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BMC Research Notes

, 9:340



BackgroundIndividuals with a severe mental illness SMI are at least two times more likely to suffer from metabolic co-morbidities, leading to excessive and premature deaths. In spite of the many physical and mental health benefits of physical activity PA, individuals with SMI are less physically active and more sedentary than the general population. One key component towards increasing the acceptability, adoption, and long-term adherence to PA is to understand, tailor and incorporate the PA preferences of individuals. Therefore, the objective of this study was to determine if there are differences in PA preferences among individuals diagnosed with different psychiatric disorders, in particular schizophrenia or bipolar disorder BD, and to identify PA design features that participants would prefer.

MethodsParticipants with schizophrenia n = 113 or BD n = 60 completed a survey assessing their PA preferences.

ResultsThere were no statistical between-group differences on any preferred PA program design feature between those diagnosed with schizophrenia or BD. As such, participants with either diagnosis were collapsed into one group in order to report PA preferences. Walking 59.5 % at moderate intensity 61.3 % was the most popular activity and participants were receptive to using self-monitoring tools 59.0 %. Participants were also interested in incorporating strength and resistance training 58.5 % into their PA program and preferred some level of regular contact with a fitness specialist 66.0 %.

ConclusionsThese findings can be used to tailor a physical activity intervention for adults with schizophrenia or BD. Since participants with schizophrenia or BD do not differ in PA program preferences, the preferred features may have broad applicability for individuals with any SMI.

KeywordsPhysical activity Preferences Severe mental illness Health perceptions Walking AbbreviationsBDbipolar disorder

BDNOS bipolar disorder not otherwise specified

BMIbody mass index

CRPC-reactive protein


HAPAhealth action process approach

MINImini international neuropsychiatric interview

MVPAmoderate-to-vigorous physical activity

PAphysical activity

SDstandard deviation

SDTself-determination theory

SMIsevere mental illness

Autor: Mehala Subramaniapillai - Kelly Arbour-Nicitopoulos - Markus Duncan - Roger S. McIntyre - Rodrigo B. Mansur - Gary Remingt


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