RT Journal Article
T1 Ideal cardiovascular health and its association with sedentary behaviour and fitness in psychiatric patients. The PsychiActive project.
A1 Bueno-Antequera, Javier
A1 Oviedo Caro, Miguel Ángel
A1 Munguía Izquierdo, Diego
K1 Cardiovascular disease
K1 Mental disorders
K1 Physical fitness
K1 Sedentary lifestyle
K1 CIRFD - Centro de Investigación en Rendimiento Físico y Deportivo
K1 CIRFD - AFS
AB BACKGROUND AND AIMS:Ideal cardiovascular health (CVH) was defined as meeting ideal levels of 4 health behaviours (smoking, body mass index, physical activity, and diet) and 3 biological factors (blood pressure, total cholesterol, and glucose) and is inversely related to cardiovascular disease and mortality. However, the prevalence of ideal CVH in patients with severe mental illness and the possible independent associations of sedentary behaviour and fitness with CVH score are unexplored.METHODS AND RESULTS:This study included 142 (34 women) outpatients with severe mental illness (primarily schizophrenia, n = 92). CVH was evaluated according to the American Heart Association guidelines. Sedentary behaviour, cardiorespiratory fitness, and muscular strength were measured by an activity-monitor, the 6-min walk test, and handgrip dynamometry. Cardiorespiratory fitness and strength values were combined in a composite fitness score. The prevalence of ideal CVH was: non-smoking (47.9%), body mass index (16.9), physical activity (83.1%), diet (10.4%), blood pressure (40.4%), total cholesterol (62.9%), and plasma glucose (66.7%). Low levels of sedentary behaviour and high cardiorespiratory, strength, and composite fitness score were associated with meeting the ideal threshold in most CVH metrics and having higher global CVH score; however, only cardiorespiratory and composite fitness score remained significantly related to global CVH score independent of sedentary behaviour and multiple confounders.CONCLUSIONS:Patients with severe mental illness generally have low prevalence of ideal CVH metrics, especially diet and body mass index. Additionally, our findings suggest the need or considering cardiorespiratory fitness, regardless of sedentary behaviour, to promote ideal CVH in this population.
PB Elsevier
SN 1590-3729
YR 2018
FD 2018-05-12
LK http://hdl.handle.net/10433/7968
UL http://hdl.handle.net/10433/7968
LA en
NO Nutr Metab Cardiovasc Dis. 2018 Sep;28(9):900-908.
NO Universidad Pablo de Olavide de Sevilla. Departamento de Deporte e Informática
DS RIO
RD May 9, 2026