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This study is the first to bring together research on outpatients with schizophrenia that reports
physical activity according to the four FITT domains of physical activity (frequency, intensity,
time and type). The limited number of studies in the met a regression compared to the number of
studies that have considered this concept illustrates the scarcity of research articles that have
selected an outcome measure detailing each of the FITT domains.
Further to this, the critical appraisal highlighted a need to consider the environment and sociopolitical factors that may influence physical activity. This alone raises questions over the use and
value of content in previous research, but also the need for research that uses validated outcome
measures. This studys meta-analysis primary identified that patients spent more time per week
in sedentary activity but less time per week undertaking moderate and vigorous physical activity
compared to healthy controls. No difference was identified between the low levels of physical
activity. The meta-regression identified no significant association between physical activity and
two moderators: age and gender. This indicates that both genders need the same attention and
care to motivate them towards an active lifestyle. In the same way, lack of physical activity and
sedentary behaviour should be a concern across the life span of outpatients with schizophrenia.
The fact this study identified that individuals with schizophrenia undertake more sedentary
behaviour compared to healthy controls is important as a higher resting time has been associated
with a greater chance of experiencing metabolic abnormalities However, the current research
could not detail which activities were included within the category of sedentary behaviours.
Further research needs to elucidate which types of sedentary behaviour individuals with
schizophrenia are engaged in. A greater understanding of the types of behaviour involved in
sedentary behaviour may help identify whether any such behaviours could be used in an
intervention. The sedentary behaviour of outpatients with schizophrenia appears higher than their
healthy peers. However, future research may benefit from considering which types of sedentary
behaviour and light physical activity individuals with schizophrenia undertake. It would also be

valuable to consider how individuals interact with their built physical environment and their
sociocultural or political .environment.


My client is having the psychological problem and she needs this information because she didnt
join the OT because her reason was she felt sleepy all the time. This journal will help my client
to improve his daily living and she may involve in any activities.
RELEVANCE TO ME: This will encourage my patient to have their sedentary lifestyle like
jogging, doing exercise.
This journal will encourage those having psychological problem to have their daily activities for
the fast recovery from their situation , exercise is greatly important as it helps reduce weight and
metabolic abnormalities, to prevent cardiovascular diseases because the anti-psychotic drug
increases the risk of Cardiovascular diseases and Diabetes mellitus .
They should include some of the appropriate exercises for those individual and also the duration.

Statistics Canada. Canadian Community Health Survey 3.1. Public use microdata
file. Ottawa (ON): Statistics Canada; 2006.
Vancampfort D, Probst M, Helvik Skjaerven L, Cataln- Matamoros D, Lundvik-Gyllensten A,
Gmez-Conesa A et al (2012c) Systematic Review of the Benefits of Physical Therapy within a
Multidisciplinary Care Approach for People with Schizophrenia. Physical Ther .

WHO (2010) Schizophrenia, schizotypal and delusional disorders (F20-F29). International

Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)
Version for 2010. WHO, Geneva