Physical Activity of Patients with Chronic Schizophrenia and Related Clinical Factors

Lee, Sook-Hyun; Kim, Gyurin; Kim, Chul-Eung; Ryu, Seunghyong

doi:10.30773/pi.2018.04.15.1

Cited by 20 publications

(14 citation statements)

References 37 publications

(46 reference statements)

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“…The use of antipsychotic drugs is also related to problems with increase in appetite, weight gain, obesity and associated metabolic syndromes such as hyperglycaemia or type II diabetes [ 12 , 13 , 14 ]. It is also believed that physical activity in these patients may be influenced by drug-induced extrapyramidal symptoms [ 15 ]. All this means that patients with schizophrenia present higher rates of comorbidities and a higher incidence of mortality compared to the general population [ 10 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on the Lifestyles and Levels of Anxiety and Depression of Patients with Schizophrenia: A Retrospective Observational Study

et al. 2022

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The movement restrictions put in place as a result of the COVID-19 pandemic required modification of the population’s usual routines, including those of the most vulnerable groups such as patients with schizophrenia. This was a retrospective observational study. We used an online survey to collect information on patient adherence to the Mediterranean diet (Mediterranean Diet Adherence Screener questionnaire), physical exercise (International Physical Activity Questionnaire Short Form), and tobacco consumption and levels of anxiety and depression (Hospital Anxiety and Depression Scale) before and during the movement restrictions. A total of 102 people with schizophrenia participated in this study. During the COVID-19 pandemic lockdown the participants significantly increased the number of minutes spent sitting per day (z = −6.73; p < 0.001), decreased the time they spent walking (z = −6.32; p < 0.001), and increased their tobacco consumption (X2 = 156.90; p < 0.001). These results were also accompanied by a significant increase in their reported levels of anxiety (z = −7.45; p < 0.001) and depression (z = −7.03, p < 0.001). No significant differences in patient diets during the pandemic compared to before the movement restrictions were reported. These results suggest the need to implement specific programs to improve lifestyle and reduce anxiety and depression during possible future pandemic situations.

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Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on the Lifestyles and Levels of Anxiety and Depression of Patients with Schizophrenia: A Retrospective Observational Study

et al. 2022

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“…In a study, inactive schizophrenic patients had significantly higher levels of affective, positive and negative symptoms and druginduced Parkinson's disease than those who were minimally physically active. This study also indicated that EPS was a major obstacle to physical activity in schizophrenia (Lee et al, 2018). Studies have shown that adults engage in a variety of gardening activities involving moderate to high levels of physical activity (Oh et al, 2018).…”

Section: Discussionmentioning

confidence: 52%

“…At the same time, they will also be required to do some physical gardening work, such as climbing steps, slopes, walking or moving, bending, lifting, and carrying on various surfaces. All of these activities are effective in improving limb function (Lee et al, 2018). Studies have found that these practices can also prevent injuries to muscles and bones and might afford pain relief (S€ oderback et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…In the case of individuals with schizophrenia, studies have been concentrated on the impact on psychosocial health (Vancampfort et al, 2012). In recent years, realizing the burden of somatic also has a deleterious impact on an individual's mental health and quality of life, researchers have been increasingly concerned about the individual physical fitness level of patients with schizophrenia and the side effects of antipsychotic medications (Vancampfort et al, 2010), such as sedentary lifestyle (Lee et al, 2018;Stubbs et al, 2016) and obesity caused by physical inactivity, poor diet, and the side effects of antipsychotics (Vancampfort et al, 2010). This paper attempts to investigate another side effect of antipsychotics by hypothesizing that edible horticulture therapy has a positive effect on extrapyramidal symptoms in patients with schizophrenia.…”

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confidence: 99%

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The Therapeutic Effect of Edible Horticultural Therapy on Extrapyramidal Symptoms in Patients with Schizophrenia

He¹,

Li²,

Zhou³

et al. 2021

horts

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Extrapyramidal symptoms (EPSs) are common adverse reactions to antipsychotics in patients with schizophrenia. The purpose of this study was to investigate the effects of edible horticultural therapy (EHT) on EPSs in schizophrenic patients. This study assessed the changes in psychopathological symptoms and extrapyramidal symptoms in patients with schizophrenia before and after participating in a six-session EHT. Forty schizophrenic patients, recruited from Wuhan Wudong Hospital, were randomly assigned to the EHT group (average age: 45.40 ± 13.960 years) or the control group (average age: 49.30 ± 12.516 years). The EHT program held weekly sessions from May 2020 to June 2020. A psychiatrist assessed the psychopathological symptoms and extrapyramidal symptoms of schizophrenic patients in both groups with the Chinese version of the Positive and Negative Syndromes Scale (PANSS) and the Rating Scale for Extrapyramidal Side Effects (RSESE). After six courses of horticultural therapy, the terms of positive, negative, and general symptoms on the PANSS significantly improved in the EHT group. Moreover, the EPSs were also significantly improved in the EHT group. However, there was no change in the PANSS and RSESE scores in the control group. This study shows that EHT has the potential to improve not only psychopathological symptoms but also EPSs in psychiatric patients. This adds new evidence for EHT as an adjunct to treatment for schizophrenia.

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“…There is also evidence for a negative association between antipsychotic-induced (e.g. haloperidol) extrapyramidal symptoms and low physical activity among patients with schizophrenia [54]. These results raise the question whether the frequent use of antipsychotics in the schizophrenia spectrum disorder group may account for the delayed effect of physical therapy.…”

Section: Discussion Of Resultsmentioning

confidence: 99%

To increase physical activity in sedentary patients with affective – or schizophrenia spectrum disorders – a clinical study of adjuvant physical therapy in mental health

Gyllensten

Ovesson

Lena

et al. 2019

Nordic Journal of Psychiatry

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Purpose: To understand if physical therapy in addition to individualized psychiatric specialist treatment could aid sedentary patients with schizophrenia spectrum disorders or affective spectrum disorders to become more physically active and also to identify assessments suitable for measuring physical activity, physical function and movement motivation. Materials and methods: In a longitudinal, clinical study 18 sedentary patients that filled inclusion criteria were consecutively included. The patients were diagnosed with affective disorders (n ¼ 10) or schizophrenia spectrum disorders (n ¼ 8). Results: Fifteen patients fulfilled the 6-month treatment. The affective group significantly improved physical activity, walking capacity, physical function, exercise habits and attitudes. The schizophrenia spectrum group significantly improved the attitudes to the body and movements but did not increase their physical activity. Instruments to study physical activity, physical function and movement motivation were identified. Conclusion: The study revealed that physical therapy in addition to individualized psychiatric specialist treatment might be an aid for the patients to become more physically active. Patients with affective disorders reached recommended levels of moderate physical activity according to World Health Organization guidelines. Sedentary patients with schizophrenia spectrum disorders revealed positive attitude-changes, but no behavioral change.

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Physical Activity of Patients with Chronic Schizophrenia and Related Clinical Factors

Cited by 20 publications

References 37 publications

The Impact of the COVID-19 Pandemic on the Lifestyles and Levels of Anxiety and Depression of Patients with Schizophrenia: A Retrospective Observational Study

The Impact of the COVID-19 Pandemic on the Lifestyles and Levels of Anxiety and Depression of Patients with Schizophrenia: A Retrospective Observational Study

The Therapeutic Effect of Edible Horticultural Therapy on Extrapyramidal Symptoms in Patients with Schizophrenia

To increase physical activity in sedentary patients with affective – or schizophrenia spectrum disorders – a clinical study of adjuvant physical therapy in mental health

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