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Sedentary Behavior and Quality of Life in People with Psychotic Disorders from a Low Income Country: A Study from Uganda

Community Mental Health Journal volume 55, pages 714–720 (2019)Cite this article

Abstract

The current study examined the impact of sedentary behaviour (SB) on quality of life (QoL) in people with psychotic disorders. Thirty-six Ugandan women (mean age = 33.9 ± 8.0 years) and 23 men (37.4 ± 11.8 years) with a DSM 5 diagnosis of psychosis completed the World Health Organization Quality of Life—Brief version and Simple Physical Activity Questionnaire (SIMPAQ). Medication use, physical co-morbidities, weight, height, blood pressure and smoking habits were recorded. Multiple regression analyses were undertaken. Variability in SIMPAQ sedentary and walking scores explained 56% of the variability in psychological QoL, while variability in SIMPAQ walking explained 46% of the variability in physical QoL. Health care professionals should not only consider increasing physical activity but also reducing SB to improve QoL in their patients.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Cart, L. R. S. M. (2012). Letter to the editor: Standardized use of the terms “sedentary” and “sedentary behaviours”. Applied Physiology Nutrition and Metabolism, 37(3), 540.

    Article  Google Scholar 

  • Chou, C.-Y., Ma, M.-C., & Yang, T.-T. (2014). Determinants of subjective health-related quality of life (HRQoL) for patients with schizophrenia. Schizophrenia Research, 154(1), 83–88.

    PubMed  Article  Google Scholar 

  • Correll, C., Detraux, J., De Lepeleire, J., & De Hert, M. (2015). Effects of antipsychotics, antidepressants and mood stabilizers on risk for physical diseases in people with schizophrenia, depression and bipolar disorder. World Psychiatry, 14(2), 119–136.

    PubMed  PubMed Central  Article  Google Scholar 

  • Correll, C. U., Solmi, M., Veronese, N., Bortolato, B., Rosson, S., Santonastaso, P., et al. (2017). Prevalence, incidence and mortality from cardiovascular disease in patients with pooled and specific severe mental illness: A large-scale meta-analysis of 3,211,768 patients and 113,383,368 controls. World Psychiatry, 16(2), 163–180.

    PubMed  PubMed Central  Article  Google Scholar 

  • Dauwan, M., Begemann, M. J., Heringa, S. M., & Sommer, I. E. (2016). Exercise improves clinical symptoms, quality of life, global functioning, and depression in schizophrenia: A systematic review and meta-analysis. Schizophrenia Bulletin, 42(3), 588–599.

    PubMed  Article  Google Scholar 

  • Edwards, M. K., & Loprinzi, P. D. (2016). Effects of a sedentary behavior–inducing randomized controlled intervention on depression and mood profile in active young adults. Paper presented at the Mayo Clinic proceedings.

  • Edwards, M. K., & Loprinzi, P. D. (2017). Experimentally increasing sedentary behavior results in decreased life satisfaction. Health Promotion Perspectives, 7(2), 88.

    PubMed  PubMed Central  Article  Google Scholar 

  • Gardner, D. M., Murphy, A. L., O’Donnell, H., Centorrino, F., & Baldessarini, R. J. (2010). International consensus study of antipsychotic dosing. American Journal of Psychiatry, 167, 686–693.

    PubMed  Article  Google Scholar 

  • Hjorthøj, C., Stürup, A. E., McGrath, J. J., & Nordentoft, M. (2017). Years of potential life lost and life expectancy in schizophrenia: A systematic review and meta-analysis. The Lancet Psychiatry, 4, 295–301.

    PubMed  Article  Google Scholar 

  • Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., et al. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2095–2128.

    Article  Google Scholar 

  • Mugisha, J., Abdulmalik, J., Hanlon, C., Petersen, I., Lund, C., Upadhaya, N., et al. (2017a). Health systems context (s) for integrating mental health into primary health care in six Emerald countries: A situation analysis. International Journal of Mental Health Systems, 11, 7.

    PubMed  PubMed Central  Article  Google Scholar 

  • Mugisha, J., Hert, M. D., Stubbs, B., Basangwa, D., & Vancampfort, D. (2017b). Physical health policies and metabolic screening in mental health care systems of sub-Saharan African countries: A systematic review. International Journal of Mental Health Systems. 11. 31

    PubMed  PubMed Central  Article  Google Scholar 

  • Mugisha, J., Hjelmeland, H., Kinyanda, E., & Knizek, B. L. (2011). Distancing: A traditional mechanism of dealing with suicide among the Baganda, Uganda. Transcultural Psychiatry, 48(5), 624–642.

