A systematic review of correlates of physical activity in patients with schizophrenia

作者：Vancampfort D^*; Knapen J; Probst M; Scheewe T; Remans S; De Hert M

来源：Acta Psychiatrica Scandinavica, 2012, 125(5): 352-362.

DOI：10.1111/j.1600-0447.2011.01814.x

• schizophrenia
• physical activity
• correlates

Objective: The present review evaluates systematically the published quantitative studies of correlates of PA in patients with schizophrenia. %26lt;br%26gt;Method: EMBASE, PsycINFO, PubMed, ISI Web of Science, CINAHL and PEDro were searched from their inception to 1 July 2011 combining the medical subject heading %26apos;schizophrenia%26apos; with %26apos;physical activity%26apos; or %26apos;physical inactivity%26apos; or %26apos;exercise%26apos; or %26apos;health education%26apos; or %26apos;health behaviour%26apos; or %26apos;health promotion%26apos;. %26lt;br%26gt;Results: Out of 68 potentially eligible studies, 25 papers (n = 25 013) evaluating 36 correlates were included. Correlates consistently associated with lower PA participation are the presence of negative symptoms and cardio-metabolic comorbidity. Also, side-effects of antipsychotic medication, lack of knowledge on cardiovascular disease risk factors, no belief in the health benefits, a lower self-efficacy, other unhealthy lifestyle habits and social isolation correlated with lower PA participation. The quality of the PA measurement was not related to the proportion of significant associations (chi(2) = 3.8, P = 0.07). Current gaps in literature that need to be examined more in detail are the role of environmental and policy-level factors on PA participation in patients with schizophrenia. %26lt;br%26gt;Conclusion: All correlates should be confirmed in prospective studies, and interventions to improve the modifiable variables should be developed and evaluated.

• 出版日期2012-5