Cardiorespiratory benefits of group exercise among adults with serious mental illness

Jerome, Gerald J.; Young, Deborah Rohm; Dalcin, Arlene; Wang, Nae Yuh; Gennusa, Joseph V.; Goldsholl, Stacy; Appel, Lawrence J.; Daumit, Gail L.

doi:10.1016/j.psychres.2017.06.019

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…participants completed ≥65% of the exercise and diet interventions. Fitness improvements have been reported in rehabilitation studies in which participants completed ≥66% of 3*/week classes (32) and weight loss in participants who participated in ≥ 66% of group and individual diet interventions over the first 6 months (30).…”

Section: Participation Rates: the Intervention Was Considered Feasiblmentioning

confidence: 96%

Feasibility and Acceptability of a Student-Led Lifestyle (Diet and Exercise) Intervention Within a Residential Rehabilitation Setting for People With Severe Mental Illness, GO HEART (Group Occupation, Health, Exercise And Rehabilitation Treatment)

et al. 2020

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Purpose: People with severe mental illness (SMI) experience poor physical health and premature mortality, contributed significantly by modifiable lifestyle risk factors such as poor nutrition, low cardiorespiratory fitness, and physical inactivity. Lifestyle interventions can reduce cardiometabolic risk and confer a range of other positive mental and physical health benefits. We assessed the feasibility, acceptability, safety, and preliminary effectiveness of a lifestyle (combined dietary and exercise) intervention lead by senior exercise and dietetics students in a residential mental health rehabilitation setting. Design: Single arm, prospective study evaluating outcomes pre and post a 10-week dietary and exercise intervention. Method: People with SMI from three residential rehabilitation units participated in a mixed aerobic and resistance training exercise intervention three times per week that was combined with a dietary intervention (six individual and group sessions). Primary outcome considerations were feasibility (recruitment, retention, and participation rates), acceptability, and adverse events. Secondary outcomes were preliminary effectiveness; (functional exercise capacity, volume of exercise, and metabolic markers), psychiatric symptoms, quality of life, and attitudes to exercise. Results: Forty-two participants were recruited (92% primary diagnosis of schizophrenia). Intervention feasibility was supported by high levels of recruitment (68%), retention (77%),

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Section: Participation Rates: the Intervention Was Considered Feasiblmentioning

confidence: 96%

Feasibility and Acceptability of a Student-Led Lifestyle (Diet and Exercise) Intervention Within a Residential Rehabilitation Setting for People With Severe Mental Illness, GO HEART (Group Occupation, Health, Exercise And Rehabilitation Treatment)

et al. 2020

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“…When it comes to CVD and mortality prevention, a key strategy in the general population lies in improving cardiorespiratory fitness [53], which, amongst others, can be achieved through aerobic exercise [54] or HIIT. Group exercise [55] or continuous training [37,42,45,56,57] have been found to provide cardiorespiratory benefits also in schizophrenia patients, exceeding those offered by other forms of intervention, eg. occupational therapy or table soccer.…”

Section: Effects Of Physical Activity Interventions In Schizophrenia mentioning

confidence: 99%

Effects of physical activity on treatmentof schizophrenia

Lebiecka¹,

Łopuszko²,

Rudkowski³

et al. 2019

Arch Psych Psych

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The aim of this paper was to describe the effects of physical activity on management of schizophrenia. A critical review of literature was made and current state of knowledge presented. In line with contemporary research trends and based on available evidence, a panel of experts from the European Psychiatric Association issued a guidance on exercise interventions in the treatment of severe mental illness. Elevated premature mortality rates in schizophrenia patients are linked largely to the effect of antipsychotic treatment, low physical activity, and/or increased somatic comorbidity, mainly of cardiometabolic origin. Physical exercise combined with psychological and dietary interventions are reported to improve parameters of the metabolic syndrome, cardiovascular fitness and cognitive performance. Moderate and high intensity training are deemed attractive forms of adjunctive therapy of schizophrenia, adjustable to patients' age, performance and preferences. Future research and high-quality clinical trials investigating the effects of exercise on early presentation of the disease, its pragmatic efficacy, potential adverse events, financial burden and neurobiological underpinnings could help create specific recommendations for training programs of optimal format, dose and duration.

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“…Aerobic exercise interventions seeking to improve cardiorespiratory fitness can prevent CVD and the associated mortality (112). In a randomized study in obese and overweight patients with severe mental illness, including schizophrenia, schizoaffective disorder, bipolar disorder, and major depression, participation in group exercise classes was associated with improved short- and long-term cardiorespiratory fitness, as indicated by a lower heart rate response (92). Significant increases in VO 2max , as a measure of aerobic capacity, and power output (W peak ) have been reported in schizophrenia patients after continuous exercise training compared with control conditions, such as occupational therapy or table soccer (73, 79, 82, 88, 89, 91, 113) (Table 3).…”

Section: Effects Of Aerobic Exercise Interventions On Cardiorespiratomentioning

confidence: 99%

Effects of Aerobic Exercise on Metabolic Syndrome, Cardiorespiratory Fitness, and Symptoms in Schizophrenia Include Decreased Mortality

et al. 2018

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Schizophrenia is a severe psychiatric disorder with a lifetime prevalence of about 1%. People with schizophrenia have a 4-fold higher prevalence of metabolic syndrome than the general population, mainly because of antipsychotic treatment but perhaps also because of decreased physical activity. Metabolic syndrome is a risk factor for cardiovascular diseases, and the risk of these diseases is 2- to 3-fold higher in schizophrenia patients than in the general population. The suicide risk is also higher in schizophrenia, partly as a result of depression, positive, and cognitive symptoms of the disease. The higher suicide rate and higher rate of cardiac mortality, a consequence of the increased prevalance of cardiovascular diseases, contribute to the reduced life expectancy, which is up to 20 years lower than in the general population. Regular physical activity, especially in combination with psychosocial and dietary interventions, can improve parameters of the metabolic syndrome and cardiorespiratory fitness. Furthermore, aerobic exercise has been shown to improve cognitive deficits; total symptom severity, including positive and negative symptoms; depression; quality of life; and global functioning. High-intensity interval endurance training is a feasible and effective way to improve cardiorespiratory fitness and metabolic parameters and has been established as such in somatic disorders. It may have more beneficial effects on the metabolic state than more moderate and continuous endurance training methods, but to date it has not been investigated in schizophrenia patients in controlled, randomized trials. This review discusses physical training methods to improve cardiorespiratory fitness and reduce metabolic syndrome risk factors and symptoms in schizophrenia patients. The results of studies and future high-quality clinical trials are expected to lead to the development of an evidence-based physical training program for patients that includes practical recommendations, such as the optimal length and type of aerobic exercise programs and the ideal combination of exercise, psychoeducation, and individual weight management sessions.

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Cardiorespiratory benefits of group exercise among adults with serious mental illness

Cited by 4 publications

References 25 publications

Feasibility and Acceptability of a Student-Led Lifestyle (Diet and Exercise) Intervention Within a Residential Rehabilitation Setting for People With Severe Mental Illness, GO HEART (Group Occupation, Health, Exercise And Rehabilitation Treatment)

Feasibility and Acceptability of a Student-Led Lifestyle (Diet and Exercise) Intervention Within a Residential Rehabilitation Setting for People With Severe Mental Illness, GO HEART (Group Occupation, Health, Exercise And Rehabilitation Treatment)

Effects of physical activity on treatmentof schizophrenia

Effects of Aerobic Exercise on Metabolic Syndrome, Cardiorespiratory Fitness, and Symptoms in Schizophrenia Include Decreased Mortality

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