title: Quality assessment of physical activity recommendations within clinical practice guidelines for the prevention and treatment of cardio-metabolic risk factors in people with schizophrenia.
abstract: The aim of this review was to assess the quality of physical activity recommendations within clinical practice guidelines for the prevention and treatment of the cardio-metabolic risk factors in schizophrenia. Several databases were searched from their inception through July 2010. The Appraisal of Guidelines for Research and Evaluation instrument was used for the quality assessment. Twelve recommendations met all the in- and exclusion criteria. The overall agreement of the quality assessment using the intraclass correlation coefficient was 0.90. Comparison identified considerable variation in the quality of the content. Based on quality assurance standards, only one of 12 guidelines was recommended. Differences on in-depth analysis suggest a lack of consistency in relation to information about the potential role of physical activity in reducing cardiometabolic risks in schizophrenia. High quality recommendations are highly needed along with specific practical advice for persons with schizophrenia, family members and health care professionals.
authors.affiliation: University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg 517, Kortenberg, Belgium. Davy.Vancampfort@uc-kortenberg.be
authors.forename: Davy
authors.initials: D
authors.lastname: Vancampfort
authors.forename: Kim
authors.initials: K
authors.lastname: Sweers
authors.forename: Michel
authors.initials: M
authors.lastname: Probst
authors.forename: Alex J
authors.initials: AJ
authors.lastname: Mitchell
authors.forename: Jan
authors.initials: J
authors.lastname: Knapen
authors.forename: Marc
authors.initials: M
authors.lastname: De Hert
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control*; D015897:Comorbidity; D019049:Developed Countries; D015444:Exercise; D017408:Guidelines as Topic; D006801:Humans; D024821:Metabolic Syndrome / Q000517:prevention & control*; D040242:Risk Reduction Behavior; D012559:Schizophrenia / Q000534:rehabilitation