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25-02-2019

The effects of clinical illness severity and physical activity on health-related quality of life in schizophrenia

Auteurs: Mei San Ang, Milawaty Nurjono, Jimmy Lee

Gepubliceerd in: Quality of Life Research | Uitgave 6/2019

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Abstract

Background

Quality of life is an important clinical outcome in individuals with schizophrenia. Illness severity and physical activity (PA) were independently reported to influence health-related quality of life (HRQoL) in people with schizophrenia. This study attempts to examine the intensity and types of PA and their impact on HRQoL, as well as the relative contributions of illness severity, PA, and sedentary behavior (SB) to HRQoL in people with schizophrenia.

Methods

Demographic information was collected from 297 community-dwelling individuals with schizophrenia. Severity of illness was assessed on the Clinical Global Impression—Severity (CGI-S); PA and SB were assessed on the Global Physical Activity Questionnaire (GPAQ); HRQoL was assessed on the RAND-36. Regression analyses were conducted to examine the impact of different types and intensities of PA on HRQoL, and the relative impact of CGI-S, GPAQ-PA, and GPAQ-SB on HRQoL.

Results

Most participants had low PA level, and travel is the main type of PA adopted. Leisure time, travel-related, work-related, moderate-, and vigorous-intensity PA were all not associated with HRQoL. Lower severity of illness was significantly associated with better physical (PHC), mental (MHC) and global (GHC) health composites of the RAND-36 (GHC: t = − 5.628, p < 0.001, PHC: t = − 4.026, p < 0.001, MHC: t = − 5.534, p < 0.001). Both PA and SB were not significantly associated with PHC, MHC, and GHC.

Conclusion

Severity of illness has a significant impact on HRQoL in people with schizophrenia. However, we found no evidence to support the association between physical activity and sedentary behavior with HRQoL.
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Metagegevens
Titel
The effects of clinical illness severity and physical activity on health-related quality of life in schizophrenia
Auteurs
Mei San Ang
Milawaty Nurjono
Jimmy Lee
Publicatiedatum
25-02-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02126-8