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为期十二周的台阶运动训练改善精神分裂症患者心肺功能和情绪状态:一项初步研究

Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study.

作者信息

Kuo Yu-Chi, Chang Dan-Yan, Liao Yi-Hung

机构信息

Department of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan.

出版信息

Medicina (Kaunas). 2021 Feb 7;57(2):149. doi: 10.3390/medicina57020149.

Abstract

Unhealthy, physically inactive lifestyles increase the risk of future cardiovascular events and impaired physical fitness in individuals with schizophrenia. Insufficient literature exists to provide fundamental information about appropriate exercise training modality for this population. This pilot study preliminarily investigated the effects of a 12-week moderate-intensity bench-step exercise training (BSET) program on cardiopulmonary fitness, mood state, and cognition in patients with schizophrenia. Twenty-eight patients with schizophrenia completed this study. The participants were allocated into either bench-step exercise-training (BSET; = 14) or control (CTRL; = 14) groups according to their preferences. The BSET group received a 12-week bench-step intervention, whereas the CTRL group did not participate in any training. The Beck Depression Inventory-II (BDI-II), 6-min walk test (6MWD), and Symbol Digit Modalities Test (SDMT) were assessed at baseline (PRE) and at the end of the intervention (POST) to determine mood state, endurance fitness, and attention, respectively. After a 12-week BSET intervention, the 6MWD was significantly increased in the BSET ( = 0.007) but not in the CTRL ( > 0.05). The participants with BSET intervention showed a significant decrease in BDI-II at the end of the intervention ( = 0.03). However, SDMT scores were not different in both BSET and CTRL ( > 0.05). This study demonstrated that the 12-week intervention of moderate-intensity bench-step exercise training (frequency: 1 session/week; each session of 30 min; step cadence: 96 beats/min) might effectively enhance cardiopulmonary fitness and mood state in patients with schizophrenia. However, attention did not change after the bench-step exercise intervention.

摘要

不健康、缺乏身体活动的生活方式会增加精神分裂症患者未来发生心血管事件的风险,并损害其身体健康。目前缺乏足够的文献来提供关于该人群适当运动训练方式的基本信息。这项初步研究初步调查了为期12周的中等强度台阶运动训练(BSET)计划对精神分裂症患者心肺功能、情绪状态和认知的影响。28名精神分裂症患者完成了这项研究。参与者根据自己的偏好被分为台阶运动训练组(BSET;n = 14)或对照组(CTRL;n = 14)。BSET组接受了为期12周的台阶运动干预,而CTRL组未参加任何训练。在基线(PRE)和干预结束时(POST)分别评估贝克抑郁量表第二版(BDI-II)、6分钟步行试验(6MWD)和符号数字模态试验(SDMT),以确定情绪状态、耐力健康状况和注意力。经过12周的BSET干预后,BSET组的6MWD显著增加(P = 0.007),而CTRL组没有增加(P>0.05)。接受BSET干预的参与者在干预结束时BDI-II显著下降(P = 0.03)。然而,BSET组和CTRL组的SDMT得分没有差异(P>0.05)。这项研究表明,为期12周的中等强度台阶运动训练干预(频率:每周1次;每次30分钟;步频:96次/分钟)可能有效提高精神分裂症患者的心肺功能和情绪状态。然而,台阶运动干预后注意力没有改变。

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