

confidence: 99%

Reliability and clinical correlates of the Astrand–Rhyming sub-maximal exercise test in patients with schizophrenia or schizoaffective disorder

Vancampfort

Guelinckx

Hert

et al. 2014

Psychiatry Research

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Reliability and clinical correlates of the Astrand-Rhyming sub-maximal exercise test in patients with schizophrenia or schizoaffective disorder, Psychiatry Research, http://dx.doi.org/10.1016/j.psychres. 2014.08.049 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. AbstractCardiovascular fitness is reduced in people with schizophrenia and is related to an increased morbidity and mortality. There is mounting interest in the accurate measurement of cardiovascular fitness in schizophrenia, yet existing measures used in the general population have not been tested on validity and reliability in this high-risk group. Therefore, we examined the reproducibility and feasibility of the Astrand-Rhyming sub-maximal exercise test in patients with schizophrenia or schizoaffective disorder. Secondary aims were to assess minimal detectable changes, practice effects and the presence of clinical symptoms that are associated with cardio-respiratory fitness (expressed as estimated oxygen uptake). From 47 patients with schizophrenia or schizoaffective disorder two trials of the Astrand-Rhyming test, administered within three days, were analysed. The intraclass correlation coefficient for the estimated oxygen uptake between the two tests was 0.92 (95% confidence interval: 0.85 to 0.95). The minimal detectable change was 6.5mlO 2 /min/kg. No practice effect could be detected. A backward regression analysis demonstrated that illness duration, negative symptoms and level of physical activity explained 63.0% of the variance in estimated oxygen uptake. The current study demonstrates that the Astrand-Rhyming test can be recommended for evaluating the aerobic fitness in patients with schizophrenia or schizoaffective disorder.

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“…In the general population there is evidence that physical activity and exercise are broadly as effective as pharmacological interventions in preventing cardiovascular disease and mortality (Naci and Ioannidis, 2013). However, people with psychosis experience a range of barriers to engage in physical activity such as negative symptoms, pain and the side effects of medication (Soundy et al, 2014a;Vancampfort et al, 2012a;Vancampfort et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

How sedentary are people with psychosis? A systematic review and meta-analysis

Stubbs

Williams

Gaughran

et al. 2016

Schizophrenia Research

241

165

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ObjectiveSedentary behaviour (SB) is an independent risk factor for cardiovascular disease and mortality. We conducted a meta-analysis to investigate SB levels and predictors in people with psychosis. MethodMajor electronic databases were searched from inception till 09/2015 for articles measuring SB with a self-report questionnaire (SRQ) or objective measure (e.g. accelerometer) in people with psychosis, including schizophrenia spectrum and bipolar disorders. A random effects meta-analysis and meta regression analysis were conducted. ResultsThirteen studies were eligible including 2,033 people with psychosis (mean age 41.3 years (range 25.1-60), 63.2% male (range 35-89%), body mass index 28.7 (range 25.9-32.1). The trim and fill analysis demonstrated people with psychosis spent 660.8 minutes (95% CI 523.2-798.4, participants=2,033) or 11.0 hours (95% CI 8.72-13.3) per day being sedentary. Objective measures of SB recorded significantly higher levels (p <0.001) of SB (12.6 hours per day, 95% CI 8.97-16.2, studies=7, participants=254) compared to self-report SB (6.85 hours per day, 95% CI 4. 75-8.96, studies=6, participants=1,779). People with psychosis engaged in significantly more SB than controls (g=1.13, 95% CI 0.496-1.77, P<0.001, n psychosis = 216, n controls=159) equating to a mean difference of 2.80 (95% CI 1.47-4.1) hours per day. Multivariate meta-regression confirmed that objective measurement of SB predicted higher levels of sedentariness. ConclusionsPeople with psychosis engage in very high levels of sedentary behavior in their waking day and current SRQ may underestimate SB. Given that SB is an independent predictor of cardiovascular disease, future interventions specifically targeting the prevention of SB are warranted. Systematic review registration -PROSPERO registration number CRD420150261593

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A systematic review of correlates of physical activity in patients with schizophrenia

Abstract: All correlates should be confirmed in prospective studies, and interventions to improve the modifiable variables should be developed and evaluated.

Cited by 278 publications

References 60 publications

A 20-week program of resistance or concurrent exercise improves symptoms of schizophrenia: results of a blind, randomized controlled trial

A 20-week program of resistance or concurrent exercise improves symptoms of schizophrenia: results of a blind, randomized controlled trial

Reliability and clinical correlates of the Astrand–Rhyming sub-maximal exercise test in patients with schizophrenia or schizoaffective disorder

How sedentary are people with psychosis? A systematic review and meta-analysis

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