    PubMed  Article  Google Scholar 

  • Rosenbaum, S., Tiedemann, A., Sherrington, C., Curtis, J., & Ward, P. B. (2014). Physical activity interventions for people with mental illness: A systematic review and meta-analysis. Journal of Clinical Psychiatry, 75(9), 964–974.

    PubMed  Article  Google Scholar 

  • Rosenbaum, S., & Ward, P. B. (2016). The simple physical activity questionnaire. The Lancet Psychiatry, 3(1), 1.

    Article  Google Scholar 

  • Saarni, S. I., Viertiö, S., Perälä, J., Koskinen, S., Lönnqvist, J., & Suvisaari, J. (2010). Quality of life of people with schizophrenia, bipolar disorder and other psychotic disorders. The British Journal of Psychiatry, 197(5), 386–394.

    PubMed  Article  Google Scholar 

  • Sallis, J. F., Bull, F., Guthold, R., Heath, G. W., Inoue, S., Kelly, P., et al. (2016). Progress in physical activity over the Olympic quadrennium. The Lancet, 388(10051), 1325–1336.

    Article  Google Scholar 

  • Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13(2), 299–310.

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  • Soundy, A., Roskell, C., Stubbs, B., & Vancampfort, D. (2014). Selection, use and psychometric properties of physical activity measures to assess individuals with severe mental illness: A narrative synthesis. Archives of Psychiatric Nursing, 28(2), 135–151.

    PubMed  Article  Google Scholar 

  • Soundy, A., Wampers, M., Probst, M., De Hert, M., Stubbs, B., & Vancampfort, D. (2013). Physical activity and sedentary behaviour in outpatients with schizophrenia: A systematic review and meta-analysis. International Journal of Therapy and Rehabilitation, 20(12), 588–596.

    Article  Google Scholar 

  • Stubbs, B., Firth, J., Berry, A., Schuch, F. B., Rosenbaum, S., Gaughran, F., et al. (2016a). How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression. Schizophrenia Research, 176, 431–440.

    PubMed  Article  Google Scholar 

  • Stubbs, B., Gardner-Sood, P., Smith, S., Ismail, K., Greenwood, K., Farmer, R., et al. (2015). Sedentary behaviour is associated with elevated C-reactive protein levels in people with psychosis. Schizophrenia Research, 168(1), 461–464.

    PubMed  Article  Google Scholar 

  • Stubbs, B., Koyanagi, A., Veronese, N., Vancampfort, D., Solmi, M., Gaughran, F., et al. (2016b). Physical multimorbidity and psychosis: Comprehensive cross sectional analysis including 242,952 people across 48 low-and middle-income countries. BMC Medicine, 14(1), 189.

    PubMed  PubMed Central  Article  Google Scholar 

  • Stubbs, B., Williams, J., Gaughran, F., & Craig, T. (2016c). How sedentary are people with psychosis? A systematic review and meta-analysis. Schizophrenia Research, 171(1–3), 103–910.

    PubMed  Article  Google Scholar 

  • Vancampfort, D., Correll, C. U., Galling, B., Probst, M., De Hert, M., Ward, P. B., et al. (2016). Diabetes mellitus in people with schizophrenia, bipolar disorder and major depressive disorder: A systematic review and large scale meta-analysis. World Psychiatry, 15(2), 166–174.

    PubMed  PubMed Central  Article  Google Scholar 

  • Vancampfort, D., Firth, D., Schuch, F., Rosenbaum, S., Mugisha, J., Hallgren, M., et al. (2017a). Sedentary behavior and physical activity levels in people with schizophrenia, bipolar disorder and major depressive disorder: A global systematic review and meta-analysis. World Psychiatry, 16(3), 308–315.

    PubMed  PubMed Central  Article  Google Scholar 

  • Vancampfort, D., Guelinckx, H., Probst, M., Stubbs, B., Rosenbaum, S., Ward, P. B., et al. (2015a). Health-related quality of life and aerobic fitness in people with schizophrenia. International Journal of Mental Health Nursing, 24(5), 394–402.

    PubMed  Article  Google Scholar 

  • Vancampfort, D., Probst, M., Scheewe, T., Maurissen, K., Sweers, K., Knapen, J., et al. (2011). Lack of physical activity during leisure time contributes to an impaired health related quality of life in patients with schizophrenia. Schizophrenia Research, 129(2), 122–127.

