Physical activity levels of persons with mental illness attending psychiatric rehabilitation programs

This study objectively measured physical activity levels in overweight and obese adults with severe mental illness and examined relationships among psychiatric symptoms, cognitive functioning and physical activity. A diverse sample (50% female, 50% African American) of overweight and obese adults (n=55) with mental illness were asked to wear accelerometers for 4 days. Study participants averaged 120 min/week of moderate to vigorous physical activity (MVPA); 35% had >or=150 min/week of MVPA. Only 4% accumulated >or=150 min/week of MVPA in bouts >or=10 min as per public health recommendations. Depressive symptoms, psychological distress and cognitive functioning were not associated with physical activity (p>.05). Although participants appeared to have substantial minutes of MVPA, increased physical activity bouts, or sessions, may be necessary for increased health and weight management benefits for persons with severe mental illness. Efforts are needed to increase physical activity sessions in this vulnerable population.

[1]  K. Flegal,et al.  Prevalence and trends in obesity among US adults, 1999-2000. , 2002, JAMA.

[2]  L. Mâsse,et al.  Physical activity in the United States measured by accelerometer. , 2008, Medicine and science in sports and exercise.

[3]  P. Dubbert,et al.  Physical activity in patients who are severely mentally ill: feasibility of assessment for clinical and research applications. , 2006, Archives of psychiatric nursing.

[4]  M. Holi,et al.  Comparison of the GHQ-36, the GHQ-12 and the SCL-90 as psychiatric screening instruments in the Finnish population , 2003, Nordic journal of psychiatry.

[5]  G. Faulkner,et al.  Physical activity preferences and perceived barriers to activity among persons with severe mental illness in the United Kingdom. , 2007, Psychiatric services.

[6]  C. Melville,et al.  People with intellectual disabilities , 2004, BMJ : British Medical Journal.

[7]  J. McDevitt,et al.  Perceptions of barriers and benefits to physical activity among outpatients in psychiatric rehabilitation. , 2006, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[8]  S. Blair,et al.  Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues. , 1999, Medicine and science in sports and exercise.

[9]  F. Dickerson,et al.  Physical Activity Patterns in Adults With Severe Mental Illness , 2005, The Journal of nervous and mental disease.

[10]  Ann V Rowlands,et al.  Validation of the RT3 triaxial accelerometer for the assessment of physical activity. , 2004, Medicine and science in sports and exercise.

[11]  Daniel S. Laferriere,et al.  Reliability of RT3 accelerometers among overweight and obese adults. , 2009, Medicine and science in sports and exercise.

[12]  L. Radloff The CES-D Scale , 1977 .

[13]  Stewart G Trost,et al.  Conducting accelerometer-based activity assessments in field-based research. , 2005, Medicine and science in sports and exercise.

[14]  B. Druss,et al.  Cigarette Smoking and Overweight/Obesity Among Individuals with Serious Mental Illnesses: A Preventive Perspective , 2006, Harvard review of psychiatry.

[15]  Kelly R Evenson,et al.  Accelerometer use in physical activity: best practices and research recommendations. , 2005, Medicine and science in sports and exercise.

[16]  J. Gold,et al.  Repeatable battery for the assessment of neuropsychological status as a screening test in schizophrenia I: sensitivity, reliability, and validity. , 1999, The American journal of psychiatry.

[17]  P. Trumbo,et al.  Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. , 2002, Journal of the American Dietetic Association.

[18]  C. Hatton,et al.  Lifestyle related risk factors for poor health in residential settings for people with intellectual disabilities. , 2000, Research in developmental disabilities.

[19]  A. Rowlands,et al.  Psychometric properties of the 7-Day Physical Activity Recall questionnaire in individuals with severe mental illness. , 2007, Archives of psychiatric nursing.

[20]  L. Covi,et al.  SCL-90: an outpatient psychiatric rating scale--preliminary report. , 1973, Psychopharmacology bulletin.

[21]  Alan Bauck,et al.  Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial. , 2008, JAMA.

[22]  M. Weissman,et al.  Assessing depressive symptoms in five psychiatric populations: a validation study. , 1977, American journal of epidemiology.

[23]  T. McCusker MAI Systems Corp. , 1993 .

[24]  Claude Bouchard,et al.  Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: Executive summary , 1998 .

[25]  Bryan K. Smith,et al.  American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. , 2009, Medicine and science in sports and exercise.

[26]  Dewi I. Jones,et al.  Technical variability of the RT3 accelerometer. , 2003, Medicine and science in sports and exercise.

[27]  E. Melanson,et al.  American College of Sports Medicine position stand. Appropriate intervention strategies for weight loss and prevention of weight regain for adults. , 2001, Medicine and science in sports and exercise.

[28]  Cathaleene Macias,et al.  Prevalence, severity, and co-occurrence of chronic physical health problems of persons with serious mental illness. , 2004, Psychiatric services.

[29]  Carol Ewing Garber,et al.  ACSM Position Stand: The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory and Muscular Fitness, and Flexibility in Healthy Adults , 1998 .

[30]  G. Remington,et al.  Validation of a physical activity assessment tool for individuals with schizophrenia , 2006, Schizophrenia Research.

[31]  A. Bauman,et al.  Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. , 2007, Circulation.

[32]  M. Heo,et al.  Antipsychotic-induced weight gain: a comprehensive research synthesis. , 1999, The American journal of psychiatry.

[33]  Roger B. Davis,et al.  Obesity among adults with disabling conditions. , 2002, JAMA.