title: Associations between perceived neighbourhood environmental attributes and self-reported sitting time in patients with schizophrenia: a pilot study.
abstract: Sitting behaviours may, independent of physical activity behaviours, be a distinct risk factor for multiple adverse health outcomes in patients with schizophrenia. In order to combat sitting behaviours health care providers and policy makers require further understanding of its determinants in this population group. The aim of the present study was to investigate the variance in sitting time explained by a wide range of community design and recreational environmental variables, above and beyond the variance accounted for by demographic variables. One hundred and twenty-three patients (42♀) with schizophrenia (mean age=41.5 ± 12.6 years) were included in the final analysis. The built environment was rated using the Instruments for Assessing Levels of Physical Activity and Fitness environmental questionnaire and sitting time was assessed using the International Physical Activity Questionnaire-short (IPAQ) version. Regression analysis showed that environmental variables were related to sitting time. The body mass index (BMI) and disease stage explained 8.4% of the variance in sitting, while environmental correlates explained an additional 16.8%. Clinical practice guidelines should incorporate strategies targeting changes in sitting behaviours, from encouraging environmental changes to the availability of exercise equipment.
authors.affiliation: University Psychiatric Centre KU Leuven, Campus Kortenberg, Department of Neurosciences KU Leuven, Kortenberg, Belgium; Department of Rehabilitation Sciences KU Leuven, Leuven, Belgium. Electronic address: Davy.Vancampfort@uc-kortenberg.be.
authors.forename: Davy
authors.initials: D
authors.lastname: Vancampfort
authors.affiliation: University Psychiatric Centre KU Leuven, Campus Kortenberg, Department of Neurosciences KU Leuven, Kortenberg, Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: De Hert
authors.affiliation: Department of Rehabilitation Sciences KU Leuven, Leuven, Belgium.
authors.forename: Amber
authors.initials: A
authors.lastname: De Herdt
authors.affiliation: School of Health and Population Sciences, College of Medicine and Dentistry, University of Birmingham, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Soundy
authors.affiliation: School of Health and Social Care, University of Greenwich, Southwood Site Avery Hill Road Eltham, London, UK.
authors.forename: Brendon
authors.initials: B
authors.lastname: Stubbs
authors.affiliation: Dynamics of Human Abilities and Health Behaviours, University of Montpellier, France.
authors.forename: Paquito
authors.initials: P
authors.lastname: Bernard
authors.affiliation: University Psychiatric Centre KU Leuven, Campus Kortenberg, Department of Neurosciences KU Leuven, Kortenberg, Belgium; Department of Rehabilitation Sciences KU Leuven, Leuven, Belgium.
authors.forename: Michel
authors.initials: M
authors.lastname: Probst
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004777:Environment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D010865:Pilot Projects; D011187:Posture / Q000502:physiology*; D011998:Recreation / Q000502:physiology* / Q000523:psychology; D012044:Regression Analysis; D012111:Residence Characteristics; D012307:Risk Factors; D012559:Schizophrenia; D012565:Schizophrenic Psychology; D057566:Self Report; D011795:Surveys and Questionnaires
keywords: Built environment; Physical inactivity; Schizophrenia; Sitting