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Eurofit test battery in patients with schizophrenia or schizoaffective disorder: Reliability and clinical correlates

Published online by Cambridge University Press:  15 April 2020

D. Vancampfort ,
M. Probst ,
K. Sweers ,
K. Maurissen ,
J. Knapen ,
J.B. Willems ,
T. Heip  and
M. De Hert
D. Vancampfort*
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium Faculty of Kinesiology and Rehabilitation Sciences, Catholic University Leuven, Leuven, Belgium
M. Probst
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium Faculty of Kinesiology and Rehabilitation Sciences, Catholic University Leuven, Leuven, Belgium
K. Sweers
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium
K. Maurissen
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium Faculty of Kinesiology and Rehabilitation Sciences, Catholic University Leuven, Leuven, Belgium
J. Knapen
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium Faculty of Kinesiology and Rehabilitation Sciences, Catholic University Leuven, Leuven, Belgium
J.B. Willems
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium
T. Heip
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium
M. De Hert
Affiliation:
University Psychiatric Centre Catholic University Leuven, Campus Kortenberg, Leuvensesteenweg517, 3070Kortenberg, Belgium Faculty of Medicine, Catholic University Leuven, Leuven, Belgium
*
*Corresponding author. Tel.: +32 2 758 05 11; fax: +32 2 759 9879. E-mail address: Davy.Vancampfort@uc-kortenberg.be
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Abstract

Objective

To investigate the reproducibility of the Eurofit physical fitness test battery in patients with schizophrenia or schizoaffective disorder. Secondary aims were to assess clinical and demographic characteristics that correlate with the performance on the Eurofit and evaluation of the feasibility of the test.

Methods

Fifty patients with schizophrenia or schizoaffective disorder (mean age of 32.9±9.5years) with a mean body mass index (BMI) of 26.1±6.0kg/m2 performed two Eurofit tests administered within 3days.

Results

All Eurofit items showed good reproducibility with intraclass correlation coefficients ranging from 0.72 for flamingo balance to 0.98 for standing broad jump test. All participants could perform five of the seven test items without problems. The whole body balance and abdominal muscle endurance test could be executed by 74 and 90%, respectively. Significant correlations were found with age, BMI, waist circumference, dose of antipsychotic medication and extrapyramidal, negative and cognitive symptoms.

Conclusions

The Eurofit test showed good reproducibility and can be recommended for evaluating physical fitness parameters in patients with schizophrenia or schizoaffective disorder. Physical fitness measures were related to both physical and mental health parameters.

Keywords

Physical FitnessEurofitSchizophreniaReliability
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 6 , August 2012 , pp. 416 - 421
Copyright
Copyright © Elsevier Masson SAS 2012

