Dietary intake, physical activity and sedentary behaviour patterns in a sample with established psychosis and associations with mental health symptomatology

Rebecca Martland; Scott Teasdale; Robin M. Murray; Poonam Gardner-Sood; Shubulade Smith; Khalida Ismail; Zerrin Atakan; Kathryn Greenwood; Brendon Stubbs; Fiona Gaughran

doi:10.1017/S0033291721003147

Dietary intake, physical activity and sedentary behaviour patterns in a sample with established psychosis and associations with mental health symptomatology

Rebecca Martland^*, Scott Teasdale, Robin M. Murray, Poonam Gardner-Sood, Shubulade Smith, Khalida Ismail, Zerrin Atakan, Kathryn Greenwood, Brendon Stubbs, Fiona Gaughran

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

19 Citations (Scopus)

Abstract

Background People with psychosis experience cardiometabolic comorbidities, including metabolic syndrome, coronary heart disease and diabetes. These physical comorbidities have been linked to diet, inactivity and the effects of the illness itself, including disorganisation, impairments in global function and amotivation associated with negative symptoms of schizophrenia or co-morbid depression. Methods We aimed to describe the dietary intake, physical activity (PA) and sedentary behaviour patterns of a sample of patients with established psychosis participating in the Improving Physical Health and Reducing Substance Use in Severe Mental Illness (IMPaCT) randomised controlled trial, and to explore the relationship between these lifestyle factors and mental health symptomatology. Results A majority of participants had poor dietary quality, low in fruit and vegetables and high in discretionary foods. Only 29.3% completed 3/4150 min of moderate and/or vigorous activity per week and 72.2% spent 3/46 h per day sitting. Cross-sectional associations between negative symptoms, global function, and PA and sedentary behaviour were observed. Additionally, those with more negative symptoms receiving IMPaCT therapy had fewer positive changes in PA from baseline to 12-month follow-up than those with fewer negative symptoms at baseline. Conclusion These results highlight the need for the development of multidisciplinary lifestyle and exercise interventions to target eating habits, PA and sedentary behaviour, and the need for further research on how to adapt lifestyle interventions to baseline mental status. Negative symptoms in particular may reduce patient's responses to lifestyle interventions.

Original language	English
Journal	Psychological Medicine
DOIs	https://doi.org/10.1017/S0033291721003147
Publication status	Accepted/In press - 2021

Keywords

Depression
diet
global functioning
negative symptoms
physical activity
psychosis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1017/S0033291721003147

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Martland, R., Teasdale, S., Murray, R. M., Gardner-Sood, P., Smith, S., Ismail, K., Atakan, Z., Greenwood, K., Stubbs, B., & Gaughran, F. (Accepted/In press). Dietary intake, physical activity and sedentary behaviour patterns in a sample with established psychosis and associations with mental health symptomatology. Psychological Medicine. https://doi.org/10.1017/S0033291721003147

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title = "Dietary intake, physical activity and sedentary behaviour patterns in a sample with established psychosis and associations with mental health symptomatology",

abstract = "Background People with psychosis experience cardiometabolic comorbidities, including metabolic syndrome, coronary heart disease and diabetes. These physical comorbidities have been linked to diet, inactivity and the effects of the illness itself, including disorganisation, impairments in global function and amotivation associated with negative symptoms of schizophrenia or co-morbid depression. Methods We aimed to describe the dietary intake, physical activity (PA) and sedentary behaviour patterns of a sample of patients with established psychosis participating in the Improving Physical Health and Reducing Substance Use in Severe Mental Illness (IMPaCT) randomised controlled trial, and to explore the relationship between these lifestyle factors and mental health symptomatology. Results A majority of participants had poor dietary quality, low in fruit and vegetables and high in discretionary foods. Only 29.3% completed 3/4150 min of moderate and/or vigorous activity per week and 72.2% spent 3/46 h per day sitting. Cross-sectional associations between negative symptoms, global function, and PA and sedentary behaviour were observed. Additionally, those with more negative symptoms receiving IMPaCT therapy had fewer positive changes in PA from baseline to 12-month follow-up than those with fewer negative symptoms at baseline. Conclusion These results highlight the need for the development of multidisciplinary lifestyle and exercise interventions to target eating habits, PA and sedentary behaviour, and the need for further research on how to adapt lifestyle interventions to baseline mental status. Negative symptoms in particular may reduce patient's responses to lifestyle interventions. ",

keywords = "Depression, diet, global functioning, negative symptoms, physical activity, psychosis",

author = "Rebecca Martland and Scott Teasdale and Murray, {Robin M.} and Poonam Gardner-Sood and Shubulade Smith and Khalida Ismail and Zerrin Atakan and Kathryn Greenwood and Brendon Stubbs and Fiona Gaughran",

