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Low Physical Activity and Cardiorespiratory Fitness in People With Schizophrenia: A Comparison With Matched Healthy Controls and Associations With Mental and Physical Health

机译:精神分裂症患者的低运动量和心肺适应性:与相匹配的健康对照以及心理和身体健康相关的比较

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Introduction: The aim of this study was to objectively assess time spent in physical activity (PA) and sedentary behavior (SB) in patients with schizophrenia compared to healthy controls matched for age, gender and socioeconomic status. Associations between both PA and cardiorespiratory fitness (CRF) and mental and physical health parameters in patients with schizophrenia were examined. Materials and Methods: Moderate and vigorous PA (MVPA), moderate PA, vigorous PA, total and active energy expenditure (TEE and AEE), number of steps, lying down and sleeping time was assessed with SenseWear Pro-2 body monitoring system for three 24-h bouts in patients with schizophrenia ( n = 63) and matched healthy controls ( n = 55). Severity of symptoms (Positive and Negative Syndrome Scale and Montgomery and ?sberg Depression Rating Scale), CRF (peak oxygen uptake, VO _(2peak)), body mass index (BMI), and metabolic syndrome were assessed. Results: Patients with schizophrenia performed less MVPA and moderate activity had lower TEE and AEE, spent more time per day lying down and sleeping, and had poorer CRF compared to healthy controls. The amount of MVPA, but especially CRF was associated with severity of negative symptoms in patients with schizophrenia. Only CRF was associated with BMI. Discussion: The current data offer further evidence for interventions aiming to increase physical activity and decrease sedentary behavior. Given strong associations of CRF with both negative symptoms and BMI, treatment aimed at CRF-improvement may prove to be effective.
机译:简介:本研究旨在客观评估精神分裂症患者与年龄,性别和社会经济状况相匹配的健康对照者在体育锻炼(PA)和久坐行为(SB)上花费的时间。检查了精神分裂症患者的PA和心肺健康(CRF)与心理和身体健康参数之间的关联。材料和方法:使用SenseWear Pro-2人体监测系统评估了中度和剧烈PA(MVPA),中度PA,剧烈PA,总和有功能量消耗(TEE和AEE),步数,躺卧和睡眠时间精神分裂症患者(n = 63)和健康对照者(n = 55)的24小时发作。评估症状的严重程度(正负综合症量表和蒙哥马利和?sberg抑郁评分量表),CRF(峰值摄氧量,VO _(2peak)),体重指数(BMI)和代谢综合征。结果:与健康对照组相比,精神分裂症患者的MVPA较少,活动量中等,TEE和AEE较低,每天躺卧和睡觉的时间更多,CRF较差。精神分裂症患者的MVPA含量,尤其是CRF与阴性症状的严重程度相关。只有CRF与BMI相关。讨论:当前数据为旨在增加身体活动和减少久坐行为的干预措施提供了进一步的证据。鉴于CRF与阴性症状和BMI密切相关,针对CRF改善的治疗可能被证明是有效的。

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