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2017 年澳大利亚皇家精神科医学院和新西兰精神科医学院会议代表的自我报告体力活动水平及其运动推荐实践。

Self-reported physical activity levels of the 2017 Royal Australian and New Zealand College of Psychiatrists (RANZCP) conference delegates and their exercise referral practices.

机构信息

Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Sydney, Australia.

School of Psychiatry, UNSW Sydney, Australia.

出版信息

J Ment Health. 2020 Oct;29(5):565-572. doi: 10.1080/09638237.2018.1521935. Epub 2018 Oct 15.

Abstract

Physical activity (PA) significantly improves physical health and clinical symptoms across mental disorders. Accredited Exercise Physiologists (AEPs) are trained to lead PA interventions for people with mental illness, but referrals to AEPs are low. To determine the knowledge and attitudes of delegates attending the 2017 Royal Australian and New Zealand College of Psychiatrists (RANZCP) conference toward physical health monitoring and exercise interventions for people with mental illness. A cross-sectional survey of RANZCP delegates investigated knowledge and attitudes toward PA for people with mental illness, self-reported PA, and their understanding of AEP's role within mental health settings. A subgroup of delegates underwent fitness assessments. Seventy-three delegates completed surveys and 24 underwent fitness assessments. Delegates demonstrated good knowledge regarding associations between PA and cardiovascular disease risk. Delegates were less knowledgeable of AEP's role within mental health settings. Forty-six participants (63%) did not meet the Australian recommended guidelines for PA. No association between referrals to AEPs and self-reported PA or fitness measures were evident. Promoting PA participation for mental health professionals, coupled with education on the important role AEPs play in the multidisciplinary treatment of mental health consumers is vital to improve health outcomes for this vulnerable group.

摘要

身体活动(PA)可显著改善各种精神障碍患者的身体健康和临床症状。经过认证的运动生理学家(AEPs)接受过为精神疾病患者开展 PA 干预的培训,但向 AEPs 的转介率较低。本研究旨在确定参加 2017 年澳大利亚和新西兰皇家精神科医师学院(RANZCP)会议的代表对精神疾病患者身体健康监测和运动干预的知识和态度。对 RANZCP 代表进行了一项横断面调查,以调查他们对精神疾病患者 PA 的知识和态度、自我报告的 PA 情况,以及他们对 AEPs 在精神卫生环境中作用的理解。一部分代表接受了体能评估。73 名代表完成了调查,24 名代表接受了体能评估。代表们对 PA 与心血管疾病风险之间的关联有较好的了解。但代表们对 AEPs 在精神卫生环境中的作用了解较少。46 名参与者(63%)不符合澳大利亚推荐的 PA 指南。向 AEPs 的转介与自我报告的 PA 或体能测量之间没有明显关联。对于精神卫生专业人员,促进 PA 参与,以及对 AEPs 在精神卫生消费者多学科治疗中发挥的重要作用进行教育,对于改善这一弱势群体的健康结果至关重要。

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