Skip to main content
Erschienen in: Psychiatric Quarterly 4/2013

01.12.2013 | Original Paper

Exercise Capacity and Quality of Life in Patients with Schizophrenia

verfasst von: Arno Kerling, Uwe Tegtbur, Marc Ziegenbein, Lena Grams, Dirk Robert Heinze, Marcel Sieberer

Erschienen in: Psychiatric Quarterly | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to resolve the relationship between physical capacity (PC) and quality of life (Qol) in schizophrenic patients and healthy controls. 31 patients (PG: 18 male, 13 female) and a control group (CG) of 50 healthy subjects (15 male, 35 female) were involved. PC was assessed as peak oxygen uptake [VO2peak, (ml (min kgKG)−1)] and power output expressed as watts per kilogram (W kg−1). Qol was assessed using the SF-36 questionnaire. Patients with schizophrenia showed reduced VO2peak (male: PG 29 ± 5 vs. CG 44 ± 10; female: PG 21 ± 4 vs. CG 30 ± 8) and power output (male: PG 2.04 ± 0.47 vs. CG 3.43 ± 0.70; female PG 1.40 ± 0.28 vs. CG 2.43 ± 0.52). Scales of the SF-36 questionnaire were lower in the PG. While in the CG correlations were found between PC and several subscales of Qol, this was not the case in the PG. The restricted PC seen in the PG showed no relation to their subjectively assessed worsened Qol, which would indicate that schizophrenic patients evaluate limitations arising from this differently than healthy control subjects.
Literatur
1.
Zurück zum Zitat Harris EC, Barraclough B: Excess mortality of mental disorder. The British Journal of Psychiatry 173:11–53, 1998.CrossRef Harris EC, Barraclough B: Excess mortality of mental disorder. The British Journal of Psychiatry 173:11–53, 1998.CrossRef
2.
Zurück zum Zitat Leucht S, Burkard T, Henderson J, Maj M, Sartorius N: Physical illness and schizophrenia: A review of the literature. Acta Psychiatrica Scandinavica 116(5):317–333, 2007.CrossRef Leucht S, Burkard T, Henderson J, Maj M, Sartorius N: Physical illness and schizophrenia: A review of the literature. Acta Psychiatrica Scandinavica 116(5):317–333, 2007.CrossRef
3.
Zurück zum Zitat Saha S, Chant D, McGrath J: A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time? Archives of General Psychiatry 64(10):1123–1131, 2007.CrossRef Saha S, Chant D, McGrath J: A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time? Archives of General Psychiatry 64(10):1123–1131, 2007.CrossRef
4.
Zurück zum Zitat Brown S, Kim M, Mitchell C, Inskip H: Twenty-five year mortality of a community cohort with schizophrenia. The British Journal of Psychiatry 196(2):116–121, 2010.CrossRef Brown S, Kim M, Mitchell C, Inskip H: Twenty-five year mortality of a community cohort with schizophrenia. The British Journal of Psychiatry 196(2):116–121, 2010.CrossRef
5.
Zurück zum Zitat Tran E, Rouillon F, Loze JY, Casadebaig F, Philippe A, Vitry F, et al.: Cancer mortality in patients with schizophrenia: An 11-year prospective cohort study. Cancer 115(15):3555–3562, 2009. Tran E, Rouillon F, Loze JY, Casadebaig F, Philippe A, Vitry F, et al.: Cancer mortality in patients with schizophrenia: An 11-year prospective cohort study. Cancer 115(15):3555–3562, 2009.
6.
Zurück zum Zitat Wildgust HJ, Beary M: Are there modifiable risk factors which will reduce the excess mortality in schizophrenia? Journal of Psychopharmacology 24(4 Suppl):37–50, 2010.CrossRef Wildgust HJ, Beary M: Are there modifiable risk factors which will reduce the excess mortality in schizophrenia? Journal of Psychopharmacology 24(4 Suppl):37–50, 2010.CrossRef
7.
