Background

Sedentary lifestyle is a significant contributor to poor outcomes in people with psychotic disorders. However, little is known about the extent of routine participation in specific sports and fitness activities among those who do take part. We investigated the frequency, intensity, time and type of sports and fitness activities (“fitness”) completed by people with psychotic disorders in their daily life and explored correlates associated with fitness participation.

Methods

We conducted a cross-sectional survey among out-patients with psychotic disorders (n = 529) recruited from six different NHS sites in England. Subjective participation in fitness activities during the previous week was assessed by an adaptation of the UK Time Use Survey. The main outcome was whether participants met the minimum World Health Organization recommendations for moderate intensity physical activity (≥150 min/week) through fitness. Poisson regression models with robust error variance were used to examine associations of this outcome with participant variables.

Results

In total, 267 (52.2%) participants reported taking part in routine fitness activities in the previous week, many of whom did so alone (n = 163, 59.1%). Only 21.5% (n = 114) completed ≥150 min of fitness activities in the previous week. The likelihood of attaining these recommendations was lower among participants who were female, older in age, in a relationship, unemployed and with fewer social contacts.

Conclusion

Mental health services promoting physical activity interventions among people with psychotic disorders may need to modify their approaches based on previous patient preference and increase their focus on sub-groups of patients who are less likely to routinely engage in fitness activities.

中文翻译：

---

精神病门诊患者日常参与体育和健身活动：英格兰的多站点横断面调查

背景

久坐的生活方式是导致精神病患者不良结局的重要因素。但是，对于参加活动的人日常参加特定体育和健身活动的程度了解甚少。我们调查了精神病患者在日常生活中完成的运动和健身活动（“健身”）的频率，强度，时间和类型，并探讨了与健身参与相关的因素。

方法

我们对 从英格兰六个不同的NHS站点招募的精神病门诊患者（n = 529）进行了横断面调查。通过改编英国时间使用调查来评估前一周主观参与健身活动的情况。主要结果是参加者是否通过健身达到中度强度的体育锻炼（≥150分钟/周）的最低建议。具有鲁棒误差方差的Poisson回归模型用于检验此结果与参与者变量的关联。

结果

总共有267名（52.2％）参与者报告说在上周参加了例行的健身活动，其中许多人是独自参加的（n  = 163，59.1％）。 在前一周，只有21.5％（n = 114）完成了≥150分钟的健身活动。女性，年龄较大，有婚姻关系，失业和较少的社会交往的参与者中实现这些建议的可能性较低。

结论

在精神病患者中促进身体活动干预的心理健康服务可能需要根据以前的患者偏爱来修改其方法，并增加对不太可能例行进行健身活动的患者亚组的关注。