KU Leuven Department of Rehabilitation Sciences, Tervuursevest 101, 3001 Leuven, Belgium; University Psychiatric Centre KU Leuven, Kortenberg, Belgium.
KU Leuven Department of Rehabilitation Sciences, Tervuursevest 101, 3001 Leuven, Belgium.
Psychiatry Res. 2018 Feb;260:236-240. doi: 10.1016/j.psychres.2017.11.067. Epub 2017 Nov 29.
This study investigated cardio-metabolic risk factors among patients with severe mental illness who do or do not meet the recommendations of 150min per week of physical activity. A secondary aim was to assess whether those that do meet the recommendations report lower levels of mental health symptoms. 107 (60♀) Ugandan in- and outpatients (mean age=34.4 ± 9.7 years) with severe mental illness (depression=7, bipolar disorder=55, schizophrenia=45) completed the Physical Activity Vital Sign (PAVS) method and Brief Symptoms Inventory -18. Participants were also screened for abdominal obesity (waist circumference>90cm), overweight (body mass index≥25) and hypertension (systolic pressure≥140mmHg and/or diastolic pressure≥90mmHg).48.6% (n = 52) of patients met the physical activity recommendations as assessed by the PAVS method. 41.1% (n = 44) were overweight, 40.2% (n = 43) had abdominal obesity and 23.4% (n = 25) had hypertension. Those who did not meet the physical activity recommendations were significantly older, had a higher BSI-18 somatisation score, and had a higher risk of overweight [relative risk (RR) = 2.88, 95% confidence interval (CI) = 1.59-4.99], abdominal obesity (RR = 1.82, 95%CI = 1.13-2.93), and hypertension (RR = 2.16, 95%CI = 0.99-4.73). The PAVS is a feasible method of assessing physical activity among patients with severe mental illness in a low resource setting. The PAVS may have clinical utility for physical and mental health risk stratification.
本研究调查了严重精神疾病患者的心血管代谢风险因素，这些患者有的符合每周 150 分钟的身体活动建议，有的则不符合。次要目的是评估那些符合建议的患者是否报告心理健康症状水平较低。107 名（60 名女性）乌干达住院和门诊患者（平均年龄 34.4±9.7 岁）患有严重精神疾病（抑郁症 7 名，双相情感障碍 55 名，精神分裂症 45 名）完成了身体活动生命体征（PAVS）方法和简要症状清单-18。还对参与者进行了腹部肥胖（腰围>90cm）、超重（体重指数≥25）和高血压（收缩压≥140mmHg 和/或舒张压≥90mmHg）筛查。根据 PAVS 方法评估，48.6%（n=52）的患者符合身体活动建议。41.1%（n=44）超重，40.2%（n=43）有腹部肥胖，23.4%（n=25）有高血压。不符合身体活动建议的患者年龄明显较大，BSI-18 躯体化评分较高，超重的风险较高[相对风险（RR）=2.88，95%置信区间（CI）=1.59-4.99]，腹部肥胖（RR=1.82，95%CI=1.13-2.93），高血压（RR=2.16，95%CI=0.99-4.73）。PAVS 是在资源匮乏环境中评估严重精神疾病患者身体活动的一种可行方法。PAVS 可能对身体和心理健康风险分层具有临床实用价值。
