J M Alvarez, D N Ruble, N Bolger
Trait understanding or evaluative reasoning? An analysis of children's behavioral predictions
Child development
people severe mental illness schizophrenia bipolar disorder major depressive disorder die 15 years prematurely due chronic somatic comorbidities sedentary behavior low physical activity independent yet modifiable risk factors cardiovascular disease premature mortality people comprehensive metaanalysis exploring risk factors lacking vulnerable population conducted metaanalysis investigating sedentary behavior physical activity levels correlates people severe mental illness major electronic databases searched inception april 2017 articles measuring sedentary behavior andor physical activity selfreport questionnaire objective measure eg accelerometer random effects metaanalyses metaregression analyses conducted sixtynine studies included n35682 395 male mean age 430 years people severe mental illness spent average 4760 min per day 95 ci 40735454 sedentary waking hours significantly sedentary age gendermatched healthy controls p0003 mean amount moderate vigorous physical activity 384 min per day 95 ci 320448 significantly lower healthy controls p0002 moderate activity p0001 vigorous activity people severe mental illness significantly less likely matched healthy controls meet physical activity guidelines odds ratio 15 95 ci 1120 p0001 i2 958 lower physical activity levels noncompliance physical activity guidelines associated male gender single unemployment fewer years education higher body mass index longer illness duration antidepressant antipsychotic medication use lower cardiorespiratory fitness diagnosis schizophrenia people bipolar disorder physically active yet spent time sedentary geographical differences detected inpatients active outpatients living community given established health benefits physical activity low levels people severe mental illness future interventions specifically targeting prevention physical inactivity sedentary behavior warranted population