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

Journal: Schizophrenia research

Volume: 170

Issue: 2-3

Year of Publication: 2016

Affiliated Institutions:  KU Leuven - University of Leuven Department of Rehabilitation Sciences, Leuven, Belgium; KU Leuven - University of Leuven, Z.org UPC Leuven, campus Kortenberg, Kortenberg, Belgium. Electronic address: davy.vancampfort@uc-kortenberg.be. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE AZ, United Kingdom; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London Box SE AF, United Kingdom. KU Leuven - University of Leuven Department of Rehabilitation Sciences, Leuven, Belgium. KU Leuven - University of Leuven, Z.org UPC Leuven, campus Kortenberg, Kortenberg, Belgium. Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil; Programa de Pos Graduacaoem Ciencias Medicas: Psiquiatria, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. Butabika National Referral and Mental Health Hospital, Kampala, Uganda. School of Psychiatry, University of New South Wales, Sydney, Australia.

Abstract summary 

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.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 (6 MWT).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.PAVS-baseline assessment should be included in the routine assessment of people with schizophrenia.

Authors & Co-authors:  Vancampfort Davy D Stubbs Brendon B Probst Michel M De Hert Marc M Schuch Felipe B FB Mugisha James J Ward Philip B PB Rosenbaum Simon S

Study Outcome 

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Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.schres.2016.01.001
SSN : 1573-2509
Study Population
Women
Mesh Terms
Adult
Other Terms
Exercise;Physical activity;Psychosis;Schizophrenia
Study Design
Cross Sectional Study
Study Approach
Country of Study
Mali
Publication Country
Netherlands