Physical activity attitudes and preferences among inpatient adults with mental illness

Fraser, Stephen; Chapman, Justin; Brown, Wendy J.; Whiteford, Harvey; Burton, Nicola W.

doi:10.1111/inm.12158

Cited by 54 publications

(62 citation statements)

References 34 publications

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“…The authors (Baker et al, 2014) found that self-report leisure screen time reduced after the intervention, and whilst encouraging the lack of a random sampling, absence of a control group and reliance upon self-report sedentary behavior are clear limitations. Recent research has established that walking is a preferred method of physical activity among people with psychosis (Fraser et al, 2015;. Thus, walking may be a strategy to not only increase physical activity but also to reduce prolonged sedentary behaviors.…”

Section: Discussionmentioning

confidence: 99%

How sedentary are people with psychosis? A systematic review and meta-analysis

Stubbs

Williams

Gaughran

et al. 2016

Schizophrenia Research

243

165

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ObjectiveSedentary behaviour (SB) is an independent risk factor for cardiovascular disease and mortality. We conducted a meta-analysis to investigate SB levels and predictors in people with psychosis. MethodMajor electronic databases were searched from inception till 09/2015 for articles measuring SB with a self-report questionnaire (SRQ) or objective measure (e.g. accelerometer) in people with psychosis, including schizophrenia spectrum and bipolar disorders. A random effects meta-analysis and meta regression analysis were conducted. ResultsThirteen studies were eligible including 2,033 people with psychosis (mean age 41.3 years (range 25.1-60), 63.2% male (range 35-89%), body mass index 28.7 (range 25.9-32.1). The trim and fill analysis demonstrated people with psychosis spent 660.8 minutes (95% CI 523.2-798.4, participants=2,033) or 11.0 hours (95% CI 8.72-13.3) per day being sedentary. Objective measures of SB recorded significantly higher levels (p <0.001) of SB (12.6 hours per day, 95% CI 8.97-16.2, studies=7, participants=254) compared to self-report SB (6.85 hours per day, 95% CI 4. 75-8.96, studies=6, participants=1,779). People with psychosis engaged in significantly more SB than controls (g=1.13, 95% CI 0.496-1.77, P<0.001, n psychosis = 216, n controls=159) equating to a mean difference of 2.80 (95% CI 1.47-4.1) hours per day. Multivariate meta-regression confirmed that objective measurement of SB predicted higher levels of sedentariness. ConclusionsPeople with psychosis engage in very high levels of sedentary behavior in their waking day and current SRQ may underestimate SB. Given that SB is an independent predictor of cardiovascular disease, future interventions specifically targeting the prevention of SB are warranted. Systematic review registration -PROSPERO registration number CRD420150261593

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Section: Discussionmentioning

confidence: 99%

How sedentary are people with psychosis? A systematic review and meta-analysis

Stubbs

Williams

Gaughran

et al. 2016

Schizophrenia Research

243

165

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“…Our data suggest that increasing daily steps might be an important strategy to mitigate metabolic risk in people with established psychosis. Moreover, walking is known to be a favored strategy for physical activity among people with schizophrenia and confers good health benefits [33,34]. Therefore, the combined message of 'sitting less and walking more' might offer health benefits for people with psychosis [35].…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Physical activity ameliorates the association between sedentary behavior and cardiometabolic risk among inpatients with schizophrenia: A comparison versus controls using accelerometry