Zurück zum Zitat Kodama S, Saito K, Tanaka S, Maki M, Yachi Y, Asumi M, et al.: Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: A meta-analysis. JAMA 301(19):2024–2035, 2009.CrossRef Kodama S, Saito K, Tanaka S, Maki M, Yachi Y, Asumi M, et al.: Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: A meta-analysis. JAMA 301(19):2024–2035, 2009.CrossRef
8.
Zurück zum Zitat Blair SN: Physical inactivity: The biggest public health problem of the 21st century. British Journal of Sports Medicine 43(1):1–2, 2009. Blair SN: Physical inactivity: The biggest public health problem of the 21st century. British Journal of Sports Medicine 43(1):1–2, 2009.
9.
Zurück zum Zitat Brown S, Birtwistle J, Roe L, Thompson C: The unhealthy lifestyle of people with schizophrenia. Psychological Medicine 29(3):697–701, 1999.CrossRef Brown S, Birtwistle J, Roe L, Thompson C: The unhealthy lifestyle of people with schizophrenia. Psychological Medicine 29(3):697–701, 1999.CrossRef
10.
Zurück zum Zitat Laursen TM, Munk-Olsen T, Agerbo E, Gasse C, Mortensen PB: Somatic hospital contacts, invasive cardiac procedures, and mortality from heart disease in patients with severe mental disorder. Archives of General Psychiatry 66(7):713–720, 2009.CrossRef Laursen TM, Munk-Olsen T, Agerbo E, Gasse C, Mortensen PB: Somatic hospital contacts, invasive cardiac procedures, and mortality from heart disease in patients with severe mental disorder. Archives of General Psychiatry 66(7):713–720, 2009.CrossRef
11.
Zurück zum Zitat Newcomer JW: Metabolic risk during antipsychotic treatment. Clinical Therapeutics 26(12):1936–1946, 2004.CrossRef Newcomer JW: Metabolic risk during antipsychotic treatment. Clinical Therapeutics 26(12):1936–1946, 2004.CrossRef
12.
Zurück zum Zitat Allison DB, Casey DE: Antipsychotic-induced weight gain: A review of the literature. The Journal of Clinical Psychiatry 62(Suppl 7):22–31, 2001.PubMed Allison DB, Casey DE: Antipsychotic-induced weight gain: A review of the literature. The Journal of Clinical Psychiatry 62(Suppl 7):22–31, 2001.PubMed
13.
Zurück zum Zitat Alvarez-Jimenez M, Hetrick SE, Gonzalez-Blanch C, Gleeson JF, McGorry PD: Non-pharmacological management of antipsychotic-induced weight gain: Systematic review and meta-analysis of randomised controlled trials. The British Journal of Psychiatry 193(2):101–107, 2008.CrossRef Alvarez-Jimenez M, Hetrick SE, Gonzalez-Blanch C, Gleeson JF, McGorry PD: Non-pharmacological management of antipsychotic-induced weight gain: Systematic review and meta-analysis of randomised controlled trials. The British Journal of Psychiatry 193(2):101–107, 2008.CrossRef
14.
Zurück zum Zitat Borg G: Borg’s Perceived Exertion and Pain Scales. Champaign, Human Kinetics, 1998. Borg G: Borg’s Perceived Exertion and Pain Scales. Champaign, Human Kinetics, 1998.
15.
Zurück zum Zitat Löllgen H: Das Anstrengungsempfinden (RPE, Borg-Skala). Deutsche Zeitschrift für Sportmedizin 55(11): 299–300, 2004. Löllgen H: Das Anstrengungsempfinden (RPE, Borg-Skala). Deutsche Zeitschrift für Sportmedizin 55(11): 299–300, 2004.
16.
Zurück zum Zitat Overall JE, Gorham DR: The brief psychiatric rating scale. Psychological Reports 10(3):799–812, 1962.CrossRef Overall JE, Gorham DR: The brief psychiatric rating scale. Psychological Reports 10(3):799–812, 1962.CrossRef
17.
