Evidence of physical deconditioning during psychiatric hospitalization in a Veteran sample

IF 3.7 2区 医学 Q1 PSYCHIATRY
Laura E. Ong , Gilbert Ramirez , Steven H. Woodward
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引用次数: 0

Abstract

Prior observations of low physical activity in psychiatric inpatient care suggest a risk of physical deconditioning, but to date no studies have explicitly investigated this possibility by measuring change in cardiovascular fitness over the course of hospitalization. The present study used mattress actigraphy to obtain a passive measure of sleep heart rate (sHR) among a sample of 111 male Veterans receiving treatment for PTSD at the VA Palo Alto Health Care System Trauma Recovery Program (TRP). A linear mixed-effect regression model indicated that sHR significantly increased over nights hospitalized, though this effect was attenuated among those who participated at least once in a voluntary cycling program. Conversely, higher BMI at intake was associated with greater increases in sHR over nights. These findings provide evidence of physical deconditioning in the context of residential psychiatric treatment, while suggesting that at least some patients are protected from its impacts. Whole health interventions that promote exercise in tandem with mental health treatment may help to counteract physical deconditioning in psychiatric inpatient settings and should be designed to support patients of diverse fitness levels.
退伍军人精神科住院期间身体状况下降的证据
先前对精神科住院患者低体力活动的观察表明存在身体状况下降的风险,但迄今为止还没有研究通过测量住院过程中心血管健康的变化来明确调查这种可能性。本研究使用床垫活动记录仪对111名在VA帕洛阿尔托卫生保健系统创伤恢复计划(TRP)接受创伤后应激障碍治疗的男性退伍军人样本进行睡眠心率(sHR)被动测量。线性混合效应回归模型表明,sHR在住院期间显著增加,但在至少参加一次自愿骑车计划的患者中,这种影响有所减弱。相反,摄入时较高的BMI与夜间sHR的增加有关。这些发现提供了住院精神病治疗背景下身体条件下降的证据,同时表明至少一些患者免受其影响。促进运动与心理健康治疗相结合的整体健康干预措施可能有助于抵消精神科住院患者环境中的身体失调,并应设计为支持不同健康水平的患者。
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来源期刊
General hospital psychiatry
General hospital psychiatry 医学-精神病学
CiteScore
9.60
自引率
2.90%
发文量
125
审稿时长
20 days
期刊介绍: General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.
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