eISSN: 2084-9885
ISSN: 1896-6764
Neuropsychiatria i Neuropsychologia/Neuropsychiatry and Neuropsychology
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1-2/2023
vol. 18
 
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abstract:
Original article

Physical activity and negative symptoms as predictors of metabolic syndrome in patients with schizophrenia

Veronica Casadei
1
,
Jan Jaracz
1
,
Paweł Wójciak
1
,
Jerzy Moczko
2
,
Przemysław Filipiak
1
,
Kamila Kucharska-Kowalczyk
1
,
Filip Rybakowski
1

  1. Klinika Psychiatrii Dorosłych, Uniwersytet Medyczny im. K. Marcinkowskiego w Poznaniu
  2. Katedra Informatyki i Statystyki, Uniwersytet Medyczny im. K. Marcinkowskiego w Poznaniu
Neuropsychiatria i Neuropsychologia 2023; 18, 1–2: 11–18
DOI: https://doi.org/10.5114/nan.2023.128697
Online publish date: 2023/07/03
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Introduction:
The main purpose of the study is to assess correlations between presence of metabolic dysfunctions, negative symptoms of schizophrenia and physical activity.

Material and methods:
46 adult patients with schizophrenia diagnosed using ICD-10 criteria were qualified for the research group; the group was composed of 24 men and 22 women. Three scales were used to evaluate mental state: PANSS (Positive and Negative Syndrome Scale), BNSS (Brief Negative Syndrome Scale) and SNS (Self-evaluation of Negative Symptoms). Physical activity was assessed using accelerometry, measuring the following parameters: calories burnt per minute, calories burnt per day, percentage of sedentary activity, percentage of light activity, percentage of moderate activity, percentage of vigorous activity, percentage of very vigorous activity. The components of metabolic syndrome were measured – lipid profile, fasting glucose, waist circumference and blood pressure. National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) metabolic syndrome criteria were applied.

Results:
There were no significant connections between physical activity and metabolic syndrome. Significant differences in presence of single negative schizophrenia symptoms regarding metabolic syndrome criteria were observed and significant correlations between physical activity and single schizophrenia symptoms were noted.

Conclusions:
Considering the disagreements between previous papers, more multicentre research on a large group of patients is needed.

keywords:

schizophrenia, metabolic syndrome, negative symptoms, actigraphy
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