{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:46:15Z","timestamp":1777470375080,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Biological Research For Nursing"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Patients with schizophrenia often lack physical activity, which, together with physical complications, can lower their expected lifespan. Exercise strengthens their physical and mental health. The primary aim of this study was to examine the effectiveness of a walking exercise intervention in improving physical fitness, body mass index, waist-to-hip ratio, and depressive symptoms in patients with schizophrenia. A quasi-experimental study design was used. Seventy-six participants were recruited from the psychiatric daycare center at a hospital in Northern Taiwan. They were divided into two groups. The intervention group received a walking exercise intervention, while the control completed their daily courses at the psychiatric daycare center. The changes in both groups\u2019 physical fitness, BMI, waist-to-hip ratio, and depressive symptoms were monitored. Cardiorespiratory endurance significantly improved in the intervention group, attesting to the effectiveness of the walking exercise intervention. Their depression level significantly decreased across all measurement stages. The group walking exercise reduced sedentary behaviors and increased the participants\u2019 autonomous motivation, hip circumference, and cardiorespiratory fitness. Structured exercise programs may increase the patients\u2019 hippocampal neuroplasticity and reduce their depressive symptoms. The walking exercise intervention positively affected physiological traits, physical fitness, and mental health of the participants.<\/jats:p>","DOI":"10.1177\/10998004241290526","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T19:28:32Z","timestamp":1728415712000},"page":"229-235","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Walking Exercise in Improving Physical Fitness and Depression in Patients With Schizophrenia"],"prefix":"10.1177","volume":"27","author":[{"given":"Mei-Ling","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Health, Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5329-3471","authenticated-orcid":false,"given":"Miao-Chuan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan"},{"name":"Division of Nursing, Chang Gung Memorial Hospital, Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"bibr1-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2021.1929613"},{"key":"bibr3-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000526"},{"key":"bibr4-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-020-00655-y"},{"key":"bibr5-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-15-1792-1_21"},{"key":"bibr6-10998004241290526","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.983994"},{"key":"bibr7-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2016.01.038"},{"key":"bibr8-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-016-0023-5"},{"key":"bibr9-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.09.020"},{"key":"bibr10-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2023.04.012"},{"key":"bibr11-10998004241290526","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57020149"},{"key":"bibr12-10998004241290526","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-021-01556-4"},{"issue":"10","key":"bibr13-10998004241290526","first-page":"687","volume":"102","author":"Lee M. 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