Division of Allied Health, LaTrobe University, 3086, Australia.
Disabil Rehabil. 2011;33(13-14):1222-9. doi: 10.3109/09638288.2010.526162. Epub 2010 Oct 15.
To evaluate the feasibility and effects of an exercise programme on people with severe, chronic schizophrenia.
A single-group, pre-post pilot study incorporating a baseline familiarisation phase was followed by a 24-week, small-group aerobic exercise programme for up to 30-min each session, twice a week and a 30-min weekly walking session. Adherence was assessed by attendance, and by analysing the exercise supervisor's comments in a programme diary and in each participant's exercise logbook. Body weight, cardio-respiratory fitness (VO₂ max), walking endurance (6-min walk test) and psychiatric symptoms (the Positive and Negative Syndrome Scale) were measured at each time point.
Eight participants (6 men, 2 women; mean age 45 years, 9 months (SD 10 years, 1 month); mean body mass index 27.0 (SD 4.2)) attended a mean of 73% of the scheduled exercise sessions, and 83% of the walking sessions, with no adverse events and no dropouts. All participants displayed positive and negative behaviours during training sessions. There were significant reductions in weight (2.4%) and body mass index (2.2%), but no changes in other measures.
It was feasible and safe to conduct a small-group aerobic exercise programme for adults with severe chronic schizophrenia that reduced body weight.
评估一项针对严重慢性精神分裂症患者的运动方案的可行性和效果。
采用单组、前后测试的初步研究，包括基线熟悉阶段，然后是 24 周的小组有氧运动方案，每次 30 分钟，每周两次，每周进行 30 分钟的步行运动。通过出勤率评估依从性，并通过分析方案日记中锻炼监督者的评论以及每位参与者的锻炼日志来评估依从性。在每个时间点测量体重、心肺功能（最大摄氧量）、步行耐力（6 分钟步行测试）和精神症状（阳性和阴性综合征量表）。
8 名参与者（6 名男性，2 名女性；平均年龄 45 岁，9 个月（SD 10 岁，1 个月）；平均体重指数 27.0（SD 4.2））参加了平均 73%的预定运动课程，以及 83%的步行课程，没有不良事件和退出者。所有参与者在训练期间都表现出阳性和阴性行为。体重（2.4%）和体重指数（2.2%）显著下降，但其他指标没有变化。
对于患有严重慢性精神分裂症的成年人进行小组有氧运动方案是可行且安全的，可降低体重。
