Adherence to physical activity recommendations and physical and mental health risk in people with severe mental illness in Uganda.

Abstract:

:This study investigated cardio-metabolic risk factors among patients with severe mental illness who do or do not meet the recommendations of 150min per week of physical activity. A secondary aim was to assess whether those that do meet the recommendations report lower levels of mental health symptoms. 107 (60♀) Ugandan in- and outpatients (mean age=34.4 ± 9.7 years) with severe mental illness (depression=7, bipolar disorder=55, schizophrenia=45) completed the Physical Activity Vital Sign (PAVS) method and Brief Symptoms Inventory -18. Participants were also screened for abdominal obesity (waist circumference>90cm), overweight (body mass index≥25) and hypertension (systolic pressure≥140mmHg and/or diastolic pressure≥90mmHg).48.6% (n = 52) of patients met the physical activity recommendations as assessed by the PAVS method. 41.1% (n = 44) were overweight, 40.2% (n = 43) had abdominal obesity and 23.4% (n = 25) had hypertension. Those who did not meet the physical activity recommendations were significantly older, had a higher BSI-18 somatisation score, and had a higher risk of overweight [relative risk (RR) = 2.88, 95% confidence interval (CI) = 1.59-4.99], abdominal obesity (RR = 1.82, 95%CI = 1.13-2.93), and hypertension (RR = 2.16, 95%CI = 0.99-4.73). The PAVS is a feasible method of assessing physical activity among patients with severe mental illness in a low resource setting. The PAVS may have clinical utility for physical and mental health risk stratification.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Vancampfort D,Probst M,Basangwa D,De Hert M,Myin-Germeys I,van Winkel R,Ward PB,Rosenbaum S,Mugisha J

doi

10.1016/j.psychres.2017.11.067

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

236-240

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(17)30734-5

journal_volume

260

pub_type

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