Cited by 697Physical Activity and HealthSchizophrenia research and treatmentTreatment of Major Depression

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EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH)

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Stubbs, Brendon, Vancampfort, Davy, Hallgren, Mats, Firth, Joseph, Veronese, Nicola, Solmi, Marco, Brand, Serge, Cordes, Joachim, Malchow, Berend, Gerber, Markus, Schmitt, Andrea, Correll, Christoph U., De Hert, Marc, Gaughran, Fiona, Schneider, Frank, Kinnafick, Florence, Falkai, Peter, Möller, Hans-Jürgen, Kahl, Kai G.·2018·European Psychiatry

DOI 10.1016/j.eurpsy.2018.07.004

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Abstract

Physical activity (PA) may be therapeutic for people with severe mental illness (SMI) who generally have low PA and experience numerous life style-related medical complications. We conducted a meta-review of PA interventions and their impact on health outcomes for people with SMI, including schizophrenia-spectrum disorders, major depressive disorder (MDD) and bipolar disorder. We searched major electronic databases until January 2018 for systematic reviews with/without meta-analysis that investigated PA for any SMI. We rated the quality of studies with the AMSTAR tool, grading the quality of evidence, and identifying gaps, future research needs and clinical practice recommendations. For MDD, consistent evidence indicated that PA can improve depressive symptoms versus control conditions, with effects comparable to those of antidepressants and psychotherapy. PA can also improve cardiorespiratory fitness and quality of life in people with MDD, although the impact on physical health outcomes was limited. There were no differences in adverse events versus control conditions. For MDD, larger effect sizes were seen when PA was delivered at moderate-vigorous intensity and supervised by an exercise specialist. For schizophrenia-spectrum disorders, evidence indicates that aerobic PA can reduce psychiatric symptoms, improves cognition and various subdomains, cardiorespiratory fitness, whilst evidence for the impact on anthropometric measures was inconsistent. There was a paucity of studies investigating PA in bipolar disorder, precluding any definitive recommendations. No cost effectiveness analyses in any SMI condition were identified. We make multiple recommendations to fill existing research gaps and increase the use of PA in routine clinical care aimed at improving psychiatric and medical outcomes.

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Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554
Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research.
(1985) · Europe PMC (PubMed Central) · Cited by 9,143
Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010
Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., Charlson, F. J., Norman, R. E., Flaxman, A. D., Johns, N., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)61611-6 · Cited by 6,006
Diagnostic and Statistical Manual of Mental Disorders ( DSM ‐ IV ‐ TR )
Segal, D. L. (2010) · Wiley eBooks · doi:10.1002/9780470479216.corpsy0271 · Cited by 4,687
Physical Activity and Public Health: Updated Recommendation for Adults from the American College of Sports Medicine and the American Heart Association
HASKELL, W. L., LEE, I.-M., PATE, R. R., POWELL, K. E., BLAIR, S. N., FRANKLIN, B. A., MACERA, C. A., HEATH, G. W., THOMPSON, P. D., & BAUMAN, A. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3180616b27 · Cited by 4,616
Development of AMSTAR: A measurement tool to assess the methodological quality of systematic reviews
Shea, B. J., Grimshaw, J. M., Wells, G. A., Boers, M., Andersson, N., Hamel, C., Porter, A. C., Tugwell, P., Moher, D., & Bouter, L. M. (2007) · BMC Medical Research Methodology · doi:10.1186/1471-2288-7-10 · Cited by 4,374
Physical Activity and Public Health in Older Adults
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., Macera, C. A., & Castaneda‐Sceppa, C. (2007) · Circulation · doi:10.1161/circulationaha.107.185650 · Cited by 3,057
Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women: A Meta-analysis
Kodama, S. (2009) · JAMA · doi:10.1001/jama.2009.681 · Cited by 3,035

Show all 100 references

Research works printed but not linked: 2

World Health organisation, 1993, The ICD-10 classification of mental and behavioural disorders – diagnostic criteria for research.
Cooney, 2013, Exercise for depression Cochrane Database, Syst Rev, 9, CD004366

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Authors: Stubbs, B., Vancampfort, D., Hallgren, M., Firth, J., Veronese, N., Solmi, M., Brand, S., Cordes, J., Malchow, B., Gerber, M., Schmitt, A., Correll, C. U., De Hert, M., Gaughran, F., Schneider, F., Kinnafick, F., Falkai, P., Möller, H.-J., & Kahl, K. G.
Affiliations: King's College London (GB)
KU Leuven (BE)
Karolinska Institutet (SE)
The University of Melbourne (AU)
National Research Council (IT)
University of Padua (IT)
University of Basel (CH)
Heinrich Heine University Düsseldorf (DE)
Ludwig-Maximilians-Universität München (DE)
Universidade de São Paulo (BR)
Hofstra University (US)
RWTH Aachen University (DE)
Loughborough University (GB)
Medizinische Hochschule Hannover (DE)
Corresponding author: Stubbs, Brendon
ORCID: Stubbs, Brendon
Vancampfort, Davy
Hallgren, Mats
Firth, Joseph
Veronese, Nicola
Solmi, Marco
Brand, Serge
Malchow, Berend
Gerber, Markus
Schmitt, Andrea
Correll, Christoph U.
Gaughran, Fiona
Schneider, Frank
Kinnafick, Florence
Falkai, Peter
Möller, Hans-Jürgen
Kahl, Kai G.
Venue: European Psychiatry
Publisher: Cambridge University Press (CUP)
Published: 2018-07-18
Volume: 54
Pages: 124-144
ISSN: 0924-9338 (ISSN-L)
1778-3585
DOI: 10.1016/j.eurpsy.2018.07.004
OpenAlex: W2887909476
Semantic Scholar: 567a3e019a6376dd5c8a6931e3048be7aba1b933
Cited by: 697
References: 100
Citations by year: 2026: 90 · 2025: 83 · 2024: 124 · 2023: 97 · 2022: 87 · 2021: 77 · 2020: 78 · 2019: 58 · 2018: 3
FWCI: 7.07
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified)
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: European Psychiatry (publishedVersion)
PubMed (publishedVersion)
Loughborough University Institutional Repository (Loughborough University) (submittedVersion, cc-by-nc-nd)
edoc (University of Basel) (submittedVersion)
Figshare (submittedVersion)
Loughborough University Research Repository (Loughborough University) (submittedVersion, cc-by-nc-nd)
Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion)
Research Portal (King's College London) (submittedVersion)
Lirias (submittedVersion)
RWTH Publications (RWTH Aachen) (submittedVersion)
Research Explorer (The University of Manchester) (submittedVersion)
MPG.PuRe (Max Planck Society) (submittedVersion)
Padua Research Archive (University of Padova) (submittedVersion)
Funders: King's College Hospital NHS Foundation Trust
Maudsley Charity
National Institute for Health and Care Research (CL-2017-03-001, ICA-CL-2017-03-001, CL-2017, NIHR-INF-0685)
Department of Health and Social Care
King's College London
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
Keywords: physical activity, severe mental illness, schizophrenia spectrum disorders, major depressive disorder, bipolar disorder, exercise intervention, aerobic exercise, cardiorespiratory fitness, quality of life, cognitive function, adverse events, cost-effectiveness, clinical guidelines
MeSH terms: Cardiorespiratory Fitness, Bipolar Disorder, Major Depressive Disorder, Humans, Mental Health, Psychiatry, Psychotic Disorders, Quality of Life, Schizophrenia, Schizophrenic Psychology, Societies, Medical, Societies, Scientific, Exercise, Physical Therapists

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EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH)

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