Associations between daily steps and cognitive function among inpatients with schizophrenia

被引:3
作者
Chen, Li-Jung [1 ]
Stubbs, Brendon [2 ,3 ]
Chien, I-Chia [4 ]
Lan, Tsuo-Hung [5 ,6 ,7 ,8 ]
Chung, Ming-Shun [9 ]
Lee, Hui-Ling [5 ]
Hsu, Wan-Chi [5 ]
Ku, Po-Wen [10 ]
机构
[1] Natl Taiwan Univ Sport, Dept Exercise Hlth Sci, 271 Lixing Rd, Taichung 404, Taiwan
[2] South London & Maudsley NHS Fdn Trust, Physiotherapy Dept, Denmark Hill, London SE5 8AZ, England
[3] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol Med, De Crespigny Pk, London SE5 8AF, England
[4] Minist Hlth & Welf, Bali Psychiat Ctr, Ctr Dev Teaching & Res, 33 Huafushan Rd, New Taipei 249, Taiwan
[5] Minist Hlth & Welf, Tsaotun Psychiat Ctr, 161 Yu Pin Rd, Caotun Township 542, Nan Tou County, Taiwan
[6] Natl Yang Ming Chiao Tung Univ, Dept Med, Taipei, Taiwan
[7] Natl Hlth Res Inst, Ctr Neuropsychiat Res, Miaoli, Taiwan
[8] Natl Yang Ming Chiao Tung Univ, Inst Clin Med, Taipei, Taiwan
[9] Minist Hlth & Welf, Jianan Psychiat Ctr, 80,Lane 870,Zhongshan Rd, Tainan 177, Taiwan
[10] Natl Chung Hsing Univ, Grad Inst Sports & Hlth Management, 145 Xingda Rd, Taichung 402, Taiwan
关键词
Physical activity; Walking; Pedometer; Psychiatric disorder; Cognition; SEVERE MENTAL-ILLNESS; PHYSICAL-ACTIVITY; SEDENTARY BEHAVIOR; EXERCISE; PEOPLE; PERFORMANCE; WALKING;
D O I
10.1186/s12888-022-03736-2
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Walking is the fundamental component of taking steps and is the main form of physical activity among individuals with schizophrenia; it also offers a range of health benefits. This study aimed to examine the associations between daily steps and cognitive function and further explored how many steps were related to better cognitive function among inpatients with schizophrenia. Methods Inpatients with schizophrenia were recruited from long-stay psychiatric wards across two hospitals (n=199 at site 1 and n=195 at site 2). Daily steps were collected with an accelerometer for 7 days. Four cognitive domains (attention, processing speed, reaction time, and motor speed) were tested at site 1, and two cognitive domains (attention and processing speed) were tested at site 2. The associations of daily steps and levels of steps/day with cognitive function were tested using multivariable linear regressions separated by site. Covariates included demographic variables, weight status, metabolic parameters, and clinical state. Results Participants took an average of 7445 (+/- 3442) steps/day. More steps were related to better attention, processing speed, reaction time, and motor speed after multivariable adjustments. Compared with participants taking <5000 steps/day, those taking >= 5000 steps/day showed significantly better processing speed. Participants taking >= 7500 steps/day were associated with better attention, better reaction time, and better motor speed than those taking Conclusion Daily steps are associated with better cognitive function among inpatients with schizophrenia. The optimal benefit for cognitive function among this clinical population is achieving 7500 steps/day or more.
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页数:8
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