Top

Health and Quality of Life Outcomes

Published in:

Open Access 01-12-2018 | Research

The relationship between quality of life and physical fitness in people with severe mental illness

Authors: D. Perez-Cruzado, A. I. Cuesta-Vargas, E. Vera-Garcia, F. Mayoral-Cleries

Published in: Health and Quality of Life Outcomes | Issue 1/2018

Abstract

Background

Quality of life of people with severe mental illness may be decrease by the high occurrence of metabolic and cardiovascular diseases. Physical fitness emerges as a modifying factor in this population through physical activity and this modification could influence in the quality of life of this population. The aim of the present study is to determine the contribution of physical fitness to the quality of life of people with severe mental illness.

Methods

In the current study, a physiotherapist and an occupational therapist assessed 62 people with severe mental illness. Physical fitness was measured with a range of 11 fitness tests that covered flexibility, strength, balance, and endurance. To assess quality of life the EQ-5D-3 L scale was used, which measures five dimensions (mobility, self-care, usual activities, pain-discomfort, and anxiety-depression).

Results

Significant correlations are presented between the quality of life and primary variables of physical fitness (balance, endurance, and upper limb strength). Endurance explained 22.9% of the variance of the quality of life in people with severe mental illness. Functional reach added another 36.2% variance to the prediction of quality of life.

Conclusions

The results of the present study suggest that some variables of physical fitness are associated with quality of life in people with severe mental illness. The improvement in physical fitness of this population should be a primary objective.

Trial registration

ClinicalTrials.gov Identifier: NCT02413164 “retrospective registered” Registered Febr 2017.

Badia X, Roset M, Montserrat S, Herdman M, Segura A. The Spanish version of EuroQol: a description and its applications. European Quality of Life scale. Med Clín. 1999;112(Suppl 1):79–85.

Bobes-García J, Saiz-Ruiz J, Bernardo-Arroyo M, Caballero-Martínez F, Gilaberte-Asín I, Ciudad-Herrera A. Delphi consensus on the physical health of patients with schizophrenia: evaluation of the recommendations of the Spanish societies of psychiatry and biological psychiatry by a panel of experts. Actas Esp Psiquiatr. 2012;40(3):114–28.PubMed

Cuesta-Vargas AI, Paz-Lourido B, Rodriguez A. Physical fitness profile in adults with intellectual disabilities: differences between levels of sport practice. Res Dev Disabil. 2011;32(2):788–94. https://doi.org/10.1016/j.ridd.2010.10.023 CrossRefPubMed

Fisher RA, Yates F. In: Fisher RA, Yates F, editors. Statistical tables for biological, agricultural and medical research. 6th ed. Edinburgh: Oliver and Boyd; 1963. Retrieved from https://digital.library.adelaide.edu.au/dspace/handle/2440/10701.

García-Flores FI, Rivera-Cisneros AE, Sánchez-González JM, Guardado-Mendoza R, Torres-Gutiérrez JL. Correlation between gait speed and muscular strength with balance for reducing falls among elderly. Cir Cir. 2016; https://doi.org/10.1016/j.circir.2015.12.005

Gomes E, Bastos T, Probst M, Ribeiro JC, Silva G, Corredeira R. Quality of life and physical activity levels in outpatients with schizophrenia. Rev Bras Psiquiatr (Sao Paulo, Brazil: 1999). 2016; https://doi.org/10.1590/1516-4446-2015-1709

Hajek A, Brettschneider C, Mallon T, Ernst A, Mamone S, Wiese B et al. The impact of social engagement on health-related quality of life and depressive symptoms in old age-evidence from a multicenter prospective cohort study in Germany. Health Qual Life Outcomes. 2017;14;15(1):140.

Herdman M, Badia X, Berra S. El EuroQol-5D: una alternativa sencilla para la medición de la calidad de vida relacionada con la salud en atención primaria. Atención Primaria. 2001;28(6):425–9. https://doi.org/10.1016/S0212-6567(01)70406-4 CrossRefPubMed

Karow A, Wittmann L, Schöttle D, Schäfer I, Lambert M. The assessment of quality of life in clinical practice in patients with schizophrenia. Dialogues Clin Neurosci. 2014;16(2):185–95.PubMedPubMedCentral

10.

