Running for your life: A review of physical activity and cardiovascular disease risk reduction in individuals with schizophrenia

Individuals with schizophrenia have a greater risk for cardiometabolic risk factors (e.g. central obesity, insulin resistance, hypertension and dyslipidaemia), cardiovascular diseases and mortality. This risky profile may be explained by the adverse effects of antipsychotic medications and an unhealthy lifestyle (e.g. smoking, poor nutrition and low physical activity). In the general population, physical activity has been shown to be the optimal strategy to improve both cardiometabolic parameters and cardiorespiratory fitness levels. Accordingly, an emerging literature of non-pharmacological interventions (e.g. cognitive behavioural therapy, diet and physical activity) has been studied in individuals with schizophrenia. Therefore, the purpose of this review was 1) to conduct a critical literature review of non-pharmacological interventions that included some kind of physical activity (including supervised and unsupervised exercise training) and target cardiometabolic risk factors in individuals with schizophrenia. 2) To describe the contribution of physical activity alone by reviewing trials of supervised exercise training programmes only. A literature review via systematic keyword search for publications in Medline, PubMed, Embase and PsycINFO was performed. Many non-pharmacological interventions are efficient in reducing cardiovascular disease risk factors when combined with physical activity. Supervised physical activity has been successful in decreasing cardiovascular disease risk, and aerobic interval training appears to provide more benefits by specifically targeting cardiorespiratory fitness levels. In conclusion, physical activity is an effective strategy for addressing cardiovascular disease risk in individuals with schizophrenia. Long-term studies are needed to evaluate the feasibility and impact of exercise training programmes in individuals with schizophrenia.     

Children’s Literature—The South Asian Picture

Abstract

The article examined the pattern and distribution of the secondary information, systems and services in China. The objects of the study include the governments role and relevant policies, the distribution of discipline-oriented systems, the development from printed material to machine readable to data bases and the influence of transition to a market economy on the operation of current systems. The study showed that the structure of the secondary information systems was established and the government has played a dominant role in developing and maintaining the systems. The article further discussed the challenge of a new social and economic environment to the systems and the possible expansion of new products and services.     

“This Right Here Is All About Living”: Communicating the “Common Sense” About Home Stability Through CBPR and Photovoice

Homelessness remains a major problem in the United States as a result of urban deprivation, economic decline, a rise in housing costs, and a decline in blue-collar wages. Meanwhile, the dominant discourses around homelessness tend to frame the matter in terms of individual deviance rather than structural impediments. This study utilizes Community-Based Participatory Research and the photovoice method to articulate what a small number of “successfully home stable individuals” attribute to helping them to remain home stable as well as those factors that challenge this situation. The study analyzes how these attributions challenge the “common sense” about homelessness by refiguring the concept as a reintegration process with manifold causes and paths into and out of episodic home instability and giving voice to formerly homeless individuals who are successfully navigating reintegration into housed society.     

Further Reflections on the WorldCat Collection Analysis Tool

This article focuses on a recent enhancement to the WorldCat Collection Analysis tool, the Interlibrary Loan Analyses module, exploring the possibilities that this enhancement offers for strategic collection development. The study concentrates on the tool as a way to assess the impact of the recent growth at North Carolina State University in biomedicine and human medicine programs. The research contained in this article originated from a session presented at XXVII Annual Charleston Conference, which was held in Charleston, South Carolina, on November 8, 2007.     

Spontaneous change from seated to standing cycling position with increasing power is associated with a minimization of cost functions

Spontaneous changes of movement patterns may allow to elucidate which criteria influence movement pattern preferences. However, the factors explaining the sit-stand transition in cycling are unclear. This study investigated if biomechanical and/or muscle activation cost functions could predict the power at which the spontaneous sit-stand transition occurs. Twenty-five participants performed an incremental test leading to the sit-to-stand transition, and subsequent randomized pedaling trials at 20 to 120% of the transition power in seated and standing position. A Moment Cost Function based on lower limbs net joint moments and two Electromyographic Cost Functions based on EMG data were defined. All cost functions increased with increasing crank power (p < 0.001) but at different rates in the seated and standing positions. They had lower values in the seated position below the transition power and lower values in the standing position above the transition power (p < 0.05). These results suggest that spontaneous change of position observed in cycling with increasing crank power represents an optimal choice to minimize muscular efforts. These results support the use of simple cost functions to define optimal settings in cycling and to assess the cost of cycling during short-term efforts.