有氧運動對體重過重精神分裂住院病人之健康相關生活品質的影響

陳中; 馮煥光; 李嘉富; 黃旭男; 高森永; 康勝傑; 高百源

doi:10.29478/TJP.200712.0003

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P254 - 262

医药卫生 > 社会医学

DOI： 10.29478/TJP

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有氧运动对体重过重精神分裂住院病人之健康相关生活品质的影响

The Effect of Aerobic Exercise on the Health-related Quality of Life among Overweight Inpatients with Schizophrenia

陈中(Chung Chen,) ；冯焕光(Huan-Kwang Ferng) ；李嘉富(Jia-Fu Lee,) ；黄旭男(Shiuh-Nan Hwang) ；高森永(Sen-Yeong Kao) ；康胜杰(Sheng-Chich Kang) ；高百源(Pai-Yuan Kao)

台湾精神医学； 21 卷 4 期 (2007 / 12 / 01) ， P254 - 262

繁体中文 DOI： 10.29478/TJP.200712.0003

体重过重；精神分裂症；运动介入；有氧运动； overweight ； schizophrenia ； exercise intervention ； aerobic exercise

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摘要 │ 参考文献 (19) │ 被引用文献 (3) │ 国际计量

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Objective: The main purpose of this research was to explore the effect of aerobic exercise on the health-related quality of life for overweight inpatients with schizophrenia. Methods: Based on personal willingness, the study subjects were divided into two groups: an experimental group of 25 and a control group of 26 patients. Throughout the study period, only the experimental group received aerobic exercise activities while all participants continued regular clinic treatment activities. The experimental group received a total of 36 sessions of aerobic exercise activities over a period up to 12 weeks. Each session involved varied aerobic exercise activities for 60 minutes. Aerobic exercise was recorded ill the 1(superscript st) 6(superscript th), 12(superscript th) weeks. We administered the World Health Organization's Quality of Life (WHOQOL-BREF) questionnaire after each session to both the experimental and control groups. Participants completed the WHOQOL-13REF questionnaires with the assistance of physicians and nurses when necessary. Results: The main findings of this study are as follows: 1) Over the three stages, the physical domain was the highest scoring domain for subjects of experimental group. Lower scores imply lower quality of life in that domain. 2) The total mean score (at these three points) on health-related quality of life was 53.06, which represents a moderate level of quality of life (as compared to 80). 3) Significan differences were noted for the experimental group in the following domains: the physical domain (higher in 12(superscript th) as compared to 6(superscript th) week) (p=0.015), the psychological domain (lower in 6th as compared to 1(superscript st) week) (p=0.019), social relationships (lower in 6(superscript th) as compared to 1(superscript st) week (p=0.009); but improved in the 12(superscript th) week as compared to the 6(superscript th)) (p=0.013), and the environmental domain (improved in 12(superscript th) week compared to the 6(superscript th)) (p=0.018). The experimeiltal group made greater progress ill physical quality of life than the control group over all 12 weeks, while both groups demonstrated no obvious improvement in the domains of psychology, social relationships and environment. Conclusions: Aerobic exercise may have benefits for overweight inpatients with schizophrenia. Findings of this study may have clinical implications for long-term care mental institutions to improve health-related quality of life for overweight inpatients with schizophrenia.

参考文献 ( 19 ) 〈TOP〉

(1995).Londeree BR%V02 man Versus % HR max regression for six modes of exercise.Med Sci Spoots Exercise,27,458-461.
Allison DB,Fontaine KR,Heo M(1999).The distribution of body mass index among individuals with and without schizophrenia.J Clin Psychiatry,60,215-220.
Allison DB,Mentore JL,Heo M(1999).Antipsychotic-induced weight gain: a comprehensive research synthesis.Am J Psychiatry,156,1686-1696.
Dubbert PM,Martin JE,Cushman WC,Meydrech EF,Carroll RG.(1994).Endurance exercise in mild hypertension: Effects on bloodpressure and associated metabolic and quality of life variables.J Hum Hypertension,8,265-272.
Faulkner G,Sparkes A.(1999).Exercise as therapy for schizophrenia: An ethnographic study.J Sport Exercise Psychol,21,52-69.

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