Rosenbaum Simon, Lederman Oscar, Stubbs Brendon, Vancampfort Davy, Stanton Robert, Ward Philip B
School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Early Psychosis Programme, The Bondi Centre, South Eastern Sydney Local Health, Sydney, New South Wales, Australia.
Early Interv Psychiatry. 2016 Oct;10(5):435-40. doi: 10.1111/eip.12238. Epub 2015 Mar 23.
To review intervention variables and outcomes of studies designed to increase physical activity or exercise participation among people experiencing first-episode psychosis.
A systematic review of electronic databases was conducted from inception to November 2014.
Eleven eligible studies describing 12 interventions were included (n = 351; 14-35 years) incorporating health coaching (n = 5), exercise prescriptions based on physiological parameters (e.g. heart rate) (n = 3), supervised, individually tailored programmes (n = 2), an Internet-delivered intervention and a yoga intervention. The majority of the interventions were delivered over 12 weeks (n = 6) and in community settings (n = 11). Five studies assessed aerobic capacity (VO2 max or VO2 peak) and three studies assessed self-reported physical activity levels.
Considerable heterogeneity in the design, implementation and assessment of interventions was found. There is an urgent need to better understand how physical activity can be increased in line with the internationally endorsed HeaL (Healthy Active Lives) Declaration 5-year physical activity target.
回顾旨在增加首次发作精神病患者身体活动或锻炼参与度的研究的干预变量和结果。
对电子数据库进行了从建库至2014年11月的系统综述。
纳入了11项符合条件的研究，描述了12种干预措施（n = 351；年龄14 - 35岁），包括健康指导（n = 5）、基于生理参数（如心率）的运动处方（n = 3）、有监督的个体化定制项目（n = 2）、一项互联网干预措施和一项瑜伽干预措施。大多数干预措施持续12周（n = 6），且在社区环境中实施（n = 11）。五项研究评估了有氧能力（最大摄氧量或峰值摄氧量），三项研究评估了自我报告的身体活动水平。
发现干预措施在设计、实施和评估方面存在相当大的异质性。迫切需要更好地了解如何根据国际认可的《健康积极生活》宣言的5年身体活动目标来增加身体活动。
