Stanton Robert, Happell Brenda
Central Queensland University, Institute for Health and Social Science Research, Centre for Mental Health Nursing Innovation and School of Nursing and Midwifery, Rockhampton, Queensland, Australia.
Curr Sports Med Rep. 2014 Jul-Aug;13(4):260-6. doi: 10.1249/JSR.0000000000000069.
A number of studies demonstrate the positive benefits of exercise for people with schizophrenia and schizoaffective disorders; however the exercise program variables resulting in these positive effects have not been evaluated. Therefore the aim of this systematic review was to describe the aerobic exercise program variables used in randomized controlled trials reporting the positive effect of exercise in the treatment of schizophrenia or schizoaffective disorder. Studies were analyzed for exercise frequency, intensity, session duration, exercise type, intervention duration, delivery of exercise, and level and quality of supervision and adherence. Study quality was assessed using the Physiotherapy Evidence Database scale. Three studies met the inclusion criteria. In general, exercise intervention variables are reported poorly. We find that aerobic exercise including treadmill walking and cycle exercise undertaken as a supervised group intervention lasting 30 to 40 min per session and undertaken 3 times weekly at moderate intensity appears to be valuable for people with schizophrenia or schizoaffective disorder. Interventions ranged from 10 to 16 wk. No adverse events were reported in the included studies. Evidence suggests that aerobic exercise is safe and beneficial for people with schizophrenia or schizoaffective disorder.
多项研究证明了运动对精神分裂症和分裂情感性障碍患者的积极益处；然而，产生这些积极效果的运动项目变量尚未得到评估。因此，本系统评价的目的是描述随机对照试验中所使用的有氧运动项目变量，这些试验报告了运动在治疗精神分裂症或分裂情感性障碍方面的积极作用。分析了各项研究的运动频率、强度、每次运动时长、运动类型、干预时长、运动实施方式以及监督和依从性的水平与质量。使用物理治疗证据数据库量表评估研究质量。三项研究符合纳入标准。总体而言，运动干预变量的报告情况不佳。我们发现，对于精神分裂症或分裂情感性障碍患者，有氧运动（包括跑步机行走和骑自行车运动）作为一种有监督的团体干预方式，每次持续30至40分钟，每周进行3次，中等强度，似乎是有价值的。干预时间为10至16周。纳入的研究中未报告不良事件。有证据表明，有氧运动对精神分裂症或分裂情感性障碍患者是安全且有益的。