Zurück zum Zitat Bullinger M: Assessment of health related quality of life with the SF-36 Health Survey. Rehabilitation (Stuttg) 35(3):XVII–XXVII; quiz XXVII–XXIX, 1996. Bullinger M: Assessment of health related quality of life with the SF-36 Health Survey. Rehabilitation (Stuttg) 35(3):XVII–XXVII; quiz XXVII–XXIX, 1996.
18.
Zurück zum Zitat Ware JE Jr., Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 30(6):473–483, 1992. Ware JE Jr., Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 30(6):473–483, 1992.
19.
Zurück zum Zitat Leese M, Schene A, Koeter M, Meijer K, Bindman J, Mazzi M, et al.: SF-36 scales, and simple sums of scales, were reliable quality-of-life summaries for patients with schizophrenia. Journal of Clinical Epidemiology 61(6):588–596, 2008.CrossRef Leese M, Schene A, Koeter M, Meijer K, Bindman J, Mazzi M, et al.: SF-36 scales, and simple sums of scales, were reliable quality-of-life summaries for patients with schizophrenia. Journal of Clinical Epidemiology 61(6):588–596, 2008.CrossRef
20.
Zurück zum Zitat Pukrop R, Schlaak V, Moller-Leimkuhler AM, Albus M, Czernik A, Klosterkotter J, et al.: Reliability and validity of Quality of Life assessed by the Short-Form 36 and the Modular System for Quality of Life in patients with schizophrenia and patients with depression. Psychiatry Research 119(1–2):63–79, 2003. Pukrop R, Schlaak V, Moller-Leimkuhler AM, Albus M, Czernik A, Klosterkotter J, et al.: Reliability and validity of Quality of Life assessed by the Short-Form 36 and the Modular System for Quality of Life in patients with schizophrenia and patients with depression. Psychiatry Research 119(1–2):63–79, 2003.
21.
Zurück zum Zitat Nilsson BM, Olsson RM, Oman A, Wiesel FA, Ekselius L, Forslund AH: Physical capacity, respiratory quotient and energy expenditure during exercise in male patients with schizophrenia compared with healthy controls. European Psychiatry 27(3):206–212, 2012.CrossRef Nilsson BM, Olsson RM, Oman A, Wiesel FA, Ekselius L, Forslund AH: Physical capacity, respiratory quotient and energy expenditure during exercise in male patients with schizophrenia compared with healthy controls. European Psychiatry 27(3):206–212, 2012.CrossRef
22.
Zurück zum Zitat Deimel H, Lohmann S: Physical capacity of schizophrenic patients. Rehabilitation (Stuttg) 22(2):81–85, 1983. Deimel H, Lohmann S: Physical capacity of schizophrenic patients. Rehabilitation (Stuttg) 22(2):81–85, 1983.
23.
Zurück zum Zitat Dodd KJ, Duffy S, Stewart JA, Impey J, Taylor N: A small group aerobic exercise programme that reduces body weight is feasible in adults with severe chronic schizophrenia: a pilot study. Disability and Rehabilitation 33(13–14):1222–1229, 2011.PubMedCrossRef Dodd KJ, Duffy S, Stewart JA, Impey J, Taylor N: A small group aerobic exercise programme that reduces body weight is feasible in adults with severe chronic schizophrenia: a pilot study. Disability and Rehabilitation 33(13–14):1222–1229, 2011.PubMedCrossRef
24.
Zurück zum Zitat Strassnig M, Brar JS, Ganguli R: Low cardiorespiratory fitness and physical functional capacity in obese patients with schizophrenia. Schizophrenia Research 126(1–3):103–109, 2011.CrossRef Strassnig M, Brar JS, Ganguli R: Low cardiorespiratory fitness and physical functional capacity in obese patients with schizophrenia. Schizophrenia Research 126(1–3):103–109, 2011.CrossRef
25.
Zurück zum Zitat Vancampfort D, Probst M, Sweers K, Maurissen K, Knapen J, De Hert M: Relationships between obesity, functional exercise capacity, physical activity participation and physical self-perception in people with schizophrenia. Acta Psychiatrica Scandinavica 123(6):423–430, 2011.CrossRef Vancampfort D, Probst M, Sweers K, Maurissen K, Knapen J, De Hert M: Relationships between obesity, functional exercise capacity, physical activity participation and physical self-perception in people with schizophrenia. Acta Psychiatrica Scandinavica 123(6):423–430, 2011.CrossRef
26.