McGrath J, Saha S, Chant D, Welham J. Schizophrenia: a concise overview of incidence, prevalence, and mortality. Epidemiol Rev. 2008;30:67–76. https://doi.org/10.1093/epirev/mxn001 CrossRefPubMed

11.

Pate RR. The evolving definition of physical fitness. Quest. 1988;40(3):174–9. https://doi.org/10.1080/00336297.1988.10483898 CrossRef

12.

Portney LG, Watkins MP. Foundations of clinical research: applications to practice. Upper Saddle River: Pearson/Prentice Hall; 2009.

13.

Rastad C, Martin C, Asenlöf P. Barriers, benefits, and strategies for physical activity in patients with schizophrenia. Phys Ther. 2014;94(10):1467–79. https://doi.org/10.2522/ptj.20120443 CrossRefPubMed

14.

Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB. Physical activity interventions for people with mental illness: a systematic review and meta-analysis. J Clin Psychiatry. 2014;75(9):964–74. https://doi.org/10.4088/JCP.13r08765 CrossRefPubMed

15.

Ruggeri M, Leese M, Thornicroft G, Bisoffi G, Tansella M. Definition and prevalence of severe and persistent mental illness. Br J Psychiatry J Ment Sci. 2000;177:149–55.CrossRef

16.

Saha S, Whiteford H, McGrath J. Modelling the incidence and mortality of psychotic disorders: data from the second Australian national survey of psychosis. Aust N Z J Psychiatry. 2014;48(4):352–9. https://doi.org/10.1177/0004867413513341 CrossRefPubMed

17.

Sáiz Ruiz J, Bobes García J, Vallejo Ruiloba J, Giner Ubago J, García-Portilla González MP, Grupo de Trabajo sobre la Salud Física del Paciente con Esquizofrenia. Consensus on physical health of patients with schizophrenia from the Spanish societies of psychiatry and biological psychiatry. Actas Esp Psiquiatr. 2008;36(5):251–64.PubMed

18.

Soundy A, Freeman P, Stubbs B, Probst M, Coffee P, Vancampfort D. The transcending benefits of physical activity for individuals with schizophrenia: a systematic review and meta-ethnography. Psychiatry Res. 2014a;220(1–2):11–9. https://doi.org/10.1016/j.psychres.2014.07.083 CrossRefPubMed

19.

Soundy A, Stubbs B, Probst M, Hemmings L, Vancampfort D. Barriers to and facilitators of physical activity among persons with schizophrenia: a survey of physical therapists. Psychiatr Serv (Washington, D.C.). 2014b;65(5):693–6. https://doi.org/10.1176/appi.ps.201300276 CrossRef

20.

Stewart AA, Marfell-Jones M, Olds T, Al E. International standards for anthropometric assessment. Lower Hutt: International Society for the Advancement of Kinanthropometry; 2011. p. 125f.

21.

van Os J, Kapur S. Schizophrenia. Lancet (London, England). 2009;374(9690):635–45. https://doi.org/10.1016/S0140-6736(09)60995-8 CrossRef

22.

Vancampfort D, De Hert M, Skjerven LH, Gyllensten AL, Parker A, Mulders N, et al. International Organization of Physical Therapy in mental health consensus on physical activity within multidisciplinary rehabilitation programmes for minimising cardio-metabolic risk in patients with schizophrenia. Disabil Rehabil. 2012a;34(1):1–12. https://doi.org/10.3109/09638288.2011.587090 CrossRefPubMed

23.

Vancampfort D, De Hert M, Sweers K, De Herdt A, Detraux J, Probst M. Diabetes, physical activity participation and exercise capacity in patients with schizophrenia. Psychiatry Clin Neurosci. 2013a;67(6):451–6. https://doi.org/10.1111/pcn.12077 CrossRefPubMed

24.

