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Long\u2010term adherence to exercise was assessed, and measures of psychiatric symptoms, physical health, neurocognition and social functioning were administered at baseline, post\u2010intervention and 6\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the supervised intervention, participants achieved 124.4\u2009min of moderate\u2010to\u2010vigorous exercise per week. After 6\u2009months, physical activity levels had decreased significantly (<jats:italic>P<\/jats:italic>\u2009=\u20090.025) and only 55% of participants had continued to exercise weekly. Repeated\u2010measures analysis of variance found that the significant improvements in psychiatric symptoms and social functioning observed immediately after the intervention were maintained at 6\u2009months (<jats:italic>P<\/jats:italic>\u2009=\u20090.001). However, post hoc analyses showed that symptomatic reductions were only maintained for those who continued to exercise, whereas symptom scores increased among those who had ceased exercising. Previously observed improvements in waist circumference and verbal memory were lost by 6\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Long\u2010term exercise participation is associated with significant benefits for symptoms, cognition and social functioning in <jats:styled-content style=\"fixed-case\">FEP<\/jats:styled-content>. However, adherence to unsupervised exercise is low. Future research should explore the effectiveness of \u2018step\u2010down\u2019 support following supervised interventions, and aim to establish sustainable methods for maintaining regular exercise in order to facilitate functional recovery and maintain physical health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12365","type":"journal-article","created":{"date-parts":[[2016,9,2]],"date-time":"2016-09-02T03:54:12Z","timestamp":1472788452000},"page":"578-585","source":"Crossref","is-referenced-by-count":37,"title":["Long\u2010term maintenance and effects of exercise in early psychosis"],"prefix":"10.1111","volume":"12","author":[{"given":"Joseph","family":"Firth","sequence":"first","affiliation":[{"name":"Institute of Brain, Behaviour and Mental Health University of Manchester  Manchester 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