dietary-intake-physical-activity-and-sedentary-behaviour-patterns-in-a-sample-with-established-psychosis-and-associations-with-mental-health-symptomatology.pdf (295.87 kB)
Dietary intake, physical activity and sedentary behaviour patterns in a sample with established psychosis and associations with mental health symptomatology
Version 2 2023-06-12, 09:59
Version 1 2023-06-10, 00:50
journal contribution
posted on 2023-06-12, 09:59 authored by Rebecca Martland, Scott Teasdale, Robin M Murray, Poonam Gardner-Sood, Shubulade Smith, Khalida Ismail, Zerrin Atakan, Kathryn GreenwoodKathryn Greenwood, Brendon Stubbs, Fiona GaughranBackground People with psychosis experience cardiometabolic comorbidities, including metabolic syndrome, coronary heart disease and diabetes. These physical comorbidities have been linked to diet, inactivity and the effects of the illness itself, including disorganisation, impairments in global function and amotivation associated with negative symptoms of schizophrenia or co-morbid depression. Methods We aimed to describe the dietary intake, physical activity (PA) and sedentary behaviour patterns of a sample of patients with established psychosis participating in the Improving Physical Health and Reducing Substance Use in Severe Mental Illness (IMPaCT) randomised controlled trial, and to explore the relationship between these lifestyle factors and mental health symptomatology. Results A majority of participants had poor dietary quality, low in fruit and vegetables and high in discretionary foods. Only 29.3% completed ?150 min of moderate and/or vigorous activity per week and 72.2% spent ?6 h per day sitting. Cross-sectional associations between negative symptoms, global function, and PA and sedentary behaviour were observed. Additionally, those with more negative symptoms receiving IMPaCT therapy had fewer positive changes in PA from baseline to 12-month follow-up than those with fewer negative symptoms at baseline. Conclusion These results highlight the need for the development of multidisciplinary lifestyle and exercise interventions to target eating habits, PA and sedentary behaviour, and the need for further research on how to adapt lifestyle interventions to baseline mental status. Negative symptoms in particular may reduce patient's responses to lifestyle interventions.
History
Publication status
- Published
File Version
- Published version
Journal
Psychological MedicineISSN
0033-2917Publisher
Cambridge University PressExternal DOI
Page range
1-11Department affiliated with
- Psychology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2021-09-02First Open Access (FOA) Date
2021-09-02First Compliant Deposit (FCD) Date
2021-09-02Usage metrics
Categories
No categories selectedLicence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC