Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study

<i>Background and objectives:</i> Unhealthy, physically inactive lifestyles increase the risk of future cardiovascular events and impaired physical fitness in individuals with schizophrenia. Insufficient literature exists to provide fundamental information about appropriate exercise trai...

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Main Authors: Yu-Chi Kuo, Dan-Yan Chang, Yi-Hung Liao
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/57/2/149
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author Yu-Chi Kuo
Dan-Yan Chang
Yi-Hung Liao
author_facet Yu-Chi Kuo
Dan-Yan Chang
Yi-Hung Liao
author_sort Yu-Chi Kuo
collection DOAJ
description <i>Background and objectives:</i> Unhealthy, physically inactive lifestyles increase the risk of future cardiovascular events and impaired physical fitness in individuals with schizophrenia. Insufficient literature exists to provide fundamental information about appropriate exercise training modality for this population. This pilot study preliminarily investigated the effects of a 12-week moderate-intensity bench-step exercise training (BSET) program on cardiopulmonary fitness, mood state, and cognition in patients with schizophrenia. <i>Methods:</i> Twenty-eight patients with schizophrenia completed this study. The participants were allocated into either bench-step exercise-training (BSET; <i>N</i> = 14) or control (CTRL; <i>N</i> = 14) groups according to their preferences. The BSET group received a 12-week bench-step intervention, whereas the CTRL group did not participate in any training. The Beck Depression Inventory-II (BDI-II), 6-min walk test (6MWD), and Symbol Digit Modalities Test (SDMT) were assessed at baseline (PRE) and at the end of the intervention (POST) to determine mood state, endurance fitness, and attention, respectively. <i>Results:</i> After a 12-week BSET intervention, the 6MWD was significantly increased in the BSET (<i>p</i> = 0.007) but not in the CTRL (<i>p</i> > 0.05). The participants with BSET intervention showed a significant decrease in BDI-II at the end of the intervention (<i>p</i> = 0.03). However, SDMT scores were not different in both BSET and CTRL (<i>p</i> > 0.05). <i>Conclusions:</i> This study demonstrated that the 12-week intervention of moderate-intensity bench-step exercise training (frequency: 1 session/week; each session of 30 min; step cadence: 96 beats/min) might effectively enhance cardiopulmonary fitness and mood state in patients with schizophrenia. However, attention did not change after the bench-step exercise intervention.
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spelling doaj.art-374e9a36167d4dedae578ce99234d9552023-09-03T00:16:33ZengMDPI AGMedicina1010-660X2021-02-015714914910.3390/medicina57020149Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot StudyYu-Chi Kuo0Dan-Yan Chang1Yi-Hung Liao2Department of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei 11219, TaiwanDepartment of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei 11219, TaiwanDepartment of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan<i>Background and objectives:</i> Unhealthy, physically inactive lifestyles increase the risk of future cardiovascular events and impaired physical fitness in individuals with schizophrenia. Insufficient literature exists to provide fundamental information about appropriate exercise training modality for this population. This pilot study preliminarily investigated the effects of a 12-week moderate-intensity bench-step exercise training (BSET) program on cardiopulmonary fitness, mood state, and cognition in patients with schizophrenia. <i>Methods:</i> Twenty-eight patients with schizophrenia completed this study. The participants were allocated into either bench-step exercise-training (BSET; <i>N</i> = 14) or control (CTRL; <i>N</i> = 14) groups according to their preferences. The BSET group received a 12-week bench-step intervention, whereas the CTRL group did not participate in any training. The Beck Depression Inventory-II (BDI-II), 6-min walk test (6MWD), and Symbol Digit Modalities Test (SDMT) were assessed at baseline (PRE) and at the end of the intervention (POST) to determine mood state, endurance fitness, and attention, respectively. <i>Results:</i> After a 12-week BSET intervention, the 6MWD was significantly increased in the BSET (<i>p</i> = 0.007) but not in the CTRL (<i>p</i> > 0.05). The participants with BSET intervention showed a significant decrease in BDI-II at the end of the intervention (<i>p</i> = 0.03). However, SDMT scores were not different in both BSET and CTRL (<i>p</i> > 0.05). <i>Conclusions:</i> This study demonstrated that the 12-week intervention of moderate-intensity bench-step exercise training (frequency: 1 session/week; each session of 30 min; step cadence: 96 beats/min) might effectively enhance cardiopulmonary fitness and mood state in patients with schizophrenia. However, attention did not change after the bench-step exercise intervention.https://www.mdpi.com/1010-660X/57/2/1496-min walk distance (6MWD)beck depression inventory-II (BDI-II)symbol digit modalities test (SDMT)mood statesfitnessattention
spellingShingle Yu-Chi Kuo
Dan-Yan Chang
Yi-Hung Liao
Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study
Medicina
6-min walk distance (6MWD)
beck depression inventory-II (BDI-II)
symbol digit modalities test (SDMT)
mood states
fitness
attention
title Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study
title_full Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study
title_fullStr Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study
title_full_unstemmed Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study
title_short Twelve-Weeks of Bench-Step Exercise Training Ameliorates Cardiopulmonary Fitness and Mood State in Patients with Schizophrenia: A Pilot Study
title_sort twelve weeks of bench step exercise training ameliorates cardiopulmonary fitness and mood state in patients with schizophrenia a pilot study
topic 6-min walk distance (6MWD)
beck depression inventory-II (BDI-II)
symbol digit modalities test (SDMT)
mood states
fitness
attention
url https://www.mdpi.com/1010-660X/57/2/149
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