题名

嚴重精神病病人短期運動介入對代謝指標及骨質密度的影響

并列篇名

Effects of Short-term Exercise Intervention on Metabolic Features and Bone Mineral Density in Patients with Serious Mental Illnesses

作者

紀美宏(Mei-Hung Chi)；張維紘(Wei-Hung Chang)；蔡幸君(Hsin-Chun Tsai)；楊延光(Yen-Kuang Yang)；陸汝斌(Ru-Band Lu)；陳柏熹(Po-See Chen)

关键词

運動 ； 代謝症候群 ； 骨質疏鬆症 ； 嚴重精神病 ； aerobic exercise ； metabolic syndrome ； osteoporosis ； severe/chronic psychiatric patients

期刊名称

台灣精神醫學

卷期/出版年月

28卷2期（2014 / 06 / 01）

页次

iii+121 - 127

内容语文

英文
中文摘要

目的：統計顯示代謝症候群和骨質疏鬆症在嚴重精神病病人的高盛行率。此前瞻性研究探討運動對台灣某社區型醫院嚴重精神病患者上述疾患之可能療效。方法：檢視12週有氧運動對嚴重精神病病人之代謝指標及骨密度之影響。結果：20名患者於運動介入前代謝症候群，骨質疏鬆及骨質缺乏之盛行率分別為40%，15.8%和42.1%。14名病人完成此試驗。介入前後，個別代謝指標和區域骨密度的變化沒有顯著差異，代謝指標和腰椎骨密度並無顯著相關。結論：結果支持代謝症候群和骨質疏鬆症在嚴重精神病患者的高盛行率及監測和介入之必要性。運動介入之療效需要進一步評估。
英文摘要

Objectives: Epidemiologic evidence suggests that patients with serious mental illnesses are at higher risk for metabolic syndrome (MS) and osteoporosis. In this prospective study, we intended to examine the effectiveness of short-term exercise intervention program for patient with those disturbances. Methods: We examined the effects of a supervised 12-week aerobic exercise program on metabolic indices and bone mineral density in patients with serious mental illnesses. Results: Among 20 patients recruited, we found that the prevalences of MS, osteoporosis and osteopenia were 40%, 15.8%, and 42.1%, respectively, at baseline. Fourteen participants completed the program. There was no significant change in metabolic indices and bone mineral density after a short-term exercise intervention. Besides, the correlation between individual metabolic index and bone mineral density was not significant. Conclusion: The study results supported the necessity for close monitoring MS and osteoporosis as well as giving intervention in patients with serious mental illnesses. The effectiveness of exercise intervention warrants further evaluation.
主题分类 醫藥衛生 > 社會醫學
参考文献
  1. Ferng, HK,Lee, JF,Hsu, GSW,Kao, S,Kao, PY,Chen, C(2007).Effectiveness of exercise intervention for overweight patients with schizophrenia.Taiwanese Journal of Psychiatry,21,282-90.
    連結：
  2. Liu, ST,Siao, SL,Jhuo, CL,Chang, MK,Lin, JC,Huang, JL(2010).Effects of low-to-moderate intensity exercise on obese schizophrenic patients treated with clozapine.The Journal of Health Sciences,12,35-46.
    連結：
  3. Bergqvist, A,Karlsson, M,Foldemo, A,Wardig, R,Hultsjo, S(2013).Preventing the development of metabolic syndrome in people with psychotic disorders-difficult, but possible: experiences of staff working in psychosis outpatient care in Sweden.Issues Ment Health Nurs,34,350-8.
  4. Casagrande, SS,Jerome, GJ,Dalcin, AT(2010).Randomized trial of achieving healthy lifestyles in psychiatric rehabilitation: the ACHIEVE trial.BMC Psychiatry,10,108.
  5. Chang, HH,Chou, CH,Chen, PS(2009).High prevalence of metabolic disturbances in patients with bipolar disorder in Taiwan.J Affect Disord,117,124-9.
  6. Daumit, GL,Dalcin, AT,Jerome, GJ(2011).A behavioral weight-loss intervention for persons with serious mental illness in psychiatric rehabilitation centers.Int J Obes,35,1114-23.
  7. Daumit, GL,Dickerson, FB,Wang, NY(2013).A behavioral weight-loss intervention in persons with serious mental illness.N Engl J Med,368,1594-602.
  8. Giangregorio, LM,Papaioannou, A,Macintyre, NJ(2014).Too fit to fracture: exercise recommendations for individuals with osteoporosis or osteoporotic vertebral fracture.Osteoporos Int,25,821-35.
  9. Goldberg, RW,Reeves, G,Tapscott, S(2013)."MOVE!" Outcomes of a weight loss program modifi ed for veterans with serious mental illness.Psychiatr Serv,64,737-44.
  10. Huang, MC,Lu, ML,Tsai, CJ(2009).Prevalence of metabolic syndrome among patients with schizophrenia or schizoaffective disorder in Taiwan.Acta Psychiatr Scand,120,274-80.
  11. Renn, JH,Yang, NP,Chueh, CM,Lin, CY,Lan, TH,Chou, P(2009).Bone mass in schizophrenia and normal populations across different decades of life.BMC Musculoskelet Disord,10,1.
  12. Usher, K,Park, T,Foster, K,Buettner, P(2013).A randomized controlled trial undertaken to test a nurse-led weight management and exercise intervention designed for people with serious mental illness who take second generation antipsychotics.J Adv Nurs,69,1539-48.
  13. Xue, P,Gao, P,Li, Y(2012).The association between metabolic syndrome and bone mineral density: a metaanalysis.Endocrine,42,546-54.
  14. Zhou, J,Zhang, Q,Yuan, X(2013).Association between metabolic syndrome and osteoporosis: a meta-analysis.Bone,57,30-5.
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