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doi = "10.1017/S0033291721003147",

language = "English",

journal = "Psychological Medicine",

issn = "0033-2917",

publisher = "Cambridge University Press",

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TY - JOUR

T1 - Dietary intake, physical activity and sedentary behaviour patterns in a sample with established psychosis and associations with mental health symptomatology

AU - Martland, Rebecca

AU - Teasdale, Scott

AU - Murray, Robin M.

AU - Gardner-Sood, Poonam

AU - Smith, Shubulade

AU - Ismail, Khalida

AU - Atakan, Zerrin

AU - Greenwood, Kathryn

AU - Stubbs, Brendon

AU - Gaughran, Fiona

PY - 2021

Y1 - 2021

N2 - Background People with psychosis experience cardiometabolic comorbidities, including metabolic syndrome, coronary heart disease and diabetes. These physical comorbidities have been linked to diet, inactivity and the effects of the illness itself, including disorganisation, impairments in global function and amotivation associated with negative symptoms of schizophrenia or co-morbid depression. Methods We aimed to describe the dietary intake, physical activity (PA) and sedentary behaviour patterns of a sample of patients with established psychosis participating in the Improving Physical Health and Reducing Substance Use in Severe Mental Illness (IMPaCT) randomised controlled trial, and to explore the relationship between these lifestyle factors and mental health symptomatology. Results A majority of participants had poor dietary quality, low in fruit and vegetables and high in discretionary foods. Only 29.3% completed 3/4150 min of moderate and/or vigorous activity per week and 72.2% spent 3/46 h per day sitting. Cross-sectional associations between negative symptoms, global function, and PA and sedentary behaviour were observed. Additionally, those with more negative symptoms receiving IMPaCT therapy had fewer positive changes in PA from baseline to 12-month follow-up than those with fewer negative symptoms at baseline. Conclusion These results highlight the need for the development of multidisciplinary lifestyle and exercise interventions to target eating habits, PA and sedentary behaviour, and the need for further research on how to adapt lifestyle interventions to baseline mental status. Negative symptoms in particular may reduce patient's responses to lifestyle interventions.

AB - Background People with psychosis experience cardiometabolic comorbidities, including metabolic syndrome, coronary heart disease and diabetes. These physical comorbidities have been linked to diet, inactivity and the effects of the illness itself, including disorganisation, impairments in global function and amotivation associated with negative symptoms of schizophrenia or co-morbid depression. Methods We aimed to describe the dietary intake, physical activity (PA) and sedentary behaviour patterns of a sample of patients with established psychosis participating in the Improving Physical Health and Reducing Substance Use in Severe Mental Illness (IMPaCT) randomised controlled trial, and to explore the relationship between these lifestyle factors and mental health symptomatology. Results A majority of participants had poor dietary quality, low in fruit and vegetables and high in discretionary foods. Only 29.3% completed 3/4150 min of moderate and/or vigorous activity per week and 72.2% spent 3/46 h per day sitting. Cross-sectional associations between negative symptoms, global function, and PA and sedentary behaviour were observed. Additionally, those with more negative symptoms receiving IMPaCT therapy had fewer positive changes in PA from baseline to 12-month follow-up than those with fewer negative symptoms at baseline. Conclusion These results highlight the need for the development of multidisciplinary lifestyle and exercise interventions to target eating habits, PA and sedentary behaviour, and the need for further research on how to adapt lifestyle interventions to baseline mental status. Negative symptoms in particular may reduce patient's responses to lifestyle interventions.

KW - Depression

KW - diet

KW - global functioning

KW - negative symptoms

KW - physical activity

KW - psychosis

UR - http://www.scopus.com/inward/record.url?scp=85113489081&partnerID=8YFLogxK

U2 - 10.1017/S0033291721003147

DO - 10.1017/S0033291721003147

M3 - Article

AN - SCOPUS:85113489081

SN - 0033-2917

JO - Psychological Medicine

JF - Psychological Medicine

ER -

Dietary intake, physical activity and sedentary behaviour patterns in a sample with established psychosis and associations with mental health symptomatology

Abstract

Keywords

UN SDGs

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