The impact of aerobic exercise training on cardiopulmonary functioning in individuals with schizophrenia

Armstrong, Hilary F.; Bartels, Matthew N.; Paslavski, Orest; Cain, Darnell; Shoval, Hannah A.; Ballon, Jacob S.; Khan, Samira; Sloan, Richard P.; Kimhy, David

doi:10.1016/j.schres.2016.03.009

Cited by 23 publications

(29 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If proven effective, exercise could present a widely beneficial and cost-effective intervention for policy makers to consider for dissemination, since it has also been found to improve cardiovascular health and symptoms in schizophrenia. 6,63 …”

Section: Discussionmentioning

confidence: 99%

Aerobic Exercise Improves Cognitive Functioning in People With Schizophrenia: A Systematic Review and Meta-Analysis

Firth

Stubbs

Rosenbaum

et al. 2016

SCHBUL

274

300

View full text Add to dashboard Cite

Cognitive deficits are pervasive among people with schizophrenia and treatment options are limited. There has been an increased interest in the neurocognitive benefits of exercise, but a comprehensive evaluation of studies to date is lacking. We therefore conducted a meta-analysis of all controlled trials investigating the cognitive outcomes of exercise interventions in schizophrenia. Studies were identified from a systematic search across major electronic databases from inception to April 2016. Meta-analyses were used to calculate pooled effect sizes (Hedges g) and 95% CIs. We identified 10 eligible trials with cognitive outcome data for 385 patients with schizophrenia. Exercise significantly improved global cognition (g = 0.33, 95% CI = 0.13–0.53, P = .001) with no statistical heterogeneity (I2 = 0%). The effect size in the 7 studies which were randomized controlled trials was g = 0.43 (P < .001). Meta-regression analyses indicated that greater amounts of exercise are associated with larger improvements in global cognition (β = .005, P = .065). Interventions which were supervised by physical activity professionals were also more effective (g = 0.47, P < .001). Exercise significantly improved the cognitive domains of working memory (g = 0.39, P = .024, N = 7, n = 282), social cognition (g = 0.71, P = .002, N = 3, n = 81), and attention/vigilance (g = 0.66, P = .005, N = 3, n = 104). Effects on processing speed, verbal memory, visual memory and reasoning and problem solving were not significant. This meta-analysis provides evidence that exercise can improve cognitive functioning among people with schizophrenia, particularly from interventions using higher dosages of exercise. Given the challenges in improving cognition, and the wider health benefits of exercise, a greater focus on providing supervised exercise to people with schizophrenia is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Aerobic Exercise Improves Cognitive Functioning in People With Schizophrenia: A Systematic Review and Meta-Analysis

Firth

Stubbs

Rosenbaum

et al. 2016

SCHBUL

274

300

View full text Add to dashboard Cite

show abstract

“…This cardiorespiratory improvement was found at 6 months, supporting other literature showing physiological benefits from exercise in persons with serious mental illness. (Scheewe et al, 2012, del-Baki et al, 2013, Armstrong et al, 2016) We also identified enhanced cardiorespiratory fitness from group exercise at 18 months thus adding to the nascent evidence of long term cardiorespiratory benefit of exercise in this population. (Bartels et al, 2013) Our 18-month intervention results are important not only for the long length of follow-up, but also due to the nature of the exercise classes in months 7–18.…”

Section: Discussionmentioning

confidence: 72%

Cardiorespiratory benefits of group exercise among adults with serious mental illness

Jerome

Young

Dalcin

et al. 2017

Psychiatry Research

View full text Add to dashboard Cite

This study examined cardiorespiratory fitness (CRF) among adults with serious mental illness (SMI) participating in group exercise classes. Overweight and obese adults with SMI were randomized to either a control condition or a weight management condition with group exercise classes (n=222). Submaximal bicycle ergometry was used to assess CRF at baseline, 6 and 18 months. Those with ≥ 66% participation in the exercise classes had a lower heart rate response at 6 and 18 month follow-up. Participation in group exercise classes was associated with improved short and long term cardiovascular fitness among adults with SMI.

show abstract

“…When it comes to CVD and mortality prevention, a key strategy in the general population lies in improving cardiorespiratory fitness [53], which, amongst others, can be achieved through aerobic exercise [54] or HIIT. Group exercise [55] or continuous training [37,42,45,56,57] have been found to provide cardiorespiratory benefits also in schizophrenia patients, exceeding those offered by other forms of intervention, eg. occupational therapy or table soccer.…”

Section: Effects Of Physical Activity Interventions In Schizophrenia mentioning

confidence: 99%

Effects of physical activity on treatmentof schizophrenia

Lebiecka¹,

Łopuszko²,

Rudkowski³

et al. 2019

Arch Psych Psych

View full text Add to dashboard Cite

The aim of this paper was to describe the effects of physical activity on management of schizophrenia. A critical review of literature was made and current state of knowledge presented. In line with contemporary research trends and based on available evidence, a panel of experts from the European Psychiatric Association issued a guidance on exercise interventions in the treatment of severe mental illness. Elevated premature mortality rates in schizophrenia patients are linked largely to the effect of antipsychotic treatment, low physical activity, and/or increased somatic comorbidity, mainly of cardiometabolic origin. Physical exercise combined with psychological and dietary interventions are reported to improve parameters of the metabolic syndrome, cardiovascular fitness and cognitive performance. Moderate and high intensity training are deemed attractive forms of adjunctive therapy of schizophrenia, adjustable to patients' age, performance and preferences. Future research and high-quality clinical trials investigating the effects of exercise on early presentation of the disease, its pragmatic efficacy, potential adverse events, financial burden and neurobiological underpinnings could help create specific recommendations for training programs of optimal format, dose and duration.

show abstract

The impact of aerobic exercise training on cardiopulmonary functioning in individuals with schizophrenia

Cited by 23 publications

References 10 publications

Aerobic Exercise Improves Cognitive Functioning in People With Schizophrenia: A Systematic Review and Meta-Analysis

Aerobic Exercise Improves Cognitive Functioning in People With Schizophrenia: A Systematic Review and Meta-Analysis

Cardiorespiratory benefits of group exercise among adults with serious mental illness

Effects of physical activity on treatmentof schizophrenia

Contact Info

Product

Resources

About