Is it possible for people with severe mental illness to sit less and move more? A systematic review of interventions to increase physical activity or reduce sedentary behaviour

被引:57
作者
Ashdown-Franks, Garcia [1 ,2 ]
Williams, Julie [1 ]
Vancampfort, Davy [3 ,4 ]
Firth, Joseph [5 ,6 ]
Schuch, Felipe [7 ,8 ]
Hubbard, Kathryn [1 ]
Craig, Tom [1 ]
Gaughran, Fiona [1 ,9 ]
Stubbs, Brendon [1 ,9 ]
机构
[1] Kings Coll London, Inst Psychiat Psychol & Neurosci, De Crespigny Pk, London SE5 8AF, England
[2] Univ Toronto, Dept Exercise Sci, 55 Harbord St, Toronto, ON M5S 2W6, Canada
[3] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium
[4] Katholieke Univ Leuven, Univ Psychiat Ctr, Kortenberg, Belgium
[5] Univ Western Sydney, NICM Hlth Res Inst, Sch Sci & Hlth, Sydney, NSW, Australia
[6] Univ Manchester, Div Psychol & Mental Hlth, Fac Biol Med & Hlth, Manchester, Lancs, England
[7] Univ La Salle Unilasalle, Canoas, Brazil
[8] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
[9] South London & Maudsley NHS Fdn Trust, Denmark Hill, London SE5 8AZ, England
关键词
Severe mental illness; Physical activity; Sedentary behaviour; Psychosis; Health; Cardiovascular disease; MAJOR DEPRESSIVE DISORDER; CARDIOVASCULAR RISK-FACTORS; QUALITY-OF-LIFE; DIABETES-MELLITUS; BIPOLAR DISORDER; EXERCISE INTERVENTION; METABOLIC SYNDROME; SELF-MANAGEMENT; YOUNG-ADULTS; SCHIZOPHRENIA;
D O I
10.1016/j.schres.2018.06.058
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Individuals with severe mental illness (SMI) (schizophrenia-spectrum, bipolar disorder and major depressive disorder) die 10-20 years prematurely due to physical disorders such as cardiovascular disease. Physical activity (PA) is effective in preventing and managing these conditions in the general population, however individuals with SMI engage in substantially less PA and more sedentary behaviour (SB) compared to healthy counterparts. Furthermore, the effectiveness of intervening to increase PA or reduce SB in SMI populations is unknown. Therefore, we systematically reviewed studies measuring changes in PA or SB following behavioural interventions in people with SMI. A systematic search of major databases was conducted from inception until 1/3/2018 for behavioural interventions reporting changes in PA or SB in people with SMI. From 3018 initial hits, 32 articles were eligible, including 16 controlled trials (CT's; Treatment n = 1025, Control n = 1162) and 16 uncontrolled trials (n = 655). Of 16 CTs, seven (47%) reported significant improvements in PA, although only one found changes with an objective measure. Of 16 uncontrolled trials, 3 (20%) found improvements in PA (one with objective measurement). No intervention study had a primary aim of changing SB, nor did any note changes in SB using an objective measure. In conclusion, there is inconsistent and low quality evidence to show that interventions can be effective in changing PA or SB in this population. Future robust randomized controlled trials, using objectively-measured PA/SB as the primary outcome, are required to determine which behavioural interventions are effective in improving the sedentary lifestyles associated with SMI. (C) 2018 Elsevier B.V. All rights reserved.
引用
收藏
页码:3 / 16
页数:14
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