How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression

SCHIZOPHRENIA RESEARCH

卷:176

Review

Stubbs, Brendon^1,2,3  Firth, Joseph⁴  Berry, Alexandra⁴  Schuch, Felipe B.^5,6  Rosenbaum, Simon⁷  Gaughran, Fiona^3,8,9  Veronesse, Nicola¹⁰  Williams, Julie^2,3  Craig, Tom^2,3  Yung, Alison R.⁴  Vancampfort, Davy^11,12 

[1] South London & Maudsley NHS Fdn Trust, Physiotherapy Dept, Denmark Hill, London SE5 8AZ, England

[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, De Crespigny Pk, London SE5 8AF, England

[3] CLAHRC, South London Psychosis Res Team, London, England

[4] Univ Manchester, Inst Brain Behav & Mental Hlth, Manchester, Lancs, England

[5] Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil

[6] Univ Fed Rio Grande do Sul, Programa Posgrad Ciencias Med Psiquiatria, Porto Alegre, RS, Brazil

[7] Univ New South Wales, Sch Med Sci, Dept Exercise Physiol, Sydney, NSW, Australia

[8] Inst Psychiat Psychol & Neurosci, Psychosis Studies, London, England

[9] South London & Maudsley NHS Fdn Trust, Natl Psychosis Serv, London, England

[10] Univ Padua, Geriatr Sect, Dept Med, I-35100 Padua, Italy

[11] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium

[12] Katholieke Univ Leuven, Univ Psychiat Ctr, Leuven Kortenberg, Belgium

关键词: Physical activity;    Exercise;    Cardiovascular disease;    Lifestyle;    Psychosis;    Schizophrenia;   

DOI  :  10.1016/j.schres.2016.05.017

来源: Elsevier

【 摘 要 】

Objective: Physical activity (PA) improves health outcomes in people with schizophrenia. It is unclear how much PA people with schizophrenia undertake and what influences PA participation. We conducted a meta-analysis to investigate PA levels and predictors in people with schizophrenia. Method: Major databases were searched from inception till 02/2016 for articles measuring PA (self-report questionnaire (SRQ) or objective measure (e.g. accelerometer)) in people with schizophrenia, including first episode psychosis (FEP). A random effects meta-analysis and meta-regression analysis were conducted. Results: 35 studies representing 3453 individuals with schizophrenia (40.0 years; 64.0% male) were included. Engagement in light PA was 80.44 min (95% CI 68.32-92.52, n = 2658), 47.1 min moderate-vigorous PA (95% CI 31.5-62.8, n= 559) and 1.05 min (95% CI 0.48-1.62, n= 2533) vigorous PA per day. People with schizophrenia engaged in significantly less moderate (hedges g = -0.45, 95% CI -0.79 to -0.1, p = 0.01) and vigorous PA (g = -0.4, 95% CI -0.60 to -0.18) versus controls. Higher light to moderate, but lower vigorous PA levels were observed in outpatients and in studies utilizing objective measures versus SRQ. 56.6% (95% CI 45.8-66.8, studies = 12) met the recommended 150 min of moderate physical activity per week. Depressive symptoms and older age were associated with less vigorous PA in meta-regression analyses. Conclusions: Our data confirm that people with schizophrenia engage in significantly less moderate and vigorous PA versus controls. Interventions aiming to increase PA, regardless of intensity are indicated for people with schizophrenia, while specifically increasing moderate-vigorous PA should be a priority given the established health benefits. (C) 2016 Elsevier B.V. All rights reserved.

【 授权许可】

Free