Patients with schizophrenia have impaired muscle force‐generating capacity and functional performance
Adult
Male
Anthropometry
Walking
Middle Aged
Physical Functional Performance
Young Adult
03 medical and health sciences
0302 clinical medicine
Case-Control Studies
Exercise Test
Quality of Life
Schizophrenia
Humans
Female
Muscle Strength
Muscle, Skeletal
DOI:
10.1111/sms.13526
Publication Date:
2019-07-30T01:08:36Z
AUTHORS (10)
ABSTRACT
Patients with schizophrenia have impaired physical health. However, evidence of how skeletal muscle force‐generating capacity (FGC), a key component of functional performance, may contribute to the impairment is scarce. Thus, the aim of this study was to investigate the patient groups’ skeletal muscle FGC and its association with functional performance. Leg‐press FGC was assessed along with a battery of functional performance tests in 48 outpatients (28 men, 34 ± 10 years; 20 women, 36 ± 12 years) with schizophrenia spectrum disorder (ICD‐10, F20‐29), and compared with 48 healthy age‐ and gender‐matched references. Results revealed reduced one‐repetition maximum (1RM) in men (−19%, P < .01) and a trend toward reduction in women (−13%, P = .067). The ability to develop force rapidly was also impaired (men: −30%; women: −25%, both P < .01). Patients scored worse than healthy references on all physical performance tests (stair climbing: −63%; 30‐second sit‐to‐stand (30sSTS): −48%; six‐minute walk test (6MWT): −22%; walking efficiency: −14%; and unipedal stance eyes open: −20% and closed: −73%, all P < .01). 1RM correlated with 6MWT (r = .45), stair climbing (r = −.44), 30sSTS (r = .43), walking efficiency (r = .26), and stance eyes open (r = .33) and closed (r = .45), all P < .01. Rapid force development correlated with 6MWT (r = .54), stair climbing (r = −.49), 30sSTS (r = .45), walking efficiency (r = .26), and stance eyes open (r = .44) and closed (r = .51), all P < .01. In conclusion, skeletal muscle FGC and functional performance are reduced in patients with schizophrenia and should be recognized as important aspects of the patient groups’ impaired health. Resistance training aiming to improve these components should be considered an important part of clinical treatment.
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