Physical activity and sedentary behavior in people with bipolar disorder: A systematic review and meta-analysis

Vancampfort, Davy; Firth, Joseph; Schuch, Felipe Barreto; Rosenbaum, Simon; Hert, Marc De; Mugisha, James; Probst, Michel; Stubbs, Brendon

doi:10.1016/j.jad.2016.05.020

Cited by 125 publications

(96 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…People with SMI engage in significantly less vigorous exercise, and significantly greater amounts of sedentary behaviour than health controls (Stubbs et al 2016 a , b ; Vancampfort et al 2016 a ). This inactivity is predictive of a range of adverse health outcomes including obesity, diabetes and medical co-morbidity among people with SMI (Vancampfort et al 2013 a , b ; Suetani et al 2016).…”

Section: Introductionmentioning

confidence: 99%

Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

Exercise can improve clinical outcomes in people with severe mental illness (SMI). However, this population typically engages in low levels of physical activity with poor adherence to exercise interventions. Understanding the motivating factors and barriers towards exercise for people with SMI would help to maximize exercise participation. A search of major electronic databases was conducted from inception until May 2016. Quantitative studies providing proportional data on the motivating factors and/or barriers towards exercise among patients with SMI were eligible. Random-effects meta-analyses were undertaken to calculate proportional data and 95% confidence intervals (CI) for motivating factors and barriers toward exercise. From 1468 studies, 12 independent studies of 6431 psychiatric patients were eligible for inclusion. Meta-analyses showed that 91% of people with SMI endorsed ‘improving health’ as a reason for exercise (N = 6, n = 790, 95% CI 80–94). Among specific aspects of health and well-being, the most common motivations were ‘losing weight’ (83% of patients), ‘improving mood’ (81%) and ‘reducing stress’ (78%). However, low mood and stress were also identified as the most prevalent barriers towards exercise (61% of patients), followed by ‘lack of support’ (50%). Many of the desirable outcomes of exercise for people with SMI, such as mood improvement, stress reduction and increased energy, are inversely related to the barriers of depression, stress and fatigue which frequently restrict their participation in exercise. Providing patients with professional support to identify and achieve their exercise goals may enable them to overcome psychological barriers, and maintain motivation towards regular physical activity.

show abstract

Section: Introductionmentioning

confidence: 99%

Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Sedentary lifestyle is a common problem among individuals with Bipolar Disorder [34] and may consequently affect youth offspring living with a Bipolar Disorder parent. The beneficial effects of exercise on depressive symptoms in broad samples of treatment seeking youth have been meta-analytically reviewed [35], but have not been specifically demonstrated in youth at risk for Bipolar Disorder.…”

Section: Resultsmentioning

confidence: 99%

Treatment of Psychiatric Symptoms Among Offspring of Parents With Bipolar Disorder

Zalpuri

Singh

2017

Curr Treat Options Psych

View full text Add to dashboard Cite

Purpose of Review Bipolar disorder is highly familial and has a protracted and diagnostically confusing prodrome. This review critically evaluates recently published literature relevant to the treatment of psychiatric symptoms in high-risk offspring of parents with Bipolar Disorder. Recent Findings Non-pharmacological treatment options including psychotherapy, resilience promotion through good sleep, diet, and exercise hygiene, and omega-3 fatty acid supplementation are important first line interventions for high-risk offspring. There has been some success in treating this population with open-label trials with mood stabilizers and atypical antipsychotics; however, these results have not been replicated in randomized controlled trails. Summary Despite some progress in early identification of symptoms in offspring of parents with Bipolar Disorder, there is scarce evidence supporting the treatment of these high-risk youth to prevent psychiatric symptoms from progressing to threshold bipolar or other psychiatric disorders. There is a need for prospective and randomized trials and research that identifies reliable biomarkers to individualize treatments for these youth.

show abstract

“…rest during a walk, getting up for a drink during work), whereas self-report measures may not be sensitive to breaks. However, meta-analyses with adults with schizophrenia or bipolar disorder have found higher objective estimates of PA and SB 392,395,396 , which may be due to the different self-report measures used.…”

