Cited by 379Physical Activity and HealthSchizophrenia research and treatmentSports and Physical Education Studies

How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression

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Stubbs, Brendon, Firth, Joseph, Berry, Alexandra, Schuch, Felipe B., Rosenbaum, Simon, Gaughran, Fiona, Veronesse, Nicola, Williams, Julie +3 more·2016·Schizophrenia Research

Abstract

Objective Physical activity (PA) improves health outcomes in people with schizophrenia. It is unclear how much PA people with schizophrenia undertake and what influences PA participation. We conducted a meta-analysis to investigate PA levels and predictors in people with schizophrenia.Method Major databases were searched from inception till 02/2016 for articles measuring PA (self-report questionnaire (SRQ) or objective measure (e.g. accelerometer)) in people with schizophrenia, including first episode psychosis (FEP). A random effects meta-analysis and meta-regression analysis were conducted.Results 35 studies representing 3453 individuals with schizophrenia (40.0years; 64.0% male) were included. Engagement in light PA was 80.44min (95% CI 68.32-92.52, n=2658), 47.1min moderate-vigorous PA (95% CI 31.5-62.8, n=559) and 1.05min (95% CI 0.48-1.62, n=2533) vigorous PA per day. People with schizophrenia engaged in significantly less moderate (hedges g=-0.45, 95% CI -0.79 to -0.1, p=0.01) and vigorous PA (g=-0.4, 95% CI -0.60 to -0.18) versus controls. Higher light to moderate, but lower vigorous PA levels were observed in outpatients and in studies utilizing objective measures versus SRQ. 56.6% (95% CI 45.8-66.8, studies=12) met the recommended 150min of moderate physical activity per week. Depressive symptoms and older age were associated with less vigorous PA in meta-regression analyses.Conclusions Our data confirm that people with schizophrenia engage in significantly less moderate and vigorous PA versus controls. Interventions aiming to increase PA, regardless of intensity are indicated for people with schizophrenia, while specifically increasing moderate-vigorous PA should be a priority given the established health benefits.

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Authors
Stubbs, B., Firth, J., Berry, A., Schuch, F. B., Rosenbaum, S., Gaughran, F., Veronesse, N., Williams, J., Craig, T., Yung, A. R., & Vancampfort, D.
Affiliations
  • National Health Service (GB)
  • University of Manchester (GB)
  • Universidade Federal do Rio Grande do Sul (BR)
  • UNSW Sydney (AU)
  • King's College London (GB)
  • University of Padua (IT)
  • KU Leuven (BE)
Corresponding author
Stubbs, Brendon
Venue
Schizophrenia Research
Publisher
Elsevier BV
Published
2016-10
Volume
176
Issue
2-3
Pages
431-440
ISSN
0920-9964 (ISSN-L)
OpenAlex
W2410943997
Cited by
379
References
73
Citations by year
2026: 13 · 2025: 30 · 2024: 32 · 2023: 46 · 2022: 23 · 2021: 36 · 2020: 41 · 2019: 39 · 2018: 59 · 2017: 51 · 2016: 9
FWCI
6.12
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Research (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
  • Lirias (submittedVersion, other-oa)
  • Research Explorer (The University of Manchester) (submittedVersion, other-oa)
Funders
Medical Research Council (1789937)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
Keywords
physical activity, schizophrenia
MeSH terms
Humans, Regression Analysis, Schizophrenia, Exercise

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