John A Engh  1 ,  Jens Egeland  1   2 ,  Ole A Andreassen  3   4 ,  Gry Bang-Kittilsen  1 ,  Therese T Bigseth  1 ,  Tom L Holmen  1 ,  Egil W Martinsen  4 ,  Jon Mordal  1 ,  Eivind Andersen  5

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Affiliations

1 Division of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, Norway. 2 Department of Psychology, University of Oslo, Oslo, Norway. 3 NORMENT, KG Jebsen Centre for Psychosis Research, Oslo, Norway. 4 Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 5 Faculty of Humanities, Sports and Educational Science, University of South-Eastern Norway, Horten, Norway.
PMID: 30863327 PMCID: PMC6399376 DOI: 10.3389/fpsyt.2019.00082 Free PMC article

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
John A Engh  et al. Front Psychiatry. 2019.
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John A Engh  1 ,  Jens Egeland  1   2 ,  Ole A Andreassen  3   4 ,  Gry Bang-Kittilsen  1 ,  Therese T Bigseth  1 ,  Tom L Holmen  1 ,  Egil W Martinsen  4 ,  Jon Mordal  1 ,  Eivind Andersen  5

Affiliations

1 Division of Mental Health and Addiction, Vestfold Hospital Trust, Tønsberg, Norway. 2 Department of Psychology, University of Oslo, Oslo, Norway. 3 NORMENT, KG Jebsen Centre for Psychosis Research, Oslo, Norway. 4 Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 5 Faculty of Humanities, Sports and Educational Science, University of South-Eastern Norway, Horten, Norway.
PMID: 30863327 PMCID: PMC6399376 DOI: 10.3389/fpsyt.2019.00082

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.

Keywords: accelerometer; cardiorespiratory fitness; cardiovascular disease; daily steps; lifestyle; physical activity; schizophrenia; sedentary time.

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