Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With Schizophrenia

People with schizophrenia often have an unhealthy sedentary lifestyle with low level of physical activity and poor cardiorespiratory fitness—an important predictor of cardiovascular disease. We investigated the relations between cardiorespiratory fitness and both sedentary time and different aspects...

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Main Authors: John A. Engh, Jens Egeland, Ole A. Andreassen, Gry Bang-Kittilsen, Therese T. Bigseth, Tom L. Holmen, Egil W. Martinsen, Jon Mordal, Eivind Andersen
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-02-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00082/full
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author John A. Engh
Jens Egeland
Jens Egeland
Ole A. Andreassen
Ole A. Andreassen
Gry Bang-Kittilsen
Therese T. Bigseth
Tom L. Holmen
Egil W. Martinsen
Jon Mordal
Eivind Andersen
author_facet John A. Engh
Jens Egeland
Jens Egeland
Ole A. Andreassen
Ole A. Andreassen
Gry Bang-Kittilsen
Therese T. Bigseth
Tom L. Holmen
Egil W. Martinsen
Jon Mordal
Eivind Andersen
author_sort John A. Engh
collection DOAJ
description People with schizophrenia often have an unhealthy sedentary lifestyle with low level of physical activity and poor cardiorespiratory fitness—an important predictor of cardiovascular disease. We investigated the relations between cardiorespiratory fitness and both sedentary time and different aspects of physical activity, such as daily steps, light intensity physical activity, and moderate-to-vigorous physical activity. Using accelerometer as an objective measure of sedentary time and physical activity we estimated their relations to cardiorespiratory fitness in 62 patients with schizophrenia with roughly equal gender distribution, mean age of 36 and 15 years illness duration. We found a significant association between daily steps and cardiorespiratory fitness when accounting for gender, age, sedentary time, light intensity physical activity, and respiratory exchange ratio (maximal effort). Moderate-to-vigorous physical activity was not significantly associated with cardiorespiratory fitness. In conclusion, the amount of steps throughout the day contributes to cardiorespiratory fitness in people with schizophrenia, independently of light intensity physical activity and sedentary time. We did not find a significant relationship between moderate-to-vigorous physical activity and cardiorespiratory fitness. This may have implications for the choice of strategies when helping patients with schizophrenia improve their cardiorespiratory fitness.
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spelling doaj.art-46028693a8df4aadb4de108513e1dcbd2022-12-22T00:22:54ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-02-011010.3389/fpsyt.2019.00082412912Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With SchizophreniaJohn A. Engh0Jens Egeland1Jens Egeland2Ole A. Andreassen3Ole A. Andreassen4Gry Bang-Kittilsen5Therese T. Bigseth6Tom L. Holmen7Egil W. Martinsen8Jon Mordal9Eivind Andersen10Division of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, NorwayDivision of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, NorwayDepartment of Psychology, University of Oslo, Oslo, NorwayNORMENT, KG Jebsen Centre for Psychosis Research, Oslo, NorwayDivision of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Oslo, NorwayDivision of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, NorwayDivision of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, NorwayDivision of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, NorwayDivision of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Oslo, NorwayDivision of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, NorwayFaculty of Humanities, Sports and Educational Science, University of South-Eastern Norway, Horten, NorwayPeople with schizophrenia often have an unhealthy sedentary lifestyle with low level of physical activity and poor cardiorespiratory fitness—an important predictor of cardiovascular disease. We investigated the relations between cardiorespiratory fitness and both sedentary time and different aspects of physical activity, such as daily steps, light intensity physical activity, and moderate-to-vigorous physical activity. Using accelerometer as an objective measure of sedentary time and physical activity we estimated their relations to cardiorespiratory fitness in 62 patients with schizophrenia with roughly equal gender distribution, mean age of 36 and 15 years illness duration. We found a significant association between daily steps and cardiorespiratory fitness when accounting for gender, age, sedentary time, light intensity physical activity, and respiratory exchange ratio (maximal effort). Moderate-to-vigorous physical activity was not significantly associated with cardiorespiratory fitness. In conclusion, the amount of steps throughout the day contributes to cardiorespiratory fitness in people with schizophrenia, independently of light intensity physical activity and sedentary time. We did not find a significant relationship between moderate-to-vigorous physical activity and cardiorespiratory fitness. This may have implications for the choice of strategies when helping patients with schizophrenia improve their cardiorespiratory fitness.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00082/fullschizophrenialifestylecardiovascular diseasedaily stepsphysical activitycardiorespiratory fitness
spellingShingle John A. Engh
Jens Egeland
Jens Egeland
Ole A. Andreassen
Ole A. Andreassen
Gry Bang-Kittilsen
Therese T. Bigseth
Tom L. Holmen
Egil W. Martinsen
Jon Mordal
Eivind Andersen
Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With Schizophrenia
Frontiers in Psychiatry
schizophrenia
lifestyle
cardiovascular disease
daily steps
physical activity
cardiorespiratory fitness
title Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With Schizophrenia
title_full Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With Schizophrenia
title_fullStr Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With Schizophrenia
title_full_unstemmed Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With Schizophrenia
title_short Objectively Assessed Daily Steps—Not Light Intensity Physical Activity, Moderate-to-Vigorous Physical Activity and Sedentary Time—Is Associated With Cardiorespiratory Fitness in Patients With Schizophrenia
title_sort objectively assessed daily steps not light intensity physical activity moderate to vigorous physical activity and sedentary time is associated with cardiorespiratory fitness in patients with schizophrenia
topic schizophrenia
lifestyle
cardiovascular disease
daily steps
physical activity
cardiorespiratory fitness
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00082/full
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