Physical activity as a vital sign in patients with schizophrenia: Evidence and clinical recommendations

详细信息    查看全文

• 作者：Davy Vancampfort^a ; ^b ; ^{davy.vancampfort@uc-kortenberg.be" class="auth_mail" title="E-mail the corresponding author} ; Brendon Stubbs^c ; ^d ; Michel Probst^a ; Marc De Hert^b ; Felipe B. Schuch^e ; ^f ; James Mugisha^g ; Philip B. Ward^h ; Simon Rosenbaum^h
• 关键词：Physical activity ; Exercise ; Psychosis ; Schizophrenia
• 刊名：Schizophrenia Research
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：170
• 期：2-3
• 页码：336-340
• 全文大小：191 K

文摘

This study investigated whether in patients with schizophrenia the Physical Activity Vital Sign (PAVS) assessment can identify those at higher risk of cardio-metabolic abnormalities.

Methods

One hundred patients with schizophrenia completed the PAVS-questions exploring whether they adhered to the general physical activity recommendations, underwent a full-fasting metabolic screening, and performed a six-minute walk test (6MWT).

Results

Those who do not adhere to the health recommendations according to the PAVS (n = 61) were significantly older (37.1 ± 11.3 versus 32.5 ± 8.5 years, P = 0.033) and more likely to be women (30/36 versus 31/64, P < 0.001). Patients who do not meet the physical activity recommendations have a higher BMI (27.0 ± 6.4 versus 23.3 ± 3.1, P = 0.017) performed worse on the 6MWT (531.1 ± 84.2 m versus 657.0 ± 98.2 m, P < 0.001) and are at a significantly higher risk for cardio-metabolic diseases. Relative risks ranged from 1.07 (0.84–1.36) for having dyslipidemia to 4.65 (1.77–12.17) for having hypertension.

Conclusions

PAVS-baseline assessment should be included in the routine assessment of people with schizophrenia.