Physical activity correlates among people with psychosis: Data from 47 low- and middle-income countries

SCHIZOPHRENIA RESEARCH

卷:193

Article

Stubbs, Brendon^1,2  Vancampfort, Davy^3,4  Firth, Joseph^5,19  Hallgren, Mats⁶  Schuch, Felipe^7,8  Veronese, Nicola⁹  Solmi, Marco^9,10  Gaughran, Fiona^1,2  Kahl, Kai G.¹¹  Rosenbaum, Simon¹²  Ward, Philip B.^13,14  Carvalho, Andre F.^15,16  Koyanagi, Ai^17,18 

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

[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, De Crespigny Pk, London SE5 8AF, England

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

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

[5] Univ Manchester, Div Psychol & Mental Hlth, Manchester, Lancs, England

[6] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden

[7] Unilasalle, Canoas, Brazil

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

[9] Inst Clin Res & Educ Med IREM, Padua, Italy

[10] CNR, Neurosci Inst, Aging Branch, Padua, Italy

[11] Hannover Med Sch, Hannover Med Sch, Dept Psychiat Social Psychiat & Psychotherapy, Hannover, Germany

[12] Univ New South Wales, Prince Wales Hosp, Sch Psychiat, UNSW Australia,Black Dog Inst, Sydney, NSW, Australia

[13] UNSW, Sch Psychiat, Sydney, NSW, Australia

[14] Ingham Inst Appl Med Res, Schizophrenia Res Inst, Liverpool, Merseyside, England

[15] Univ Fed Ceara, Fac Med, Dept Clin Med, Fortaleza, CE, Brazil

[16] Univ Fed Ceara, Fac Med, Translat Psychiat Res Grp, Fortaleza, CE, Brazil

[17] Univ Barcelona, Res & Dev Unit, Parc Sanitari St Joan de Deu, Fundacio St Joan de Deu, Dr Antoni Pujadas 42, Barcelona 08830, Spain

[18] CIBERSAM, Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental, Monforte Lemos 3-5 Pabellon 11, Madrid 28029, Spain

[19] Univ Western Sydney, Sch Sci & Hlth, NICM, Sydney, NSW, Australia

关键词: Physical activity;    Exercise;    Developing countries;    Mobility;    Psychiatry;    Psychosis;    Schizophrenia;   

DOI  :  10.1016/j.schres.2017.06.025

来源: Elsevier

【 摘 要 】

Background: People with schizophrenia engage in low levels of physical activity (PA). However, few large-scale studies have investigated the factors that may influence PA participation in individuals with psychosis and data from low-and middle-income countries (LMICs) is especially scarce. Thus, we investigated PA correlates in a large sample of people with a psychosis diagnosis across 47 LMICs. Methods: Cross-sectional data from the World Health Survey, restricting to those with a self-reported lifetime diagnosis of schizophrenia/psychotic disorder, was analyzed. PA was assessed by the International Physical Activity Questionnaire (IPAQ) and participants were dichotomized into those that do and do not (low PA) meet the minimum recommended PA weekly targets (>= 150 min). A range of socio-demographic, health behavior, and mental and physical health variables were examined using random effects logistic regression. Results: Overall 2407 people (mean 42.0 years, 41.5% males) with schizophrenia/psychosis were included. The prevalence of low PA was 39.2% (95% CI = 37.0%-41.2%). Male sex (odds ratio (OR) = 1.33), increasing age, unemployment (vs. employed OR = 2.50), urban setting (vs. rural OR = 1.75), inadequate fruit consumption (vs. adequate fruit intake OR = 3.03), depression (OR = 1.33), sleep/energy disturbance, and mobility limitations were significantly associated with low PA. Marital status, education, wealth, smoking, vegetable and alcohol consumption, anxiety, cognition, pain, and chronic medical conditions were not significant correlates. Conclusion: PA is influenced by a range of factors among people with psychosis. These correlates should be considered in interventions aiming to facilitate PA in psychotic individuals living in LMICs. (c) 2017 Elsevier B.V. All rights reserved.

【 授权许可】

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