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References

Astrand, O., Rodahl, K.Evaluation of physical work capacity on the basis of tests. Textbook of Work Physiology. 1977 McGraw-Hill New York pp. 331–365.Google Scholar
Blair, S.N., Kohl, H.W.I., Paffenbarger, R.S., Clark, D.G., Cooper, K.H., Gibbons, L.W.Physical fitness and all cause mortality: a prospective study of healthy men and women. JAMA. 1989; 262: 2395–2401.CrossRefGoogle ScholarPubMed
Blair, S.N., Kohl, H.W., Arlow, C.E., Paffenberger, R.S., Gibbons, L.W., Macera, C.A.Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. JAMA. 1995; 273: 1093–1098.CrossRefGoogle ScholarPubMed
Blair, S.N., Kampert, J.B., Kohl, I.H.W., Barlow, C.E., Macera, C.A., Paffenbarger, R.S.et al.Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. JAMA. 1996; 276: 205–210.CrossRefGoogle ScholarPubMed
Bobes, J., Arango, C., Garcia-Garcia, M., Rejas, J.Healthy lifestyle habits and 10-year cardiovascular risk in schizophrenia spectrum disorders: an analysis of the impact of smoking tobacco in the CLAMORS schizophrenia cohort. Schizophr Res. 2010; 119: 101–109.CrossRefGoogle ScholarPubMed
Bouchard, C., Shephard, R.J.Physical activity, fitness and health: the model and key concepts.Bouchard, C.Shephard, R.J.Stephens, T.Physical activity, fitness, and health: International proceedings and consensus statement. 1994 Human Kinetics Champaign, IL77–88.Google Scholar
Caligiuri, M.P., Teulings, H.L., Dean, C.E., Niculescu, A.B., Lohr, J.B.Handwriting movement kinematics for quantifying extrapyramidal side effects in patients treated with atypical antipsychotics. Psychiatry Res. 177 1–2: 2010 77–83.CrossRefGoogle ScholarPubMed
Conway, T.L., Cronan, T.A.Smoking, exercise, and physical fitness. Prev Med. 21 6: 1992 723–734.CrossRefGoogle ScholarPubMed
Deforche, B., Lefevre, J., De Bourdeaudhuij, I., Hills, A.P., Duquet, W., Bouckaert, J.Physical fitness and physical activity in obese and nonobese Flemish youth. Obes Res. 11 3: 2003 434–441.CrossRefGoogle ScholarPubMed
De Hert, M., Bussel, J., Lindström, E., Abrahams, F., Franens, C., Peuskens, J.PECC Psychosis Evaluation tool for Common use by Caregivers. Antwerpen: EPO; 1998.Google Scholar
De Hert, M., Wampers, M., Thys, E., Wieselgren, I., Lindström, E., Peuskens, J.Validation study of PECC (Psychosis Evaluation tool for Common use by Caregivers): interscale validity and inter-rater reliability. Int J Psychiatry Clin Pract. 2002; 6: 135–140.CrossRefGoogle Scholar
De Hert, M., Schreurs, V., Sweers, K., Van Eyck, D., Hanssens, L., Sinko, S.et al.Typical and atypical antipsychotics differentially affect long-term incidence rates of the metabolic syndrome in first-episode patients with schizophrenia: a retrospective chart review. Schizophr Res. 101 1–3: 2008 295–303.CrossRefGoogle ScholarPubMed
De Hert, M., Schreurs, V., Vancampfort, D., van Winkel, R.Metabolic syndrome in people with schizophrenia: a review. World Psychiatry. 2009; 8: 15–22.CrossRefGoogle ScholarPubMed
De Hert, M., Dekker, J.M., Wood, D., Kahl, K.G., Moller, H.J.Cardiovascular disease and diabetes in people with severe mental Iillness. Position statement from the European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC). Eur Psychiatry. 2009; 24: 412–424.CrossRefGoogle Scholar
De Hert M, van Winkel R, Silic A, Van Eck D, Peuskens J. Physical health management in psychiatric settings. Eur Psychiatry 2010;25(Suppl. 2):22–8.CrossRefGoogle Scholar
Donnelly, J.E., Blair, S.N., Jakicic, J.M., Manore, M.M., Rankin, J.W., Smith, B.K.American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009; 41: 459–471.CrossRefGoogle ScholarPubMed
Donner, A., Eliasziw, M.Sample size requirements for reliability studies. Stat Med. 1987; 6: 441–448.CrossRefGoogle ScholarPubMed
Erikssen, G., Liestöl, K., Björnholt, J., Thaulow, E., Sandvik, L., Erikssen, J.Changes in physical fitness and changes in mortality. Lancet. 1998; 352: 759–762.CrossRefGoogle ScholarPubMed
Erikssen, G.Physical fitness and changes in mortality: the survival of the fittest. Sports Med. 2001; 31: 571–576.CrossRefGoogle ScholarPubMed
Fleischhacker, W.W., Cetkovich-Bakmas, M., De Hert, M., Hennekens, C.H., Lambert, M., Leucht, S.et al.Comorbid somatic illnesses in patients with severe mental disorders: clinical, policy, and research challenges. J Clin Psychiatry. 2008; 69: 514–519.CrossRefGoogle ScholarPubMed
Gardner, D.M., Murphy, A.L., O’Donnell, H., Centorrino, F., Baldessarini, R.J.International consensus study of antipsychotic dosing. Am J Psychiatry. 167 6: 2010 686–693.CrossRefGoogle ScholarPubMed
Grootens, K.P., Vermeeren, L., Verkes, R.J., Buitelaar, J.K., Sabbe, B.G., van Veelen, N.et al.Psychomotor planning is deficient in recent-onset schizophrenia. Schizophr Res. 107 2–3: 2009 294–302.CrossRefGoogle ScholarPubMed
