Interventions to increase physical activity and reduce sedentary behaviour in severe mental ill health: How effective are they?’- A systematic review.

PECKHAM, Emily, TEW, Garry, LORIMER, Ben, BAILEY, Laura, BEEKEN, Rebecca, COOPER, Cindy, GASCOYNE, Samantha, GILBODY, Simon, JONES, Gareth, MACHACZEK, Katarzyna, PICKERING, Katie, TRAVISS-TURNER, Gemma and STUBBS, Brendon (2023). Interventions to increase physical activity and reduce sedentary behaviour in severe mental ill health: How effective are they?’- A systematic review. Mental Health and Physical Activity, 25: 100547.

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Abstract

Background People with severe mental ill health experience a mortality gap of 15–20 years and one of the main reasons for this is due to preventable physical health conditions. Physical activity can reduce the risk of developing physical health conditions such as diabetes and cardiovascular disease yet people with severe mental ill health are less physically active and more sedentary than the general population. Methods A systematic review was conducted to investigate the effectiveness of interventions aimed at increasing physical activity and reducing sedentary behaviour in people with severe mental ill health. The protocol was published with PROSPERO (CRD42021277579). Randomised controlled trials conducted in any country in any setting and published in English with an aim of increasing physical activity or reducing sedentary behaviour were included. Results Eleven unique studies were identified for inclusion. Due to the variability between interventions, outcome measures, and time points, it was not possible to conduct a meta-analysis. Effect estimates suggested that three of the interventions were effective at increasing physical activity. However, the certainty of the evidence was rated as low using the GRADE approach. Conclusions The evidence on interventions to increase activity shows promise but is insufficiently robust for an intervention to be recommended in clinical guidelines. More high-quality and statistically powered trials are needed to guide best practice and policy.

Item Type:	Article
Uncontrolled Keywords:	1103 Clinical Sciences; 1106 Human Movement and Sports Sciences; 1701 Psychology; 4207 Sports science and exercise; 5203 Clinical and health psychology
Identification Number:	https://doi.org/10.1016/j.mhpa.2023.100547
SWORD Depositor:	Symplectic Elements
Depositing User:	Symplectic Elements
Date Deposited:	03 Aug 2023 09:51
Last Modified:	11 Oct 2023 12:31
URI:	https://shura.shu.ac.uk/id/eprint/32213

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