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Table 4 Effects of strength training in people with severe mental disorders

From: Physical Health Impairment and Exercise as Medicine in Severe Mental Disorders: A Narrative Review

Study

Population

Design and study duration

Participantsa

Modality

Frequency and duration

Intensity

Results

Included, n

Completers, n (%)

Leone et al. [88]

Schizophrenia spectrum disorders

CT, 8 weeks

8

8 (100%)

Seven lower and upper extremity exercises with weight apparatus

2 times/week

4 weeks of 3 × 6 repetitions

4 weeks of 3 × 25 repetitions

80% of 1RM

50% of 1RM

1RM increase in all exercises, including leg and bench press by 25 (25%) and 16 kg (25%), respectively

Silva et al. [89]

Schizophrenia spectrum disorders

RCT, 20 weeks

14

12 (86%)

Seven lower and upper extremity exercises with weight apparatus

2 times/week

6 weeks of 2 × 10–15 repetitions

14 weeks of 3 × 6–12 repetitions

40–70% of 1RM

75–85% of 1RM

Only chest press and arm extension 1RM increased by 30 (27%) and 46 kg (45%), respectively

Strassnig et al. [92]

Schizophrenia spectrum and bipolar disorder

CT, 8 weeks

23

12 (52%)

Eleven lower and upper extremity exercises with pneumatic strength apparatus

2 times/week

3 × 10–12 repetitions with high intended concentric velocity

% of 1RM not reported

1RM and power increased for all exercises, including leg extension (37 kg, 17%; power: 26%) and chest press (9 kg, 19%; power: 13%)

Heggelund et al. [94]

Schizophrenia spectrum disorders

CT, 8 weeks

7

6 (86%)

Leg press with weight apparatus

3 times/week

4 × 4 repetitions

90% of 1RM

Leg press 1RM increased by 83 kg (38%)

Walking work efficiency increased by 20%

Nygård et al. [95]ara>

Schizophrenia spectrum disorders

RCT, 12 weeks

25

17 (68%)

Leg press with weight apparatus

2 times/week

4 × 4 repetitions

90% of 1RM

Leg press 1RM and power increased by 51 kg (29%) and 43 N  m  s−1 (20%), respectively

Moraes et al. [90]

Major depressive disorder

RCT, 12 weeks

9

9 (100%)

Four lower and upper extremity exercises with weight apparatus

2 times/week

3 × 8–12 repetitions

70% of 1RM

Maximal strength (reported as total training load, not specified for each exercise modality) increased by ~40%

Leone et al. [78]

Mood disorders

CT, 8 weeks

7

7 (100%)

Seven lower and upper extremity exercises with weight apparatus

2 times/week

4 weeks of 3 × 6 repetitions

4 weeks of 3 × 25 repetitions

80% of 1RM

50% of 1RM

1RM increase in all exercises, including leg and bench press by 19 (25%) and 6 kg (13%), respectively

  1. Data are presented as mean and% change
  2. RCT, randomized controlled trial; CT, controlled trial; 1RM, one-repetition maximum
  3. aParticipants randomized/included in exercise training groups reported.