Psychiatry Investig Search


Psychiatry Investig > Epub ahead of print
[Epub ahead of print]
DOI:    Published online July 4, 2018.
Physical Activity of Patients with Chronic Schizophrenia and Related Clinical Factors
Sook-Hyun Lee1, Gyurin Kim1, Chul-Eung Kim2, Seunghyong Ryu1
1Department of Mental Health Research, National Center for Mental Health, Seoul, Republic of Korea
2Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea
Correspondence: Seunghyong Ryu ,Tel: +82-2-2204-0109, Fax: +82-2-2204-0393, Email:
Received: November 28, 2017   Revised: April 1, 2018   Accepted: April 15, 2018   Published online: July 4, 2018
This study aimed to investigate clinical factors contributing to the low physical activity (PA) of patients with chronic schizophrenia.
PA was measured in 50 outpatients with chronic schizophrenia using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Psychopathology, psychosocial functioning, and extrapyramidal symptoms were assessed using the 18 item-Brief Psychiatric Rating Scale (BPRS-18), Global Assessment of Functioning (GAF), and Drug-Induced Extrapyramidal Symptom Scale (DIEPSS), respectively. We examined differences in these clinical variables between “inactive,” “minimally active,” and “health enhancing physical activity” groups. Linear regression analysis was used to examine the clinical factors explaining low PA levels in patients with schizophrenia.
Subjects spent an average of 130.18±238.89 min/wk on moderate/vigorous-intensity PA and only 26% of them met the recommended PA guideline of 150 minutes of at least moderate PA per week. The inactive group showed significantly higher BPRS-18 and DIEPSS scores, and a lower GAF score than the other groups. Linear regression analysis showed that DIEPSS scores independently explained the amount of total PA (p=0.001) and time spent being sedentary (p=0.028).
This study provides preliminary evidence that extrapyramidal symptoms could be a major impediment to the PA of patients with schizophrenia.
Key words   Schizophrenia, Physical activity, Sedentary lifestyle, Extrapyramidal symptoms


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