Section: Comparison Of Questionnaire and Accelerometer Datamentioning

confidence: 98%

“…Meta-analyses with adults with schizophrenia reported pooled accelerometer-derived time spent in SB, light activity and MVPA of 754 minutes/day (IQR=538-970) 395 , and 188 minutes/day (IQR=173-203) and 42 minutes/day (IQR=34-50), respectively 392 . Another meta-analysis with adults with bipolar disorder found that participants spent approximately 613 minutes/day (95%CI=390-837) in SB, and 210 minutes/day being physically active 396 . Differences between estimates of time spent in PA and SB could be because of the different sample characteristics: I recruited a sample across a range of mental illnesses, whereas previous research typically involves individuals with specific diagnoses 356,392,396 .…”

Section: Accelerometrymentioning

confidence: 99%

“…Another meta-analysis with adults with bipolar disorder found that participants spent approximately 613 minutes/day (95%CI=390-837) in SB, and 210 minutes/day being physically active 396 . Differences between estimates of time spent in PA and SB could be because of the different sample characteristics: I recruited a sample across a range of mental illnesses, whereas previous research typically involves individuals with specific diagnoses 356,392,396 .…”

Section: Accelerometrymentioning

confidence: 99%

See 1 more Smart Citation

Measuring and positively influencing physical activity and sedentary behaviour in adults with mental illness

Chapman¹

View full text Add to dashboard Cite

Background: Mental illness has a high global prevalence, and is associated with higher risk of chronic physical conditions, and reduced psychosocial functioning and life expectancy. Physical activity (PA) protects against chronic disease and mortality risk, and reduces depression and anxiety. Prolonged sedentary behaviour (SB) can have deleterious metabolic consequences, and may be associated with poor mental health.Accurate measurement of PA and SB is important for assessing health risk, and evaluating behaviour change interventions. Objective measures (e.g. accelerometers) allow for unbiased measurement, but do not assess the context of participation, which may be important for intervention planning. Questionnaires can assess context, however, they are prone to reporting errors. The feasibility of using these measures, and the impact of standard data management procedures, has not been assessed in adults with mental illness.PA interventions may positively influence PA levels of adults with mental illness. It is important to understand PA attitudes when designing interventions, as well as the acceptability and efficacy of different exercise approaches. Aims and objectives:The overarching aim of this PhD was to measure, understand, and positively influence the PA patterns of non-institutionalised adults with mental illness. Specific objectives were to: i) assess the utility of questionnaires and accelerometers for measuring PA and SB; ii) investigate questionnaire and accelerometer data management procedures; iii) measure PA and SB levels; iv) assess PA attitudes and opinions; and v) assess the feasibility and acceptability of two exercise protocols. Data from two research studies are presented in six thesis chapters. Study 1Design: Cross-sectional.Method: Participants were adult clients of mental health services. Participants completed self-administered questionnaires on the time spent in PA and SB in different contexts, wore an ActiGraph GT3x+ accelerometer on the hip for 7-days, and rated the ease/difficulty of completing the questionnaires and accelerometry. Participants also completed self-administered questionnaires on PA attitudes and opinions.Results: 142 participants completed the questionnaires (mean age=40yrs, female=43%); of these, 99 (70%) completed the accelerometry (mean age=40yrs, female=47%).ii Participants found it easier to report PA than SB, and to complete accelerometry than questionnaires. Defining a valid day of accelerometry using standard absolute criteria biased the sample by excluding participants with short waking hours; defining a valid day relative to waking hours prevented this bias. The median self-reported time spent in moderate-to-vigorous physical activity (MVPA) and SB was 4.5 hours/week and 10.7 hours/day respectively. Walking for transport, and sitting to watch TV, contributed most to these self-report estimates. The median accelerometer-derived time spent in MVPA and SB was 26 minutes/day and 9.2 hours/day respectively; 7% of MVPA time was in bouts of 10 minutes or ...

show abstract

Physical activity and sedentary behavior in people with bipolar disorder: A systematic review and meta-analysis

Abstract: Adults with BD engage in high levels of sedentary behavior during waking hours. Given that sedentary behavior is an independent predictor of cardiovascular disease, future lifestyle interventions specifically targeting the prevention of sedentary behavior are warranted.

Cited by 125 publications

References 40 publications

Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis

Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis

Treatment of Psychiatric Symptoms Among Offspring of Parents With Bipolar Disorder

Measuring and positively influencing physical activity and sedentary behaviour in adults with mental illness

Contact Info

Product

Resources

About