Sedentary behaviour associations with health outcomes in people with severe mental illness: a systematic review

Bort-Roig, Judit; Briones-Buixassa, Laia; Félez-Nóbrega, Mireia; Guardia-Sancho, Anna; Sitjà-Rabert, Mercè; Puig‐Ribera, Anna

doi:10.1093/eurpub/ckz016

Cited by 11 publications

(9 citation statements)

References 36 publications

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“…Thus, identifying effective strategies for preventing NPDs would assist in the improvement of global population health [ 36 ]. Recent evidence suggests that sedentary behaviors may be risk factors for NPDs [ 37 ]; however, observational studies seeking to establish relationships between sedentary behaviors and NPDs have yielded inconsistent results [ 6 , 16 ]. To determine causal relationships between sedentary behaviors and NPDs, we employed a genetically informed MR approach.…”

Section: Discussionmentioning

confidence: 99%

“…One promising target for modification is sedentary behaviors, which are known as waking behaviors with an energy expenditure of less than one and a half hour’s metabolic equivalents that are performed in sitting, reclining, or lying postures [ 4 ]. Observational studies have indicated that the more time engaged in sedentary behaviors, the higher the risk of NPDs [ 5 , 6 , 7 ]. Several meta-analyses of randomized clinical trial data have suggested that sedentary behaviors may increase the risk of AD [ 8 , 9 ], SCZ [ 5 , 10 ], and MDD [ 7 , 11 ], and prospective studies have indicated that the higher the physical activity levels, the lower the NPD incidence [ 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Bidirectional Relationships between Leisure Sedentary Behaviors and Neuropsychiatric Disorders: A Two-Sample Mendelian Randomization Study

Bennett

Fan

et al. 2022

Genes

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(1) Background: Increasing evidence shows that sedentary behaviors are associated with neuropsychiatric disorders (NPDs) and thus may be a modifiable factor to target for the prevention of NPDs. However, the direction and causality for the relationship remain unknown; sedentary behaviors could increase or decrease the risk of NPDs, and/or NPDs may increase or decrease engagement in sedentary behaviors. (2) Methods: This Mendelian randomization (MR) study with two samples included independent genetic variants related to sedentary behaviors (n = 408,815), Alzheimer’s disease (AD; n = 63,926), schizophrenia (SCZ; n = 105,318), and major depressive disorder (MDD; n = 500,199), which were extracted from several of the largest non-overlapping genome-wide association studies (GWASs), as instrumental variables. The summarized MR effect sizes from each instrumental variable were combined in an IVW (inverse-variance-weighted) approach, with various approaches (e.g., MR-Egger, weighted median, MR-pleiotropy residual sum and outlier), and sensitivity analyses were performed to identify and remove outliers and assess the horizontal pleiotropy. (3) Results: The MR evidence and linkage disequilibrium score regression revealed a consistent directional association between television watching and MDD (odds ratio (OR), 1.13 for MDD per one standard deviation (SD) increase in mean television watching time; 95% CI, 1.06–1.20; p = 6.80 × 10−5) and a consistent relationship between computer use and a decrease in the risk of AD (OR, 0.52 for AD per one SD increase in mean computer use time; 95% CI, 0.32–0.84; p = 8.20 × 10−3). In the reverse direction, MR showed a causal association between a reduced risk of SCZ and an increase in driving time (β, −0.016; 95% CI, −0.027–−0.004; p = 8.30 × 10−3). (4) Conclusions: Using genetic instrumental variables identified from large-scale GWASs, we found robust evidence for a causal relationship between long computer use time and a reduced risk of AD, and for a causal relationship between long television watching time and an increased risk of MDD. In reverse analyses, we found that SCZ was causally associated with reduced driving time. These findings fit in with our observations and prior knowledge as well as emphasizing the importance of distinguishing between different domains of sedentary behaviors in epidemiologic studies of NPDs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Bidirectional Relationships between Leisure Sedentary Behaviors and Neuropsychiatric Disorders: A Two-Sample Mendelian Randomization Study