Zurück zum Zitat Hofer A, Kemmler G, Eder U, Edlinger M, Hummer M, Fleischhacker WW: Quality of life in schizophrenia: The impact of psychopathology, attitude toward medication, and side effects. The Journal of Clinical Psychiatry 65(7):932–939, 2004.CrossRef Hofer A, Kemmler G, Eder U, Edlinger M, Hummer M, Fleischhacker WW: Quality of life in schizophrenia: The impact of psychopathology, attitude toward medication, and side effects. The Journal of Clinical Psychiatry 65(7):932–939, 2004.CrossRef
27.
Zurück zum Zitat Schennach-Wolff R, Jager M, Obermeier M, Schmauss M, Laux G, Pfeiffer H, et al.: Quality of life and subjective well-being in schizophrenia and schizophrenia spectrum disorders: Valid predictors of symptomatic response and remission? The World Journal of Biological Psychiatry 11(5):729–738, 2010.CrossRef Schennach-Wolff R, Jager M, Obermeier M, Schmauss M, Laux G, Pfeiffer H, et al.: Quality of life and subjective well-being in schizophrenia and schizophrenia spectrum disorders: Valid predictors of symptomatic response and remission? The World Journal of Biological Psychiatry 11(5):729–738, 2010.CrossRef
28.
Zurück zum Zitat Allison DB, Mackell JA, McDonnell DD: The impact of weight gain on quality of life among persons with schizophrenia. Psychiatric Services 54(4):565–567, 2003.CrossRef Allison DB, Mackell JA, McDonnell DD: The impact of weight gain on quality of life among persons with schizophrenia. Psychiatric Services 54(4):565–567, 2003.CrossRef
29.
Zurück zum Zitat Kolotkin RL, Corey-Lisle PK, Crosby RD, Swanson JM, Tuomari AV, L’italien GJ, et al.: Impact of obesity on health-related quality of life in schizophrenia and bipolar disorder. Obesity (Silver Spring) 16(4):749–754, 2008. Kolotkin RL, Corey-Lisle PK, Crosby RD, Swanson JM, Tuomari AV, L’italien GJ, et al.: Impact of obesity on health-related quality of life in schizophrenia and bipolar disorder. Obesity (Silver Spring) 16(4):749–754, 2008.
30.
Zurück zum Zitat Faulkner G, Cohn T, Remington G, Irving H: Body mass index, waist circumference and quality of life in individuals with schizophrenia. Schizophrenia Research 90(1–3):174–178, 2007.CrossRef Faulkner G, Cohn T, Remington G, Irving H: Body mass index, waist circumference and quality of life in individuals with schizophrenia. Schizophrenia Research 90(1–3):174–178, 2007.CrossRef
31.
Zurück zum Zitat Bronner M, Betz C, Christ S, Frobose T, Pitschel-Walz G, Bauml J: Wellness-activities to prevent metabolic syndrome among patients with schizophrenia. Psychiatrische Praxis 37(1):7–19, 2010.CrossRef Bronner M, Betz C, Christ S, Frobose T, Pitschel-Walz G, Bauml J: Wellness-activities to prevent metabolic syndrome among patients with schizophrenia. Psychiatrische Praxis 37(1):7–19, 2010.CrossRef
Metadaten
Titel
Exercise Capacity and Quality of Life in Patients with Schizophrenia
verfasst von
Arno Kerling
Uwe Tegtbur
Marc Ziegenbein
Lena Grams
Dirk Robert Heinze
Marcel Sieberer
Publikationsdatum
01.12.2013
Verlag
Springer US
Erschienen in
Psychiatric Quarterly / Ausgabe 4/2013
Print ISSN: 0033-2720
Elektronische ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-013-9256-4

Weitere Artikel der Ausgabe 4/2013

Psychiatric Quarterly 4/2013 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.