Active lifestyle as a coadjuvant therapy in the treatment of patients with severe mental illness: The PsychiActive project
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Abstract
The aim was to investigate differences in related to quality of life and health outcomes exist between patients with severe mental illness who meet and not meet physical activity recommendations for health. Ninety-five outpatients with schizophrenia (aged 40.8±9.1 years, 82% men, illness duration 17.1±8.8 years) were classified as physically active and inactive according to the Brief Physical Activity Assessment Tool. Body mass index, antipsychotic medication, severity of psychiatric symptoms (Brief Symptoms Inventory-18), cardiorespiratory function (6-minute walking test) and quality of life (Short Form 36-Item Health Survey questionnaire version 2) were also assessed. Differences between groups were established using Chi-square, Student-t, and Mann–Whitney U tests and relationships between physical activity, quality of life, and health outcomes according to Spearman correlation coefficient. Active patients had significantly lower severity of psychiatric symptoms (Pgreater than 0.05) and all scores of quality of life were clinically better in comparison with inactive patients. Frequency of vigorous, moderate and combination of both were, respectively, related to age, mental component score and cardiorespiratory function (all P greater than 0.05), in addition to other outcomes. The results suggest that physical activity should be an important coadjuvant therapy in the treatment of patients with schizophrenia.
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