{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T01:21:59Z","timestamp":1787880119908,"version":"build-2784847793"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000182","name":"Medical Research and Materiel Command","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000182","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100021054","name":"Military Operational Medicine Research Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["General Hospital Psychiatry"],"published-print":{"date-parts":[[2025,7]]},"DOI":"10.1016\/j.genhosppsych.2025.04.009","type":"journal-article","created":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T17:56:15Z","timestamp":1745776575000},"page":"109-113","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Evidence of physical deconditioning during psychiatric hospitalization in a Veteran sample"],"prefix":"10.1016","volume":"95","author":[{"given":"Laura E.","family":"Ong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert","family":"Ramirez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven H.","family":"Woodward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.genhosppsych.2025.04.009_bb0005","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1097\/PHM.0b013e31805b7566","article-title":"Effect of short-term hospitalization on functional capacity in patients not restricted to bed","volume":"86","author":"Suesada","year":"2007","journal-title":"Am J Phys Med Rehabil"},{"issue":"4","key":"10.1016\/j.genhosppsych.2025.04.009_bb0010","first-page":"505","article-title":"Physical activity, sedentary behaviours, and cardiovascular health: when will cardiorespiratory fitness become a vital sign?","volume":"32","author":"Despr\u00e9s","year":"2016","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0015","first-page":"1428","article-title":"Complications of immobilization and bed rest. Part 1: musculoskeletal and cardiovascular complications","volume":"39","author":"Dittmer","year":"1993","journal-title":"Can Fam Physician"},{"issue":"6","key":"10.1016\/j.genhosppsych.2025.04.009_bb0020","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.pcad.2013.03.004","article-title":"Posttraumatic stress disorder and cardiovascular disease","volume":"55","author":"Edmondson","year":"2013","journal-title":"Prog Cardiovasc Dis"},{"issue":"2","key":"10.1016\/j.genhosppsych.2025.04.009_bb0025","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1038\/s41569-020-00463-7","article-title":"Cardiovascular disease in patients with severe mental illness","volume":"18","author":"Nielsen","year":"2021","journal-title":"Nat Rev Cardiol"},{"issue":"2","key":"10.1016\/j.genhosppsych.2025.04.009_bb0030","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s40279-016-0574-1","article-title":"Cardiorespiratory fitness in severe mental illness: a systematic review and meta-analysis","volume":"47","author":"Vancampfort","year":"2017","journal-title":"Sports Med"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0035","doi-asserted-by":"crossref","DOI":"10.1016\/j.biopsycho.2023.108586","article-title":"Heart rate during sleep in PTSD patients: moderation by contact with a service dog","volume":"180","author":"Woodward","year":"2023","journal-title":"Biol Psychol"},{"issue":"6","key":"10.1016\/j.genhosppsych.2025.04.009_bb0040","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1152\/japplphysiol.00590.2013","article-title":"WISE-2005: countermeasures to prevent muscle deconditioning during bed rest in women","volume":"116","author":"Lee","year":"2014","journal-title":"J Appl Physiol"},{"issue":"4","key":"10.1016\/j.genhosppsych.2025.04.009_bb0045","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1152\/japplphysiol.00415.2017","article-title":"Effects of strict prolonged bed rest on cardiorespiratory fitness: systematic review and meta-analysis","volume":"123","author":"Ried-Larsen","year":"2017","journal-title":"J Appl Physiol"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0050","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.jpsychires.2024.10.017","article-title":"Physical activity and heart rate in PTSD inpatients: moderation by custody of a service dog","volume":"180","author":"Woodward","year":"2024","journal-title":"J Psychiatr Res"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0055","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.psychres.2017.04.035","article-title":"Accelerometer-measured sedentary behaviour and physical activity of inpatients with severe mental illness","volume":"254","author":"Kruisdijk","year":"2017","journal-title":"Psychiatry Res"},{"issue":"8","key":"10.1016\/j.genhosppsych.2025.04.009_bb0060","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.jsams.2015.09.002","article-title":"Physical activity and sedentary behaviour among inpatient adults with mental illness","volume":"19","author":"Fraser","year":"2016","journal-title":"J Sci Med Sport"},{"issue":"8","key":"10.1016\/j.genhosppsych.2025.04.009_bb0065","doi-asserted-by":"crossref","first-page":"1832","DOI":"10.1007\/s00246-022-02920-1","article-title":"Cardiopulmonary exercise performance in the pediatric and young adult population before and during the COVID-19 pandemic","volume":"43","author":"Burstein","year":"2022","journal-title":"Pediatr Cardiol"},{"issue":"2","key":"10.1016\/j.genhosppsych.2025.04.009_bb0070","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/00005768-199702000-00005","article-title":"Cardiovascular