Stubbs

Chen

Chung

et al. 2017

Comprehensive Psychiatry

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. Physical activity ameliorates the association between sedentary behavior and cardiometabolic risk in people with Schizophrenia: A comparison versus controls using accelerometry. Comprehensive Psychiatry. https://doi.org/10. 1016/j.comppsych.2017.01.010 Citing this paper Please note that where the full-text provided on King's Research Portal is the Author Accepted Manuscript or Post-Print version this may differ from the final Published version. If citing, it is advised that you check and use the publisher's definitive version for pagination, volume/issue, and date of publication details. And where the final published version is provided on the Research Portal, if citing you are again advised to check the publisher's website for any subsequent corrections. General rightsCopyright and moral rights for the publications made accessible in the Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognize and abide by the legal requirements associated with these rights.•Users may download and print one copy of any publication from the Research Portal for the purpose of private study or research.•You may not further distribute the material or use it for any profit-making activity or commercial gain •You may freely distribute the URL identifying the publication in the Research Portal Take down policy If you believe that this document breaches copyright please contact librarypure@kcl.ac.uk providing details, and we will remove access to the work immediately and investigate your claim. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions: Our data suggest that higher whilst sedentary behaviour is related to worse fasting glucose, this relationship is attenuated when PA is taken into account. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPTPhysical activity is also associated with favourable HDL-C. Interventions targeting replacing sedentary behavior with PA may improve metabolic risk.

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“…Barriers to physical activity were assessed using a 24-item questionnaire that assessed issues such as poor physical health, lack of skill, weight and lack of motivation. All three questionnaires have previously been used in research with adults with mental illness 189 . Participants indicated the extent to which they disagreed or agreed with each questionnaire item using a five point Likert scale (strongly disagree, disagree, unsure, agree and strongly agree).…”

Section: Physical Activity Attitudes and Barriersmentioning

confidence: 99%

Physical activity patterns, attitudes and counselling among adults with mental illness

Fraser¹

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___________________________________________________________________The life expectancy of adults with mental illness is significantly less than that of the general population. This is largely due to poor physical health. Physical activity is consistently recommended for the prevention and management of noncommunicable diseases and also has mental health benefits. The aim of this thesis was to understand and promote physical activity in adults with mental illness, to improve physical health.Study One was a cross-sectional study of inpatients in a private hospital. It assessed the (i) feasibility of self-report and objective measurement of physical activity and sedentary behaviour, (ii) levels of physical activity and sedentary behaviour, and (iii) physical activity attitudes and preferences for contexts and sources of support. 101 participants completed questionnaires on physical activity and sitting time, activity preferences and attitudes, psychological distress and sociodemographic and health variables. 38 also wore an accelerometer for 7 consecutive days.Feasibility of measurement was assessed in terms of participant engagement; selfreported ease/difficulty; extreme self-report data values; and adherence to accelerometer wear time criteria. Findings demonstrated that inpatient adults with mental illness can engage with both questionnaire and accelerometry measurement, that it was more feasible but less acceptable to wear an accelerometer than to complete questionnaires, and that this was not influenced by level of psychological distress.Questionnaire data were used to determine time spent in (i) walking and moderateand vigorous-intensity activity (MVPA), and (ii) domain specific sitting time.Accelerometry was used to determine mean daily time spent in MVPA and sedentary behaviour. Bivariate associations between self-reported MVPA, sedentary behaviour and explanatory variables of gender, age, education, body mass and distress were analysed using regression analyses. Self-report data indicated a median of 32 minutes/day in MVPA and a median of 761 minutes/day in sedentary behaviour.iii Accelerometry data indicated an average of 37 minutes/day in MVPA and 664 minutes/day in sedentary behaviour. Analyses indicated no significant associations between explanatory variables and MVPA or sedentary behaviour.Questionnaire data were used to determine (i) physical activity interest; (ii) reasons to do activity; (iii) general knowledge regarding activity benefits; (iv) preferences for activity type, context and sources of support; and (v) activity barriers. More than three quarters (77%) of participants expressed high interest to do physical activity while in hospital, with the most common reasons being to maintain physical health and improve emotional wellbeing (≥95%). More than 90% of participants agreed physical activity was beneficial for managing psychological wellbeing, heart disease, stress, diabetes and quality of life; but fewer than half agreed that activity had benefits for serious mental illness. Part...

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Physical activity attitudes and preferences among inpatient adults with mental illness

Cited by 54 publications

References 34 publications

How sedentary are people with psychosis? A systematic review and meta-analysis

How sedentary are people with psychosis? A systematic review and meta-analysis

Physical activity ameliorates the association between sedentary behavior and cardiometabolic risk among inpatients with schizophrenia: A comparison versus controls using accelerometry

Physical activity patterns, attitudes and counselling among adults with mental illness

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