Fibbins Hamish, Ward Philip B, Curtis Jackie, Watkins Andrew, Lederman Oscar, Morell Rachel, Rosenbaum Simon
School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
BMJ Open Sport Exerc Med. 2020 Jul 13;6(1):e000761. doi: 10.1136/bmjsem-2020-000761. eCollection 2020.
People with mental illness die on average 15 years less than the general population, primarily to cardiometabolic disease. Lifestyle interventions are effective in reducing cardiometabolic risk but are not routinely provided to mental health consumers. Lifestyle interventions targeting mental health staff may be beneficial in changing culture surrounding physical health and subsequently improving consumer outcomes. This study examines exercise and fitness outcomes of a targeted lifestyle intervention directed at Australian mental health staff.
A pragmatic single-arm intervention study was conducted within an Australian public mental health service. Mental health staff were provided a five-session individualised lifestyle intervention (incorporating exercise and nutritional counselling) over 5 weeks. Two waves of the programme were delivered between 2015 and 2016. This paper examines the exercise and fitness outcomes of the second wave of the study. Participants were assessed at baseline and at a 16-week follow-up. The primary exercise outcome was a measurement of cardiorespiratory fitness. Secondary outcomes included self-reported physical activity and a measurement of handgrip strength.
A total of 106 staff participated in this component of the study. Cardiorespiratory fitness increased significantly from baseline to follow-up (p<0.001). Significant improvements to physical activity occurred with decreases in sedentary time (p<0.0005) and increases in moderate-to-vigorous physical activity (p<0.005).
Lifestyle interventions incorporating exercise counselling may improve the physical health of mental health staff. Such strategies may be effective in improving culture surrounding physical health and/or increasing the effectiveness of lifestyle interventions targeting mental health consumers.
患有精神疾病的人平均比普通人群少活15年，主要死于心脏代谢疾病。生活方式干预在降低心脏代谢风险方面是有效的，但并未常规提供给心理健康服务消费者。针对心理健康工作人员的生活方式干预可能有助于改变围绕身体健康的文化，进而改善消费者的健康状况。本研究调查了针对澳大利亚心理健康工作人员的定向生活方式干预的运动和健身效果。
在澳大利亚一家公共心理健康服务机构内进行了一项实用的单臂干预研究。为心理健康工作人员提供了为期5周、共5节的个性化生活方式干预（包括运动和营养咨询）。在2015年至2016年期间开展了两轮该项目。本文研究了该研究第二轮的运动和健身效果。在基线和16周随访时对参与者进行评估。主要运动效果指标是心肺适能的测量。次要指标包括自我报告的身体活动情况和握力测量。
共有106名工作人员参与了本研究的这一部分。从基线到随访，心肺适能显著提高（p<0.001）。身体活动有显著改善，久坐时间减少（p<0.0005），中度至剧烈身体活动增加（p<0.）。
纳入运动咨询的生活方式干预可能会改善心理健康工作人员的身体健康。此类策略可能有效地改善围绕身体健康的文化和/或提高针对心理健康消费者的生活方式干预的效果。
