Publication:
Association between actigraphy-derived physical activity and cognitive performance in patients with Schizophrenia

dc.creatorChen, Li-Jung;Steptoe, Andrew;Chung, M.-S.;Ku, Po-Wen
dc.date2016-08
dc.date.accessioned2018-06-12T15:05:18Z
dc.date.accessioned2025-07-28T15:06:05Z
dc.date.available2018-06-12T15:05:18Z
dc.date.issued2018-06-12T15:05:18Z
dc.description.abstractBackground An association between low levels of physical activity and impaired cognitive performance in schizophrenia has been proposed, but most studies have relied on self-report measures of activity. This study examined the association between actigraphy-derived physical activity and cognitive performance adjusting for multiple covariates in patients with schizophrenia. Method Patients with schizophrenia (n = 199) were recruited from chronic psychiatric wards, and 60 age-, sex- and body mass index-matched comparison participants were recruited from the staff of two hospitals and universities. Physical activity was assessed objectively for 7 days using an ActiGraph. Cognitive performance was assessed with the Cognitrone test from the Vienna Test System and the Grooved Pegboard Test. Demographic variables, metabolic parameters, positive and negative symptoms, duration of illness and hospitalization, and medication use were included as covariates. Pearson correlations and multivariable linear regressions were conducted to examine the associations between physical activity levels and cognitive performance. Results Patients with schizophrenia were less physically active and had poorer performance on attention/concentration and speed of processing than the comparison group. Patients with schizophrenia who spent more time in light physical activity showed better performance on attention/concentration (β = 0.198, p = 0.020) and speed of processing (β= −0.169, p = 0.048) tasks than those who were less active. Cognitive performance was also associated with moderate-vigorous physical activity, but the effect was no longer significant once light physical activity had been taken into account. Conclusions This study provides evidence for a positive association between objectively measured light physical activity and cognitive performance in people with schizophrenia, after adjustment for multiple confounders.
dc.format.extent280 bytes
dc.format.mimetypetext/html
dc.identifier.urihttps://ir.ntus.edu.tw/handle/987654321/65721
dc.languagezh_TW
dc.publisherCambridge University Press
dc.relationPsychological Medicine, Vol.46, No.11, pp.2375-2384
dc.subjectAccelerometry; Actigraphy; Cognition; Inactivity; Psychiatric Disorders
dc.titleAssociation between actigraphy-derived physical activity and cognitive performance in patients with Schizophrenia
dc.typearticle
dspace.entity.typePublication

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