Physical Fitness and Activity Levels among Chinese People with Schizophrenia: A Cross-Sectional Study with Matched Case-Control Comparison
Physical Fitness and Activity Levels among Chinese People with Schizophrenia: A Cross-Sectional Study with Matched Case-Control Comparison
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中国精神分裂症患者的体质和活动水平：一项横断面研究及匹配病例对照比较
DOI：
10.3390/ijerph17103564
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发表时间：
2020
影响因子：
--
通讯作者：
Y. Mak
中科院分区：
文献类型：
--
作者：
D. Bressington;Yan Li;S. Hulbert;Y. Mak
精神分裂症患者患心脏代谢性疾病的风险增加，预期寿命缩短。主要在西方环境中进行的研究报告称，这一人群的活动量较少，健康水平较差。这项研究旨在比较精神分裂症患者和健康对照组之间的身体健康和活动水平，并调查这些变量之间的潜在联系。对57名社区精神分裂症患者和57名年龄、性别和体重指数(BMI)匹配的对照组进行了一项横断面研究。参与者完成了国际体力活动问卷和基督教青年会(YMCA)健康评估方案，并进行了心血管/肺功能测试。健康对照组的心肺功能在所有方面都明显好于精神分裂症患者(均P<；0.05，d=0.38至1.06)。精神分裂症组在躯干最佳屈曲、半仰卧起坐和3分钟台阶试验后1分钟脉搏恢复方面的表现明显较差(均P<；0001，d=0.76~1.04)。健康对照组每周中等活动量(t=−2.66，p=0.009)和每周总活动量(t=−2.013，p=0.047)水平较高。精神分裂症组的剧烈活动水平与肺功能的某些区域显著相关(均P<；0.05)。研究结果显示，患有精神分裂症的中国人患者的健康状况明显低于匹配的健康对照组，这表明有必要提供及时有效的运动干预，作为例行公事，以降低患慢性身体疾病的风险。
People with schizophrenia have an increased risk of developing cardiometabolic diseases and a reduced life expectancy. Studies conducted mainly in Western settings report low amounts of activity and poor levels of fitness in this population. This study aims to compare physical fitness and activity levels between people with schizophrenia/healthy matched controls and investigate potential associations between these variables. A cross-sectional study was conducted with 57 community-dwelling people with schizophrenia and 57 age-, gender- and body mass index (BMI)-matched controls. Participants completed the international physical activity questionnaire and the Young Men’s Christian Association (YMCA) fitness assessment protocol with accompanying cardiovascular/lung function tests. Cardiorespiratory fitness was significantly better in healthy matched controls than individuals with schizophrenia in all areas (all p < 0.05, d = 0.38 to 1.06). Performance in best trunk flexion, half sit-ups and one-minute pulse recovery following the three-min step test were significantly worse in the schizophrenia group (all p < 0001, d = 0.76 to 1.04). Higher levels of weekly moderate activity (t = −2.66, p = 0.009) and total weekly activity levels (t = −2.013, p = 0.047) were reported by the healthy controls. Levels of vigorous activity were significantly correlated with some areas of lung functioning in the schizophrenia group (all p < 0.05). The findings show that Chinese people with schizophrenia have significantly poorer fitness than matched healthy controls, demonstrating the need to provide timely effective exercise-based interventions as a matter of routine to attenuate the risk of developing chronic physical illnesses.
DOI：
10.1001/jama.1995.03520380029031
发表时间：
1995-04
期刊：
JAMA
影响因子：
--
作者：
S. Blair;H. Kohl;C. Barlow;R. Paffenbarger;L. Gibbons;C. Macera
通讯作者：
S. Blair;H. Kohl;C. Barlow;R. Paffenbarger;L. Gibbons;C. Macera
影响因子：
3.3
作者：
C. Caspersen;K. Powell;G. Christenson
通讯作者：
C. Caspersen;K. Powell;G. Christenson