Faculty of Humanities, Sports and Educational Science, University of South-Eastern Norway, Horten, Norway.
Division of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, Norway.
Schizophr Res. 2018 Nov;201:98-104. doi: 10.1016/j.schres.2018.05.038. Epub 2018 May 31.
Thorough description of objectively assessed physical activity (PA) and sedentary time in people with schizophrenia is lacking, and previous studies comparing PA and cardiorespiratory fitness levels with healthy controls are limited by their small sample size and/or poor methodology.
PA, sedentary behavior, and cardiorespiratory fitness level were assessed in 67 adults diagnosed with schizophrenia (EPHAPS study) and compared with a population-based sample of 2809 adults (NPASS study).
Fifty-five percent of the participants with schizophrenia had the unhealthy combination of not meeting the PA recommendations and sitting >7.5 h per day compared to 32% in the population-based sample. The PA level was especially low on weekday afternoons and evenings and throughout most of the day on weekends. The peak oxygen uptake for EPHAPS women was on average 23% lower than that for NPASS women, while EPHAPS men achieved on average 34% lower oxygen uptake on the exercise test compared with NPASS men.
People with schizophrenia are significantly less physically active, more sedentary, and have a poorer cardiorespiratory fitness level compared with the general population. Tailor-made PA interventions for people with schizophrenia should target their PA and sedentary behavior on afternoons and weekends especially.
目前缺乏对精神分裂症患者客观评估的体力活动（PA）和久坐时间的全面描述，先前比较 PA 和心肺功能适应性水平与健康对照的研究受到样本量小和/或方法学不佳的限制。
在 67 名被诊断为精神分裂症的成年人（EPHAPS 研究）中评估 PA、久坐行为和心肺功能适应性水平，并与基于人群的 2809 名成年人（NPASS 研究）进行比较。
与基于人群的样本相比，55%的精神分裂症患者存在不符合 PA 建议且每天久坐>7.5 小时的不健康组合。PA 水平在工作日下午和晚上以及周末的大部分时间都特别低。EPHAPS 女性的最大摄氧量平均比 NPASS 女性低 23%，而 EPHAPS 男性在运动测试中比 NPASS 男性的摄氧量低 34%。
与一般人群相比，精神分裂症患者的体力活动明显较少，久坐时间更长，心肺功能适应性更差。针对精神分裂症患者的量身定制的 PA 干预措施应特别针对下午和周末的 PA 和久坐行为。