consequences of bed rest: effect on maximal oxygen uptake","volume":"29","author":"Convertino","year":"1997","journal-title":"Med Sci Sports Exerc"},{"issue":"1","key":"10.1016\/j.genhosppsych.2025.04.009_bb0075","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0244850","article-title":"Changes in VO2max and cardiac output in response to short-term high-intensity interval training in Caucasian and Hispanic young women: a pilot study","volume":"16","author":"De Revere","year":"2021","journal-title":"PloS One"},{"issue":"3","key":"10.1016\/j.genhosppsych.2025.04.009_bb0080","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1111\/j.1469-7793.1997.677bm.x","article-title":"The interplay of central and peripheral factors in limiting maximal O 2 consumption in man after prolonged bed rest","volume":"501","author":"Ferretti","year":"1997","journal-title":"J Physiol"},{"issue":"9","key":"10.1016\/j.genhosppsych.2025.04.009_bb0085","doi-asserted-by":"crossref","first-page":"1885","DOI":"10.1007\/s00421-018-3915-y","article-title":"Impact of 60 days of 6\u00b0 head down tilt bed rest on muscular oxygen uptake and heart rate kinetics: efficacy of a reactive sledge jump countermeasure","volume":"118","author":"Koschate","year":"2018","journal-title":"Eur J Appl Physiol"},{"issue":"1","key":"10.1016\/j.genhosppsych.2025.04.009_bb0090","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1152\/jappl.1955.8.1.73","article-title":"Maximal oxygen intake as an objective measure of cardio-respiratory performance","volume":"8","author":"Taylor","year":"1955","journal-title":"J Appl Physiol"},{"issue":"4","key":"10.1016\/j.genhosppsych.2025.04.009_bb0095","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1152\/japplphysiol.00726.2022","article-title":"Loss of cardiorespiratory fitness and its recovery following two weeks of head-down bed rest and the protective effects of exercise in 55- to 65-yr-old adults","volume":"134","author":"Hedge","year":"2023","journal-title":"J Appl Physiol"},{"issue":"1","key":"10.1016\/j.genhosppsych.2025.04.009_bb0100","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1038\/s41526-022-00206-7","article-title":"Mechanical deconditioning of the heart due to long-term bed rest as observed on seismocardiogram morphology","volume":"8","author":"Hoffmann","year":"2022","journal-title":"NPJ Microgr"},{"issue":"2","key":"10.1016\/j.genhosppsych.2025.04.009_bb0105","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1152\/japplphysiol.01332.2003","article-title":"Long-term bed rest-induced reductions in stroke volume during rest and exercise: cardiac dysfunction vs. volume depletion","volume":"98","author":"Spaak","year":"2005","journal-title":"J Appl Physiol"},{"issue":"4","key":"10.1016\/j.genhosppsych.2025.04.009_bb0110","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1111\/j.1469-8986.2007.00526.x","article-title":"Estimating heart rate and RSA from the mattress-recorded kinetocardiogram","volume":"44","author":"Woodward","year":"2007","journal-title":"Psychophysiology"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0115","series-title":"The encyclopedia of clinical psychology","first-page":"1","article-title":"Structured clinical interview for the DSM (SCID)","author":"First","year":"2015"},{"issue":"3","key":"10.1016\/j.genhosppsych.2025.04.009_bb0120","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1037\/pas0000486","article-title":"The clinician-administered PTSD scale for DSM\u20135 (CAPS-5): development and initial psychometric evaluation in military veterans","volume":"30","author":"Weathers","year":"2018","journal-title":"Psychol Assess"},{"issue":"5","key":"10.1016\/j.genhosppsych.2025.04.009_bb0125","first-page":"A235","article-title":"The brief traumatic brain injury screen (BTBIS): investigating the validity of a self-report instrument for detecting traumatic brain injury (TBI) in troops returning from deployment in Afghanistan and Iraq","volume":"66","author":"Schwab","year":"2006","journal-title":"Neurology"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0130","series-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0135","author":"Pinheiro"},{"issue":"3","key":"10.1016\/j.genhosppsych.2025.04.009_bb0140","doi-asserted-by":"crossref","DOI":"10.18637\/jss.v045.i03","article-title":"Multivariate imputation by chained equations in R","volume":"45","author":"Buuren","year":"2011","journal-title":"J Stat Softw"},{"issue":"8","key":"10.1016\/j.genhosppsych.2025.04.009_bb0145","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1001\/jamapsychiatry.2019.0638","article-title":"Efficacy of integrated exposure therapy vs integrated coping skills therapy for comorbid posttraumatic stress disorder and alcohol use disorder: a randomized clinical trial","volume":"76","author":"Norman","year":"2019","journal-title":"JAMA Psychiatry"},{"issue":"6","key":"10.1016\/j.genhosppsych.2025.04.009_bb0150","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1002\/jts.22338","article-title":"A randomized controlled trial of group cognitive behavioral treatment for veterans diagnosed with chronic posttraumatic stress disorder","volume":"31","author":"Sloan","year":"2018","journal-title":"J Trauma Stress"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0155","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.eatbeh.2018.01.002","article-title":"Posttraumatic