Combined aerobic and resistance exercise interventions for individuals with schizophrenia: A systematic review

Martin, Heather; Beard, Samuel; Clissold, Nathan; Andraos, Kameel; Currey, Luke

doi:10.1016/j.mhpa.2017.04.003

Cited by 21 publications

(25 citation statements)

References 32 publications

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“…1). Overall, 20 systematic reviews and meta-analyses were included in this guidelines document, which included studies that provided effect sizes for the benefit of exercise for SMI [51] (N = 1), schizophreniaspectrum disorders [67][68][69][70][71][72][73] (N = 7), BD [74,75](N = 2) and MDD [76][77][78][79][80][81][82][83][84][85] (N = 10).…”

Section: Search Results and Included Studiesmentioning

confidence: 99%

“…In total, 7 systematic reviews and meta-analyses reported the benefits of exercise for schizophrenia-spectrum disorders [67][68][69][70][71][72][73]. There was broad variation in the frequency, intensity, type and time of the interventions across the included systematic reviews and meta-analyses ( Table 3).…”

Section: Schizophrenia-spectrum Disordersmentioning

confidence: 99%

“…Across 6 studies (3 RCTs) the authors found tentative evidence that strength training over time can improve muscle strength, walking performance and reduce psychopathology symptoms. This systematic review was complimented by another systematic review [71] (AMSTAR 7, evidence level -1) that found evidence that combined aerobic and strength training (7 RCTs) may improve strength, symptoms of schizophrenia and mental health, but not cardiovascular fitness.…”

Section: Schizophrenia-spectrum Disordersmentioning

confidence: 99%

See 2 more Smart Citations

EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH)

et al. 2018

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Physical activity (PA) may be therapeutic for people with severe mental illness (SMI) who generally have low PA and experience numerous life style-related medical complications. We conducted a meta-review of PA interventions and their impact on health outcomes for people with SMI, including schizophrenia-spectrum disorders, major depressive disorder (MDD) and bipolar disorder. We searched major electronic databases until January 2018 for systematic reviews with/without meta-analysis that investigated PA for any SMI. We rated the quality of studies with the AMSTAR tool, grading the quality of evidence, and identifying gaps, future research needs and clinical practice recommendations. For MDD, consistent evidence indicated that PA can improve depressive symptoms versus control conditions, with effects comparable to those of antidepressants and psychotherapy. PA can also improve cardiorespiratory fitness and quality of life in people with MDD, although the impact on physical health outcomes was limited. There were no differences in adverse events versus control conditions. For MDD, larger effect sizes were seen when PA was delivered at moderate-vigorous intensity and supervised by an exercise specialist. For schizophrenia-spectrum disorders, evidence indicates that aerobic PA can reduce psychiatric symptoms, improves cognition and various subdomains, cardiorespiratory fitness, whilst evidence for the impact on anthropometric measures was inconsistent. There was a paucity of studies investigating PA in bipolar disorder, precluding any definitive recommendations. No cost effectiveness analyses in any SMI condition were identified. We make multiple recommendations to fill existing research gaps and increase the use of PA in routine clinical care aimed at improving psychiatric and medical outcomes.

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Section: Search Results and Included Studiesmentioning

confidence: 99%

Section: Schizophrenia-spectrum Disordersmentioning

confidence: 99%

Section: Schizophrenia-spectrum Disordersmentioning

confidence: 99%

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EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH)

et al. 2018

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“…In contrast to the paucity of trials in patients with PD, we have identified 10 systematic reviews investigating interventions to improve the cardiovascular health or cardiovascular risk profile of people with SMI [38][39][40][41][42][43][44][45][46][47]. Moreover, most of these reviews did not include people with PD.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of interventions aimed at improving the cardiovascular health of people diagnosed with personality disorders

Hall

Barnicot

Crawford

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Purpose People with personality disorders have significantly reduced life expectancy and increased rates of cardiovascular disease compared to members of the general population. Given that more people die annually of cardiovascular disease across the globe than from any other cause, it is important to identify the evidence for interventions aimed at improving cardiovascular health among people with personality disorders. Methods Systematic literature review. PsycINFO, MEDLINE and EMBASE were searched using NICE Healthcare Databases, as well as CENTRAL and trial registries. We sought to identify randomised controlled trials of interventions pertaining to adults with a primary diagnosis of personality disorder, where the primary outcome measure was cardiovascular health before and after the intervention. Results A total of 1740 records were identified and screened by two independent reviewers. No papers meeting the inclusion criteria were identified. Conclusions This systematic review did not identify any randomised controlled trials testing interventions aimed at improving the cardiovascular health of people with personality disorders. Research in this area could have important public health implications, spanning the fields of psychiatry and general medicine.

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“…Systematic reviews analysing how strength training alone [38] or in combination with aerobic interventions [39] affect schizophrenia-spectrum disorders indicate that they may lead to improvement in general muscle strength and reduced schizophrenia symptoms. Elsewhere, aerobic exercise was also found to improve cardiorespiratory fitness [40].…”

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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Combined aerobic and resistance exercise interventions for individuals with schizophrenia: A systematic review

Cited by 21 publications

References 32 publications

EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH)

EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH)

A systematic review of interventions aimed at improving the cardiovascular health of people diagnosed with personality disorders

Effects of physical activity on treatmentof schizophrenia

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