    PubMed  Article  Google Scholar 

  • Vancampfort, D., Stubbs, B., De Hert, M., du Plessis, C., Gbiri, C. A. O., Kibet, J., et al. (2017b). A systematic review of physical activity policy recommendations and interventions for people with mental health problems in sub-Saharan African countries. Pan African Medical Journal. 26(104).

  • Vancampfort, D., Stubbs, B., Mitchell, A. J., De Hert, M., Wampers, M., Ward, P. B., et al. (2015b). Risk of metabolic syndrome and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder: A systematic review and meta-analysis. World Psychiatry, 14(3), 339–347.

    PubMed  PubMed Central  Article  Google Scholar 

  • Vancampfort, D., Stubbs, B., Ward, P., Teasdale, S., & Rosenbaum, S. (2015c). Integrating physical activity as medicine in the care of people with severe mental illness. Australian and New Zealand Journal of Psychiatry, 49(8), 681–682.

    PubMed  Article  Google Scholar 

  • Vancampfort, D., Stubbs, B., Ward, P. B., Teasdale, S., & Rosenbaum, S. (2015d). Why moving more should be promoted for severe mental illness. The Lancet Psychiatry, 2(4), 295.

    PubMed  Article  Google Scholar 

  • Vancampfort, D., Wampers, M., Mitchell, A., Correll, C., Herdt, A., Probst, M., et al. (2013). A meta-analysis of cardio-metabolic abnormalities in drug naive, first-episode and multi-episode patients with schizophrenia versus general population controls. World Psychiatry, 12(3), 240–250.

    PubMed  PubMed Central  Article  Google Scholar 

  • Vanhees, L., Lefevre, J., Philippaerts, R., Martens, M., Huygens, W., Troosters, T., et al. (2005). How to assess physical activity? How to assess physical fitness? European Journal of Cardiovascular Prevention & Rehabilitation, 12(2), 102–114.

    Article  Google Scholar 

  • Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., et al. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. The Lancet, 382(9904), 1575–1586.

    Article  Google Scholar 

  • World Health Organization. (1993). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. (2011). Mental health atlas 2011. Geneva: World Health Organization.

    Google Scholar 

  • Zipursky, R. B., Menezes, N. M., & Streiner, D. L. (2014). Risk of symptom recurrence with medication discontinuation in first-episode psychosis: A systematic review. Schizophrenia Research, 152(2), 408–414.

    PubMed  Article  Google Scholar 

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Author information

Affiliations

  1. Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium

    Davy Vancampfort, Michel Probst & Tine Van Damme

  2. University Psychiatric Centre, KU Leuven, Kortenberg, Belgium

    Davy Vancampfort

  3. School of Psychiatry, UNSW, Sydney, Australia

    Simon Rosenbaum & Philip B. Ward

  4. The Black Dog Institute, Randwick, Australia

    Simon Rosenbaum

  5. Schizophrenia Research Unit, Ingham Institute of Applied Medical Research, Liverpool, Australia

    Philip B. Ward

  6. Kyambogo University, Kampala, Uganda

    James Mugisha

  7. Butabika National Referral and Mental Health Hospital, Kampala, Uganda

    James Mugisha

Authors
  1. Davy Vancampfort
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  2. Michel Probst
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  3. Simon Rosenbaum
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  4. Philip B. Ward
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  5. Tine Van Damme
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  6. James Mugisha
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Corresponding author

Correspondence to Davy Vancampfort.

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All participants gave their informed written consent. In case participants were not able to read or write, fingerprints were taken and a related witness signed the informed consent document.

Research Involving Human Participants and/or Animals

The study procedure was approved by the Scientific and Ethical Committee of Mengo Hospital, Kampala, Uganda and the Butabika Hospital Research Committee, Kampala, Uganda. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Vancampfort, D., Probst, M., Rosenbaum, S. et al. Sedentary Behavior and Quality of Life in People with Psychotic Disorders from a Low Income Country: A Study from Uganda. Community Ment Health J 55, 714–720 (2019). https://doi.org/10.1007/s10597-018-0353-6

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  • DOI: https://doi.org/10.1007/s10597-018-0353-6

Keywords

  • Physical activity
  • Exercise
  • Sedentary
  • Psychosis
  • Quality of life