Hennekens, C.H.Schizophrenia and increased risks of cardiovascular disease. Am Heart J. 151 3: 2005 598–603.Google Scholar
Laursen, T.M., Munk-Olsen, T., Nordentoft, M., Mortensen, P.B.Increased mortality among patients admitted with major psychiatric disorders: a register-based study comparing mortality in unipolar depressive disorder, bipolar affective disorder, schizoaffective disorder, and schizophrenia. J Clin Psychiatry. 2007; 68: 899–907.CrossRefGoogle Scholar
Leucht, S., Burkard, T., Henderson, J., Maj, M., Sartorius, N.Physical illness and schizophrenia: a review of the literature. Acta Psychiatr Scand. 2007; 116: 317–333.CrossRefGoogle ScholarPubMed
Morrens, M., Hulstijn, W., Sabbe, B.Psychomotor slowing in schizophrenia. Schizophr Bull. 33 4: 2007 1038–1053.CrossRefGoogle Scholar
Morrens, M., Hulstijn, W., Sabbe, B.The effects of atypical and conventional antipsychotics on reduced processing speed and psychomotor slowing in schizophrenia: a cross-sectional exploratory study. Clin Ther. 30 4: 2008 684–692.CrossRefGoogle ScholarPubMed
Mulder, H., Cohen, D., Scheffer, H., Gispen-de Wied, C., Arends, J., Wilmink, F.W.et al.HTR2C gene polymorphisms and the metabolic syndrome in patients with schizophrenia: a replication study. J Clin Psychopharmacol. 2009; 29: 16–20.CrossRefGoogle ScholarPubMed
Newcomer, J.W.Second-generation (atypical) antipsychotics and metabolic effects. A comprehensive literature review. CNS Drugs. 19 suppl. 1: 2005 1–93.CrossRefGoogle ScholarPubMed
Newcomer, J.W.Antipsychotic medications: metabolic and cardiovascular risk. J Clin Psychiatry. 68 suppl. 4: 2007 8–13.Google ScholarPubMed
Oja, P., Tuxworth, B.Eurofit for adults. Assessment of health-related fitness. Strasbourg: Council of Europe-UKK Institute, Tampere; 1995.Google Scholar
Pate, R.R.The evolving definition of fitness. Quest. 1998; 40: 174–179.CrossRefGoogle Scholar
Portney, L.G., Watkins, M.P.Foundations of clinical research. Applications to practice. 2nd edition.Upper Saddle River: NJ: Prentice Hall Health; 2000.Google Scholar
Risselada AJ, Vehof J, Bruggeman R, Wilffert B, Cohen D, Al Hadithy AF, Arends J, Mulder. Association between HTR2C gene polymorphisms and the metabolic syndrome in patients using antipsychotics: a replication study. Pharmacogenomics J 2010, doi:10.1038/tpj.2010.66.CrossRefGoogle Scholar
Straker, D., Correll, C.U., Kramer-Ginsberg, E., Abdulhamid, N., Koshy, F., Rubens, E.et al.Cost-effective screening for the metabolic syndrome in patients treated with second-generation antipsychotic medications. Am J Psychiatry. 2005; 162: 1217–1221.CrossRefGoogle ScholarPubMed
Suni, J.H., Miilunpalo, S.I., Asikainen, T.-M., Laukkanen, R.T., Oja, P., Pasanen, M.A.et al.Safety and feasibility of a health-related fitness test battery for adults. Phys Ther. 1998; 78: 134–148.CrossRefGoogle ScholarPubMed
Surwillo, W.Experimental design in psychiatry. Research methods for clinical practice. New York: Grune and Stratton;. 1980.Google Scholar
Takahashi, H., Kato, M., Sassa, T., Shibuya, T., Koeda, M., Yahata, N.et al.Functional deficits in the extrastriate body area during observation of sports-related actions in schizophrenia. Schizophr Bull. 36 3: 2010 642–647.CrossRefGoogle Scholar
Vancampfort, D., Knapen, J., Probst, M., van Winkel, R., Deckx, S., Maurissen, K., Peuskens, J., De Hert, M.Considering a frame of reference for physical activity research related to the cardiometabolic risk profile in schizophrenia. Psychiatry Res. 177 3: 2010 271–279.CrossRefGoogle Scholar
Vancampfort, D, Probst, M, Maurissen, K, Sweers, K, Knapen, J, De Hert, M. Reliability, minimal detectable changes, practice effects and correlates of the six-minute walk test in patients with schizophrenia. Psychiatry Res 2010, doi:10.1016/j.psychres.2010.11.027.CrossRefGoogle Scholar
Van de Vliet, P., Van Coppenolle, H., Knapen, J.Physical measures, perceived physical ability, and body acceptance of adult psychiatric patients. APAQ. 16 2: 2002 113–125.CrossRefGoogle Scholar
Vanhees, L., Lefevre, J., Philippaerts, R., Martensa, M., Huygens, W., Troosters, T.et al.How to assess physical activity? How to assess physical fitness?. Eur J Cardiovasc Prev Rehabil. 2005; 12: 102–114.CrossRefGoogle ScholarPubMed
Walter, S.D., Eliasziw, M., Donner, A.Sample size and optimal designs for reliability studies. Stat Med. 1998; 17: 101–110.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Wei, M., Kampert, J.B., Barlow, C.E., Nichaman, M.Z., Gibbons, L.W., Paffenbarger, R.S.et al.Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. JAMA. 282 16: 1999 1547–1553.CrossRefGoogle ScholarPubMed
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