Cochrane Database Syst Rev
How to encourage physical activity in patients with bipolar disorder
June 18, 2024

Researchers analyzed 12 studies involving 592 participants mostly from high-income countries across Europe, North and South America, and Australia to better understand the factors that influence participation in physical activity for people with bipolar disorder (BD). In general, they found that people with BD had limited knowledge of the benefits of physical activity for managing mental health symptoms and of their physical health needs. Many people experienced shame and stigma about their physical and mental health, which contributed to anxiety and embarrassment and negative ways of coping, such as socially isolating. To support patients with BD to increase their physical activity levels, authors urge clearer guidelines about the benefits of physical activity to inform treatment plans.
Key findings:
- Challenges. Taking medication, being overweight, smoking, and sleep were challenges to being more active. Lack of time and money, bad weather, poor transport, and personal safety concerns were also highlighted as obstacles. Tackling the sharp reduction in activity levels when young people leave education is a significant public health issue, particularly for young women.
- Facilitating factors. Being psychologically stable and ready to adopt new lifestyle behaviors, social support from friends/family or health professionals, and the existence of workplace or healthcare programs were factors that contributed to increased physical activity.
- Preferred activities. Finding an enjoyable physical activity—for many people with BD it was walking—and incorporating it into a regular routine at the right level and intensity contributed to mood management and improved well‐being. People said they enjoyed connecting with nature and making social connections and reported other benefits including weight loss and improved quality of life.
- Phased interventions. Interventions that took a step‐by‐step approach to introduce lifestyle changes (e.g., increasing physical activity and healthy eating) and reducing risk behaviors (e.g., stopping smoking), were practical and effective.
Source:
McCartan CJ, et al. (2024, June 4). Cochrane Database Syst Rev. Factors that influence participation in physical activity for people with bipolar disorder: a synthesis of qualitative evidence. https://pubmed.ncbi.nlm.nih.gov/38837220/
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