Vancampfort D, Guelinckx H, Probst M, Stubbs B, Rosenbaum S, Ward PB, De Hert M. Health-related quality of life and aerobic fitness in people with schizophrenia. Int J Ment Health Nurs. 2015a;24(5):394–402. https://doi.org/10.1111/inm.12145 CrossRefPubMed

25.

Vancampfort D, Probst M, Helvik Skjaerven L, Catalán-Matamoros D, Lundvik-Gyllensten A, Gómez-Conesa A, et al. Systematic review of the benefits of physical therapy within a multidisciplinary care approach for people with schizophrenia. Phys Ther. 2012b;92(1):11–23. https://doi.org/10.2522/ptj.20110218 CrossRefPubMed

26.

Vancampfort D, Probst M, Knapen J, Carraro A, De Hert M. Associations between sedentary behaviour and metabolic parameters in patients with schizophrenia. Psychiatry Res. 2012c;200(2–3):73–8. https://doi.org/10.1016/j.psychres.2012.03.046 CrossRefPubMed

27.

Vancampfort D, Probst M, Scheewe T, De Herdt A, Sweers K, Knapen J, et al. Relationships between physical fitness, physical activity, smoking and metabolic and mental health parameters in people with schizophrenia. Psychiatry Res. 2013b;207(1–2):25–32. https://doi.org/10.1016/j.psychres.2012.09.026 CrossRefPubMed

28.

Vancampfort D, Probst M, Scheewe T, Maurissen K, Sweers K, Knapen J, De Hert M. Lack of physical activity during leisure time contributes to an impaired health related quality of life in patients with schizophrenia. Schizophr Res. 2011;129(2–3):122–7. https://doi.org/10.1016/j.schres.2011.03.018 CrossRefPubMed

29.

Vancampfort D, Wyckaert S, Sienaert P, De Hert M, Stubbs B, Buys R, et al. The functional exercise capacity in patients with bipolar disorder versus healthy controls: a pilot study. Psychiatry Res. 2015b;229(1–2):194–9. https://doi.org/10.1016/j.psychres.2015.07.040 CrossRefPubMed

30.

Wang X-Q, Petrini M, Morisky DE. Comparison of the quality of life, perceived stigma and medication adherence of Chinese with schizophrenia: a follow-up study. Arch Psychiatr Nurs. 2016;30(1):41–6. https://doi.org/10.1016/j.apnu.2015.10.006 CrossRefPubMed

31.

Wildgust HJ, Hodgson R, Beary M. The paradox of premature mortality in schizophrenia: new research questions. J Psychopharmacol (Oxford, England). 2010;24(4 Suppl):9–15. https://doi.org/10.1177/1359786810382149 CrossRef

Title: The relationship between quality of life and physical fitness in people with severe mental illness
Authors: D. Perez-Cruzado
A. I. Cuesta-Vargas
E. Vera-Garcia
F. Mayoral-Cleries
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Health and Quality of Life Outcomes / Issue 1/2018
Electronic ISSN: 1477-7525
DOI: https://doi.org/10.1186/s12955-018-0909-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The relationship between quality of life and physical fitness in people with severe mental illness

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

Please log in to get access to this content

Other articles of this Issue 1/2018

Adaption and validation of the nasal obstruction symptom evaluation scale in German language (D-NOSE)

Factorial structure of the locomotor disability scale in a sample of adults with mobility impairments in Bangladesh

Translation and validation of the French version of the Child Perceptions Questionnaire for children aged from 8 to 10 years old (CPQ 8-10)

Identifying factors associated with depression among men living with HIV/AIDS and undergoing antiretroviral therapy: a cross-sectional study in Heilongjiang, China

The factors that influence oral health-related quality of life in 15-year-old children

Measurement properties of the Short Form-36 (SF-36) and the Functional Assessment of Cancer Therapy - Anemia (FACT-An) in patients with anemia associated with chronic kidney disease