Nyboe Lene, Lund Hans
Centre of Psychiatric Research, Aarhus University Hospital, Risskov, Skovagervej 2, Denmark.
Nord J Psychiatry. 2013 Feb;67(1):43-6. doi: 10.3109/08039488.2012.675588. Epub 2012 May 8.
Physical inactivity is an independent risk factor for cardiovascular diseases and Type 2 diabetes, both being highly prevalent in patients with severe mental illness. Though physical activity has become an important issue in psychiatric treatment and rehabilitation in the past decade, systematic evaluations of physical activity level in psychiatric populations could be more disseminated.
The primary aim of the study was to investigate the physical activity level of psychiatric patients in comparison with healthy controls.
Patients with severe mental illness (n =47) and a group of healthy controls (n =28) matched on sex and age reported their physical activity level using the Physical Activity Scale (PAS). PAS was administered as an interview in relation to patients and as a questionnaire in relation to healthy controls.
Patients had statistically significant lower levels of physical activity compared with healthy controls (P <0.0001) and the level of physical activity among patients was hazardously low.
The study confirmed previous studies and clinical experience that patients with severe mental illness are physically inactive and emphasize the importance of physical activity in psychiatric treatment and rehabilitation. The PAS is an applicable and relevant method for evaluating physical activity levels in psychiatric patients.
缺乏身体活动是心血管疾病和2型糖尿病的独立危险因素，这两种疾病在重度精神疾病患者中都非常普遍。尽管在过去十年中，身体活动已成为精神科治疗和康复中的一个重要问题，但对精神科人群身体活动水平的系统评估仍有待更广泛传播。
本研究的主要目的是比较精神科患者与健康对照者的身体活动水平。
47名重度精神疾病患者和一组在性别和年龄上匹配的28名健康对照者使用身体活动量表（PAS）报告了他们的身体活动水平。对患者采用访谈方式进行PAS评估，对健康对照者采用问卷调查方式。
与健康对照者相比，患者的身体活动水平在统计学上显著较低（P<0.0001），且患者的身体活动水平极低。
该研究证实了先前的研究和临床经验，即重度精神疾病患者缺乏身体活动，并强调了身体活动在精神科治疗和康复中的重要性。PAS是评估精神科患者身体活动水平的一种适用且相关的方法。
