Effects of physical activity and nutrient supplementation on symptoms and well-being of schizophrenia patients: An umbrella review.

Diet Nutrition Physical activity Schizophrenia Systematic reviews Umbrella review

Journal

Schizophrenia research
ISSN: 1573-2509
Titre abrégé: Schizophr Res
Pays: Netherlands
ID NLM: 8804207

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 07 02 2023
revised: 21 10 2023
accepted: 22 10 2023
pubmed: 11 11 2023
medline: 11 11 2023
entrez: 10 11 2023
Statut: ppublish

Résumé

Physical activity and nutrient supplementation have been acknowledged to have moderate effects on symptoms and treatment compliance of patients suffering from mental disorders. However, there is still a lack of consensus on whether these interventions are effective on schizophrenia clinical and quality of life outcomes. Our objective was to provide a comprehensive review of systematic reviews that addressed the effects of physical activity and nutrient supplementation on treatment compliance, symptoms and improving the well-being of patients with schizophrenia. We carried out an umbrella review following Johanna Briggs Institute methodological guidance as follows: 1) Formulating a review question, 2) developing a search strategy, 3) systematic search in scientific databases (Medline, Cochrane Library, Science Direct), 4) study selection (title, abstract and full-text screening), 5) data extraction, 6) data charting and synthesis and 7) quality appraisal. Our search strategy yielded 2214 articles published between 1960 and 2023. Nine systematic reviews fitted our inclusion criteria. Our umbrella review suggests that yoga is effective on positive and negative symptoms, and well-being, whereas aerobics is only effective on positive symptoms. We also found that supplementing polyunsaturated fatty acids and trace elements reduced schizophrenia's negative symptoms. Our umbrella review highlighted moderate to low-quality evidence supporting the effectiveness of physical activity on negative and positive schizophrenia symptoms and the overall well-being of patients with schizophrenia. Our review findings support the need to promote physical activity and supplementation of micronutrients, a cost-effective strategy to promote healthy lifestyles in low and middle-income countries.

Sections du résumé

BACKGROUND BACKGROUND
Physical activity and nutrient supplementation have been acknowledged to have moderate effects on symptoms and treatment compliance of patients suffering from mental disorders. However, there is still a lack of consensus on whether these interventions are effective on schizophrenia clinical and quality of life outcomes. Our objective was to provide a comprehensive review of systematic reviews that addressed the effects of physical activity and nutrient supplementation on treatment compliance, symptoms and improving the well-being of patients with schizophrenia.
METHOD METHODS
We carried out an umbrella review following Johanna Briggs Institute methodological guidance as follows: 1) Formulating a review question, 2) developing a search strategy, 3) systematic search in scientific databases (Medline, Cochrane Library, Science Direct), 4) study selection (title, abstract and full-text screening), 5) data extraction, 6) data charting and synthesis and 7) quality appraisal.
RESULTS RESULTS
Our search strategy yielded 2214 articles published between 1960 and 2023. Nine systematic reviews fitted our inclusion criteria. Our umbrella review suggests that yoga is effective on positive and negative symptoms, and well-being, whereas aerobics is only effective on positive symptoms. We also found that supplementing polyunsaturated fatty acids and trace elements reduced schizophrenia's negative symptoms.
CONCLUSION CONCLUSIONS
Our umbrella review highlighted moderate to low-quality evidence supporting the effectiveness of physical activity on negative and positive schizophrenia symptoms and the overall well-being of patients with schizophrenia. Our review findings support the need to promote physical activity and supplementation of micronutrients, a cost-effective strategy to promote healthy lifestyles in low and middle-income countries.

Identifiants

pubmed: 37948884
pii: S0920-9964(23)00382-1
doi: 10.1016/j.schres.2023.10.021
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

112-120

Informations de copyright

Copyright © 2023 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest We declare that we have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. We bring to your attention, that this manuscript has not been submitted for publication in any other journal.

Auteurs

Houda El Kirat (H)

Public Health and Management Department, International School of Public Health, Mohammed VI University of Health and Sciences, UM6SS, Casablanca, Morocco; Mohammed VI Center for Research and Innovation, CM6RI, Rabat, Morocco; National School of Public Health, Ministry of Health, and Social Protection, Morocco. Electronic address: Houda-K@hotmail.com.

Asmaa Khattabi (A)

Public Health and Management Department, International School of Public Health, Mohammed VI University of Health and Sciences, UM6SS, Casablanca, Morocco; Mohammed VI Center for Research and Innovation, CM6RI, Rabat, Morocco.

Mohamed Khalis (M)

Mohammed VI Center for Research and Innovation, CM6RI, Rabat, Morocco.

Zakaria Belrhiti (Z)

Public Health and Management Department, International School of Public Health, Mohammed VI University of Health and Sciences, UM6SS, Casablanca, Morocco; Mohammed VI Center for Research and Innovation, CM6RI, Rabat, Morocco.

Classifications MeSH