新研究表明,精神病与低水平运动有关
2016/08/28
运动与健康息息相关。新研究表明,精神病患者的体力活动水平往往会更低,这意味着通过增加体力活动及减少社会隔离等干预措施,可以让他们受益。


一项包含50个国家20万人的大型国际研究显示,患有精神病的人往往体力活动水平较低,与正常人相比,患有精神疾病的男性更不易成为全球活动的参与者。相关研究结果于近日发表在《Schizophrenia Bulletin》杂志上。

该研究由伦敦大学国王学院和南伦敦Maudsley(SLAM)NHS信托基金会的科研人员引领,揭示了体育活动与精神障碍之间的重要见解,这些数据将给人们提供精神病的干预参考措施,旨在帮助精神病患者更积极地参与体育活动,最终改善他们的心理和身体健康。

精神病患者的寿命一般比普通人群短15年,很大程度上与心血管疾病有关,追求一种积极的生活方式被认为同药物(如他丁类药物)一样能有效预防心血管疾病。为了保持健康,世界卫生组织(WHO)建议18-64岁的成年人每周至少进行150分钟以上的中等强度体力活动,包括步行、骑自行车、做家务或运动等。根据WHO,不运动是第四大死亡因素,与吸烟一些对人体有害。

在该研究中,研究人员试图调查精神病患者的体力活动水平是否达到WHO建议的要求。他们从世界健康调查中心收集到了50个中低等国家的20万人数据,这些受试对象的年龄在18-64岁之间,总共分为三组:精神病确诊患者组、有精神病症状但未确诊组、对照组(在过去一年里未被确诊或未有精神病症状)。

调查结果发现,与对照组相比,精神病患者组体力活动水平未达到要求的比例要高出36%。当研究人员只调查男性时,发现与对照组相比,精神病患者组未达到要求的比例要高一倍。

当检查身体活动潜在的障碍时,研究人员发现,精神病患者出现的流动性困难、疼痛、忧郁和认知功能障碍均可能导致低水平运动。伦敦大学国王学院的Brendon Stubbs 博士说,“理解和克服这些障碍可能对精神病患者更积极地参加体育活动有重要帮助,并有可能降低他们患心血管疾病的风险。”

伦敦大学国王学院 Fiona Gaughran博士说,“精神病患者有较高的心血管疾病风险,并可能导致死亡。由于体力活动是心血管疾病的一个重要预防措施,我们的研究发现精神病患者特别不活跃,这意味着通过增加体力活动及减少社会隔离等干预措施,可以让他们受益。”

“目前还不清楚为什么男性精神病患者表现出更低水平的体力活动。在男性中发现早期发病症状可能意味着生活习惯随疾病的进展而发生变化,例如阴性症状、镇静药或住院,另外我们的数据表明精神萎靡可能也是比较重要的因素。了解这些因素后,我们才有可能知道如何进行干预,这也是未来研究的一个重要的领域”,Gaughran博士说。

备注:本文根据MedicalXpress编译,原文链接Psychosis associated with low levels of physical activity

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