Barriers, Benefits, and Strategies for Physical Activity in Patients With Schizophrenia

Rastad, Cecilia; Martin, Cathrin; Åsenlöf, Pernilla

doi:10.2522/ptj.20120443

Cited by 55 publications

(99 citation statements)

References 49 publications

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“…73 Motivational techniques such as family member or caretakers involvement and customization of the exercise 77 might improve adherence of the patients 66,78 and highlighted the relationship between motivation, awareness of exercise benefits and self-efficacy. 77,79 Another potential limitation is that no significant baseline differences between patients and controls in FA were found. Although this is consistent with some earlier studies, 80,81 in a meta-analysis of DTI studies FA was lower in patients.…”

Section: Discussionmentioning

confidence: 99%

Physical Exercise Keeps the Brain Connected: Biking Increases White Matter Integrity in Patients With Schizophrenia and Healthy Controls

Svátková

Mandl

Scheewe

et al. 2015

SCHBUL

103

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It has been shown that learning a new skill leads to structural changes in the brain. However, it is unclear whether it is the acquisition or continuous practicing of the skill that causes this effect and whether brain connectivity of patients with schizophrenia can benefit from such practice. We examined the effect of 6 months exercise on a stationary bicycle on the brain in patients with schizophrenia and healthy controls. Biking is an endemic skill in the Netherlands and thus offers an ideal situation to disentangle the effects of learning vs practice. The 33 participating patients with schizophrenia and 48 healthy individuals were assigned to either one of two conditions, ie, physical exercise or lifeas-usual, balanced for diagnosis. Diffusion tensor imaging brain scans were made prior to and after intervention. We demonstrate that irrespective of diagnosis regular physical exercise of an overlearned skill, such as bicycling, significantly increases the integrity, especially of motor functioning related, white matter fiber tracts whereas life-as-usual leads to a decrease in fiber integrity. Our findings imply that exercise of an overlearned physical skill improves brain connectivity in patients and healthy individuals. This has important implications for understanding the effect of fitness programs on the brain in both healthy subjects and patients with schizophrenia. Moreover, the outcome may even apply to the nonphysical realm.

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Section: Discussionmentioning

confidence: 99%

Physical Exercise Keeps the Brain Connected: Biking Increases White Matter Integrity in Patients With Schizophrenia and Healthy Controls

Svátková

Mandl

Scheewe

et al. 2015

SCHBUL

103

View full text Add to dashboard Cite

show abstract

“…Commonly reported motivators include weight management, social interaction, and the potential to improve energy levels 225,230 . Those who participate in exercise programs identify a socially inclusive environment 222,223 , low cost with transport provided 222 , social support 227,229 or incorporating a "buddy" system 234,244 , sessions in small groups with a friendly instructor 230,247 , and tailoring to individual preferences and ability 228,236 , as enablers to participation. Reports of helpful personal strategies for engaging in activity include, positive self-talk, avoiding too many activities in the day to prevent stress, and walking alone while listening to music 229 .…”

Section: Physical Activity Attitudes and Preferences Of Adults With Mmentioning

confidence: 99%

“…Most of these studies had a sample size of 34 or less [222][223][224][225][226][227][228][229][230][231][232][233][234][235][236][237][238]241 ; larger studies had sample sizes ranging between 52 and 138 239,240,242,243 . Common constructs on which these studies have reported, include:…”

Section: Physical Activity Attitudes and Preferences Of Adults With Mmentioning

confidence: 99%

“…The majority of these studies have been qualitative, consisting of focus groups or interviews [222][223][224][225][226][227][228][229][230][231][232][233][234][235][236][237][238] .…”

Section: Physical Activity Attitudes and Preferences Of Adults With Mmentioning

confidence: 99%

“…Commonly reported barriers include mental illness symptoms, medication side effects (e.g. sedation, weight gain), low selfconfidence, self-efficacy, and motivation [227][228][229]231,239,243,244 248 . One other Australian study assessed detailed context preferences in inpatient adults with mental illness, and found that patients preferred activity that can be done alone, at a fixed time, and with a set routine and format 249 .…”

Section: Physical Activity Attitudes and Preferences Of Adults With Mmentioning

confidence: 99%

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Measuring and positively influencing physical activity and sedentary behaviour in adults with mental illness

Chapman¹

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Background: Mental illness has a high global prevalence, and is associated with higher risk of chronic physical conditions, and reduced psychosocial functioning and life expectancy. Physical activity (PA) protects against chronic disease and mortality risk, and reduces depression and anxiety. Prolonged sedentary behaviour (SB) can have deleterious metabolic consequences, and may be associated with poor mental health.Accurate measurement of PA and SB is important for assessing health risk, and evaluating behaviour change interventions. Objective measures (e.g. accelerometers) allow for unbiased measurement, but do not assess the context of participation, which may be important for intervention planning. Questionnaires can assess context, however, they are prone to reporting errors. The feasibility of using these measures, and the impact of standard data management procedures, has not been assessed in adults with mental illness.PA interventions may positively influence PA levels of adults with mental illness. It is important to understand PA attitudes when designing interventions, as well as the acceptability and efficacy of different exercise approaches. Aims and objectives:The overarching aim of this PhD was to measure, understand, and positively influence the PA patterns of non-institutionalised adults with mental illness. Specific objectives were to: i) assess the utility of questionnaires and accelerometers for measuring PA and SB; ii) investigate questionnaire and accelerometer data management procedures; iii) measure PA and SB levels; iv) assess PA attitudes and opinions; and v) assess the feasibility and acceptability of two exercise protocols. Data from two research studies are presented in six thesis chapters. Study 1Design: Cross-sectional.Method: Participants were adult clients of mental health services. Participants completed self-administered questionnaires on the time spent in PA and SB in different contexts, wore an ActiGraph GT3x+ accelerometer on the hip for 7-days, and rated the ease/difficulty of completing the questionnaires and accelerometry. Participants also completed self-administered questionnaires on PA attitudes and opinions.Results: 142 participants completed the questionnaires (mean age=40yrs, female=43%); of these, 99 (70%) completed the accelerometry (mean age=40yrs, female=47%).ii Participants found it easier to report PA than SB, and to complete accelerometry than questionnaires. Defining a valid day of accelerometry using standard absolute criteria biased the sample by excluding participants with short waking hours; defining a valid day relative to waking hours prevented this bias. The median self-reported time spent in moderate-to-vigorous physical activity (MVPA) and SB was 4.5 hours/week and 10.7 hours/day respectively. Walking for transport, and sitting to watch TV, contributed most to these self-report estimates. The median accelerometer-derived time spent in MVPA and SB was 26 minutes/day and 9.2 hours/day respectively; 7% of MVPA time was in bouts of 10 minutes or ...

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Tackling Healthcare Disparities in Severe Mental Disorders: Integrating Physical Activity Therapies and Professionals into Mental Health with the Psychiactive Project

Álvaro,

Camilo,

Jesús

et al. 2024

The Landscape of Global Health Inequity

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Barriers, Benefits, and Strategies for Physical Activity in Patients With Schizophrenia

Cited by 55 publications

References 49 publications

Physical Exercise Keeps the Brain Connected: Biking Increases White Matter Integrity in Patients With Schizophrenia and Healthy Controls

Physical Exercise Keeps the Brain Connected: Biking Increases White Matter Integrity in Patients With Schizophrenia and Healthy Controls

Measuring and positively influencing physical activity and sedentary behaviour in adults with mental illness

Tackling Healthcare Disparities in Severe Mental Disorders: Integrating Physical Activity Therapies and Professionals into Mental Health with the Psychiactive Project

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