KMID : 1118520180150080811
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Psychiatry Investigation 2018 Volume.15 No. 8 p.811 ~ p.817
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Physical Activity of Patients with Chronic Schizophrenia and Related Clinical Factors
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Lee Sook-Hyun
Kim Gyu-Rin Kim Chul-Eung Ryu Seung-Hyong
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Abstract
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Objective: This study aimed to investigate clinical factors contributing to the low physical activity (PA) of patients with chronic schizophrenia.
Methods: PA was measured in 50 outpatients with chronic schizophrenia using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Psychopathology, psychosocial functioning, and extrapyramidal symptoms were assessed using the 18 item-Brief Psychiatric Rating Scale (BPRS-18), Global Assessment of Functioning (GAF), and Drug-Induced Extrapyramidal Symptom Scale (DIEPSS), respectively. We examined differences in these clinical variables between ¡°inactive,¡± ¡°minimally active,¡± and ¡°health enhancing physical activity¡± groups. Linear regression analysis was used to examine the clinical factors explaining low PA levels in patients with schizophrenia.
Results: Subjects spent an average of 130.18¡¾238.89 min/wk on moderate/vigorous-intensity PA and only 26% of them met the recommended PA guideline of 150 minutes of at least moderate PA per week. The inactive group showed significantly higher BPRS-18 and DIEPSS scores, and a lower GAF score than the other groups. Linear regression analysis showed that DIEPSS scores independently explained the amount of total PA (p=0.001) and time spent being sedentary (p=0.028).
Conclusion: This study provides preliminary evidence that extrapyramidal symptoms could be a major impediment to the PA of patients with schizophrenia.
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KEYWORD
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Schizophrenia, Physical activity, Sedentary lifestyle, Extrapyramidal symptoms
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