Bennett

Fan

et al. 2022

Genes

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“…Menschen mit psychischen Erkrankungen weisen vermehrt ein inaktives Verhalten auf, das mit einem schlechteren Verlauf der psychischen Erkrankung, verminderter Lebensqualität und erhöhten kardiovaskulären Risiken assoziiert ist [14]. Daher sollte körperliche Aktivität auch im Sinne von Tertiärprävention aktiv gefördert werden.…”

Section: Körperliche Aktivität Und Prävention Psychischer Erkrankungenunclassified

The Importance of Physical Activityfor Mental Health

Imboden¹,

Claussen

Seifritz

et al. 2022

Praxis

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Abstract. Due to the worldwide high prevalence of psychiatric disorders and its association with sedentary behavior and comorbid physical diseases, increasing physical activity in psychiatric populations is of high importance. Regular physical activity is associated with increased mental wellbeing and has shown to have preventive effects on depression, anxiety disorders and probably sleep disorders. Additionally, positive effects on comorbid chronic physical diseases have been found. Exercise as treatment for several weeks has shown to have an antidepressant effect. Similar positive effects on symptoms have been found in anxiety disorders and schizophrenia. Therefore, assessing and promoting physical activity is advisable in clinical psychiatric practice. Patients should be coached to reach at least a weekly average of 150 minutes of moderate and/or 75 minutes of vigorous physical activity. Establishing physical activity and exercise groups is of utmost importance for psychiatric outpatients.

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“…These highly processed foods, additive-rich but nutritionally poor, are often cheap, palatable, and easily stored with long shelf lives, making them popular choices in the lower socio-economic classes or those with poorer adaptive daily living skills. Poor dietary choices and resultant higher BMIs, in those economically more disadvantaged, may well be driven by lower cost; it is also influenced by other lifestyle habits such as smoking and excess alcohol consumption and lower physical activity, behaviours also found in those with severe mental illness (Bort-Roig et al 2020;Dipasquale et al 2013) . Furthermore, the co-occurrence of depression in females provided the main pathway linking lower SES and BMI (Beydoun & Wang, 2010).…”

Section: Western Dietmentioning

confidence: 99%

“…A recent report by the World Health Organization concluded that 80% of children aged between 11 and 17 were not getting enough physical activity (Guthold et al 2020). People with severe mental illness, especially those with schizophrenia and depression, are also known to be more sedentary than their healthy counterparts (Bort-Roig et al 2020;Dipasquale et al 2013). There is a clear relationship between a more sedentary lifestyle, for both youth and old, and weight gain, despite clinician's call to action (Manson et al 2004).…”

Section: Introductionmentioning

confidence: 99%

Food for thought: the importance of nutritional well-being during COVID-19

Burke-Furey¹,

McNicholas

2021

Ir. j. psychol. Med.

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Individuals with mental illness have poorer physical health, nutritional status and lowered life expectancy. Optimising their physical and nutritional status has become an increasingly important therapeutic goal. Current experience with Covid-19 has further emphasised the susceptibility to physical illness and poorer outcomes among individuals with mental illness and those who are nutritionally compromised. Although life as we knew it has been suspended until the arrival of a vaccine, individuals can take immediate action to improve physical and mental health by attending to and optimising their nutritional wellbeing. Clinicians within mental health services have a crucial role to play in assisting such change, and reminding their patients of the importance of pursuing a healthy and balanced diet.

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Sedentary behaviour associations with health outcomes in people with severe mental illness: a systematic review

Cited by 11 publications

References 36 publications

Assessment of Bidirectional Relationships between Leisure Sedentary Behaviors and Neuropsychiatric Disorders: A Two-Sample Mendelian Randomization Study

Assessment of Bidirectional Relationships between Leisure Sedentary Behaviors and Neuropsychiatric Disorders: A Two-Sample Mendelian Randomization Study

The Importance of Physical Activityfor Mental Health

Food for thought: the importance of nutritional well-being during COVID-19

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