Introduction

The importance of physical activity (PA) and health outcomes for individuals with serious mental illnesses (SMI) has been well documented. It is also established that individuals with SMI engage in high amounts of sedentary behavior and low amounts of physical activity, which contributes to poor health outcomes. This study explores the relationship between community participation, physical activity, and sedentary behavior among individuals with SMI.

Methods

This study used a sample of individuals with SMI who were receiving community mental health services in a large urban area of the United States. Of the 526 individuals approached, 308 were interested in the study; 173 consented and completed data collection. This study reports on 152 participants who had complete data. Using the Temple University Community Participation Scale, participants reported on community-based activities completed independently in the previous 30 days. Additionally, participants were asked to wear a tri-axial accelerometer (ActiGraph GT3X) on the non-dominant wrist for seven days. The total number of community participation days was correlated with PA variables including steps, sedentary, light, and moderate-vigorous PA. Two groups of step data were analyzed using t-tests: ≥7500 steps, and ≥10,000 steps. Logistic regressions were run to examine the relationship between amount, breadth and sufficiency of community participation and having ± 7500 steps and ± 10,000 daily steps, controlling for age, gender, and income.

Results

Amount of community participation was inversely associated with the % of time in sedentary activity and positively associated with the % of time in moderate to vigorous PA. Those with at or more than 7500 steps and 10,000 steps reported significantly more days of community participation.

Conclusion

This study highlights the contribution of everyday activities for increased physical activity and reduced time spent in sedentary activity. Practitioners should consider recommendations for engagement in the community to increase opportunities for walking.

中文翻译：

---

严重精神疾病患者社区参与与身体活动的关系

介绍

体力活动 (PA) 和健康结果对于患有严重精神疾病 (SMI) 的个体的重要性已得到充分证明。研究还发现，患有 SMI 的人有大量的久坐行为和少量的体力活动，这会导致不良的健康结果。本研究探讨了 SMI 患者的社区参与、身体活动和久坐行为之间的关系。

方法

这项研究使用了在美国大城市地区接受社区心理健康服务的 SMI 个体样本。在接触的 526 人中，有 308 人对这项研究感兴趣；173 人同意并完成数据收集。这项研究报告了 152 名拥有完整数据的参与者。参与者使用天普大学社区参与量表报告了过去 30 天内独立完成的社区活动。此外，参与者还被要求在非惯用手手腕上佩戴三轴加速度计 (ActiGraph GT3X) 7 天。社区参与总天数与 PA 变量相关，包括步数、久坐、轻度和中等强度的 PA。使用t检验分析两组步数数据：≥7500步和≥10,000步。逻辑回归分析了社区参与的数量、广度和充分性与±7500步和±10,000每日步数之间的关系，并控制了年龄、性别和收入。

结果

社区参与量与久坐活动的时间百分比呈负相关，与中度至剧烈活动的时间百分比正相关。步数达到或超过 7500 步和 10,000 步的人报告社区参与天数显着增加。

结论

这项研究强调了日常活动对增加体力活动和减少久坐活动时间的贡献。从业者应考虑参与社区活动的建议，以增加步行的机会。