Physical activity and quality of life in long-term hospitalized patients with severe mental illness: a cross-sectional study

Abstract

BackgroundIncreasing physical activity in patients with severe mental illness is believed to have positive effects on physical health, psychiatric symptoms and as well quality of life. Till now, little is known about the relationship between physical activity and quality of life in long-term hospitalized patients with severe mental illness and knowledge of the determinants of behavioural change is lacking. The purpose of this study was to elucidate the relationship between objectively measured physical activity and quality of life, and explore modifiable psychological determinants of change in physical activity in long-term hospitalized patients with severe mental illness.MethodsIn 184 inpatients, physical activity was measured using an accelerometer (ActiGraph GTX+). Quality of life was assessed by EuroQol-5D and WHOQol-Bref. Attitude and perceived self-efficacy towards physical activity were collected using the Physical Activity Enjoyment Scale and the Multidimensional Self Efficacy Questionnaire, respectively. Patient and disease characteristics were derived retrospectively from electronic patient records. Associations and potential predictors were analysed using hierarchical regression.ResultsPhysical activity was positively related with and a predictor of all quality of life outcomes except on the environmental domain, independent of patient and disease characteristics. However, non-linear relationships showed that most improvement in quality of life lies in the change from sedentary to light activity. Attitude and self-efficacy were not related to physical activity.ConclusionsPhysical activity is positively associated with quality of life, especially for patients in the lower spectrum of physical activity. An association between attitude and self-efficacy and physical activity was absent. Therefore, results suggest the need of alternative, more integrated and (peer-)supported interventions to structurally improve physical activity in this inpatient population. Slight changes from sedentary behaviour to physical activity may be enough to improve quality of life.

Accelerometry Assessed Physical Activity of Older Adults Hospitalized with Acute Medical Illness - an Observational Study

“…Further, the data collected can be analyzed with algorithms that classify locomotion and nonlocomotion periods in everyday life (15). Still, there is a paucity of studies assessing PA levels by accelerometry in hospitalized older patients (12)(13)(14)(16)(17)(18)(19)(20)(21)(22). In a previous paper, Lim et al reported that the PA levels of 38 hospitalized older patients were very low and that most PA was sustained over short periods (12).…”

Physical activity in secure settings: A scoping review of methods, theory and practise

“…Of the eighteen included studies, six were conducted in Australia (Bacon, Farnworth & Boyd, 2012;Fraser, Chapman, Brown, Whiteford & Burton, 2016;Ng, Dodd & Berk, 2007;Ng, Dodd, Jacka & Berk, 2007 & Happell, 2015;, eleven across the UK and Europe Cormac. Ferriter & Buchan, 2013;Deenik et al 2017;Deenik et al 2018;Firth et al 2017;, and one in the USA (Emory, Silva, Christopher, Edwards & Wahl, 2011).…”

“…Length of stay of patients in hospitals also varied. The average length of stay in three studies was under a month (Emory et al 2011;Ng, Dodd & Berk, 2007;Stanton et al 2015), under two years in one study , whilst six studies involved patients from hospitals that had a varied length of average stay Deenik et al 2017;Deenik et al, 2018;. Nine studies did not report the average length of stay for patients at their facility.…”

“…Five studies involved participants with a range of diagnoses Cormac et al, 2013;. Four studies specified their inclusion criteria as a general 'severe mental health' diagnosis (Deenik et al, 2017 IN SECURE SETTINGS et al, 2017;Fraser et al, 2016;. Three studies did not state the mental health diagnosis of their participants (Emory et al, 2011;Stanton et al, 2015).…”

“…Three studies did not state the mental health diagnosis of their participants (Emory et al, 2011;Stanton et al, 2015). Most studies recruited both male and female patients (Bonsaken, 2011;Cormac et al, 2013;Deenik et al, 2017;Deenik et al, 2018;Emory et al, 2011;Firth et al, 2017;Fraser et al, 2016;, however two studies focused specifically on female inpatients . Four studies did not mention the gender of their participants Stanton et al, 2015;.…”