stress disorder diagnosis and gender are associated with accelerated weight gain trajectories in veterans during the post-deployment period","volume":"29","author":"Buta","year":"2018","journal-title":"Eat Behav"},{"issue":"10","key":"10.1016\/j.genhosppsych.2025.04.009_bb0160","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1093\/eurheartj\/ehi190","article-title":"Long-term prognostic value of resting heart rate in patients with suspected or proven coronary artery disease","volume":"26","author":"Diaz","year":"2005","journal-title":"Eur Heart J"},{"issue":"11","key":"10.1016\/j.genhosppsych.2025.04.009_bb0165","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/S0895-7061(04)00897-0","article-title":"Prognostic value of home heart rate for cardiovascular mortality in the general population: the Ohasama study","volume":"17","author":"Hozawa","year":"2004","journal-title":"Am J Hypertens"},{"issue":"2","key":"10.1016\/j.genhosppsych.2025.04.009_bb0170","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.amjcard.2008.08.071","article-title":"Relation of heart rate at rest and long-term (>20 years) death rate in initially healthy middle-aged men","volume":"103","author":"Jouven","year":"2009","journal-title":"Am J Cardiol"},{"issue":"3","key":"10.1016\/j.genhosppsych.2025.04.009_bb0175","doi-asserted-by":"crossref","first-page":"E53","DOI":"10.1503\/cmaj.150535","article-title":"Resting heart rate and all-cause and cardiovascular mortality in the general population: a meta-analysis","volume":"188","author":"Zhang","year":"2016","journal-title":"Can Med Assoc J"},{"issue":"3","key":"10.1016\/j.genhosppsych.2025.04.009_bb0180","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.psym.2010.12.009","article-title":"Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans","volume":"52","author":"Chwastiak","year":"2011","journal-title":"Psychosomatics"},{"issue":"4","key":"10.1016\/j.genhosppsych.2025.04.009_bb0185","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1590\/S1807-59322008000400010","article-title":"Evaluation of physical activity habits in patients with posttraumatic stress disorder","volume":"63","author":"De Assis","year":"2008","journal-title":"Clinics"},{"issue":"5","key":"10.1016\/j.genhosppsych.2025.04.009_bb0190","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1037\/hea0000593","article-title":"Association between posttraumatic stress disorder and lack of exercise, poor diet, obesity, and co-occuring smoking: a systematic review and meta-analysis","volume":"37","author":"Van Den Berk-Clark","year":"2018","journal-title":"Health Psychol"},{"issue":"6","key":"10.1016\/j.genhosppsych.2025.04.009_bb0195","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1037\/ccp0000572","article-title":"Tracking positive and negative affect in PTSD inpatients during a service dog intervention","volume":"89","author":"Woodward","year":"2021","journal-title":"J Consult Clin Psychol"},{"issue":"2","key":"10.1016\/j.genhosppsych.2025.04.009_bb0200","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1002\/jts.22637","article-title":"Posttraumatic stress disorder treatment effects on cardiovascular physiology: a systematic review and agenda for future research","volume":"34","author":"Bourassa","year":"2021","journal-title":"J Trauma Stress"},{"key":"10.1016\/j.genhosppsych.2025.04.009_bb0205","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.jad.2015.11.047","article-title":"Efficacy of exercise as an adjunct treatment for clinically depressed inpatients during the initial stages of antidepressant pharmacotherapy: an open randomized controlled trial","volume":"191","author":"Legrand","year":"2016","journal-title":"J Affect Disord"},{"issue":"3","key":"10.1016\/j.genhosppsych.2025.04.009_bb0210","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1080\/02640414.2023.2207855","article-title":"The efficacy of exercise interventions for all types of inpatients across mental health settings: a systematic review and meta-analysis of 47 studies","volume":"41","author":"Martland","year":"2023","journal-title":"J Sports Sci"},{"issue":"5","key":"10.1016\/j.genhosppsych.2025.04.009_bb0215","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1111\/acps.12371","article-title":"Exercise augmentation compared with usual care for post-traumatic stress disorder: a randomized controlled trial","volume":"131","author":"Rosenbaum","year":"2015","journal-title":"Acta Psychiatr Scand"}],"container-title":["General Hospital Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0163834325000970?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0163834325000970?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T09:34:22Z","timestamp":1762248862000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0163834325000970"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":43,"alternative-id":["S0163834325000970"],"URL":"https:\/\/doi.org\/10.1016\/j.genhosppsych.2025.04.009","relation":{},"ISSN":["0163-8343"],"issn-type":[{"value":"0163-8343","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evidence of physical deconditioning during psychiatric hospitalization in a Veteran sample","name":"articletitle","label":"Article Title"},{"value":"General Hospital Psychiatry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.genhosppsych.2025.04.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}