Physical activity and sedentary behavior in people with bipolar disorder: A systematic review and meta-analysis

被引:109
作者
Vancampfort, Davy [1 ,2 ]
Firth, Joseph [3 ]
Schuch, Felipe [4 ,5 ]
Rosenbaum, Simon [6 ]
De Hert, Marc [2 ]
Mugisha, James [7 ,8 ]
Probst, Michel [1 ]
Stubbs, Brendon [9 ,10 ]
机构
[1] KU Leuven Univ Leuven, Dept Rehabil Sci, Leuven, Belgium
[2] KU Leuven Univ Leuven, Univ Psychiat Ctr KU Leuven, Leuvensesteenweg 517, B-3070 Leuven, Kortenberg, Belgium
[3] Univ Manchester, Inst Brain Behav & Mental Hlth, Manchester, Lancs, England
[4] Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
[5] Univ Fed Rio Grande do Sul, Programa Posgrad Ciencias Med Psiquiatria, Porto Alegre, RS, Brazil
[6] Univ New S Wales, Sch Med Sci, Dept Exercise Physiol, Sydney, NSW, Australia
[7] Butabika Natl Referral & Mental Hlth Hosp, Kampala, Uganda
[8] Kyambogo Univ, Kampala, Uganda
[9] South London & Maudsley NHS Fdn Trust, Physiotherapy Dept, London, England
[10] Kings Coll London, Hlth Serv & Populat Res Dept, Inst Psychiat Psychol & Neurosci, De Crespigny Pk, London WC2R 2LS, England
基金
英国医学研究理事会;
关键词
Physical activity; Exercise; Sedentary behavior; Bipolar disorder; CARDIOVASCULAR RISK-FACTORS; LIFE-STYLE INTERVENTIONS; SEVERE MENTAL-ILLNESS; ACTIVITY QUESTIONNAIRE; EXERCISE; INDIVIDUALS; MORTALITY; DISEASE; ASSOCIATIONS; OUTPATIENTS;
D O I
10.1016/j.jad.2016.05.020
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Mortality rates are approximately two to three times higher in people with bipolar disorder (BD) than in general population. Lack of physical activity (PA) and sedentary behavior (SB) are independent risk factors for cardiovascular disease and premature mortality. Aims: We conducted a meta-analysis to investigate PA and SB levels and its predictors in BD. Methods: Major electronic databases were searched from inception till 02/2016 for articles measuring PA and SB with a self-report questionnaire (SRQ) or objective measure (e.g. accelerometer) in BD. A random effects meta-analysis and meta-regression analysis were conducted. Results: Six studies were eligible including 279 (129(1) people with BD (mean age = 43.9 years; range: 32.0-51.5 years). The trim and fill analysis demonstrated people with BD spent in total 210.1 min (95% CI = 146.3-273.9 min) per day being physically active and 613.3 min (95%CI=389.9-836.6 min) during waking hours being sedentary. No significant difference in total PA per day was observed between people with BD and controls (g = -0.62, 95% CI = -1.55 to 0.31, I-2=88.5%, n BD = 82, n controls = 86). Objective measures of PA recorded significantly lower levels (P=0.03) compared to self-report PA. Meta-regression demonstrated that older age and a higher body mass index predicted lower PA levels. Limitations: Only a limited number of studies were identified assessing SB in people with BD. Conclusions: Adults with BD engage in high levels of sedentary behavior during waking hours. Given that sedentary behavior is an independent predictor of cardiovascular disease, future lifestyle interventions specifically targeting the prevention of sedentary behavior are warranted. (C) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码:145 / 152
页数:8
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