Studying the effects of a physical exercise programme on people with schizophrenia or autism spectrum disorder has been the main objective of the VITACTIVA’T project, promoted by the Institut Pere Mata University Hospital (HUIPM) and the Institut de Recerca Biomèdica Catalunya Sud (IRB CatSud), in collaboration with Rovira i Virgili University (URV). The project results were presented this Thursday.
The findings were shared during an event held at Reus Deportiu, the venue where the VITACTIVA’T sports sessions took place. The event brought together more than twenty participants, family members and mental health professionals.
Regarding the study results, the research team explained that regular physical exercise can help improve several health indicators in this population. Some of the main findings include:
A significant improvement in cognitive performance, with positive progress in areas such as attention, memory, learning, reasoning and processing speed.
A significant improvement in physical fitness, particularly in aerobic capacity and muscle strength in both the upper and lower limbs.
An increase in the number of mitochondrial DNA copies, a biomarker linked to the cells’ ability to produce energy.
A significant improvement in psychosocial functioning, meaning a greater ability to manage everyday activities and social interactions.
The research team also found that participants consume a high proportion of ultra-processed foods. “This habit is associated with poorer metabolic health indicators and less favourable psychosocial factors, which reinforces the need to work on reducing its consumption in this population,” explains Bernat Ballvé, nutritionist and researcher in the project.
Overall, these results confirm the role of physical exercise, together with nutrition and other lifestyle factors, as a complementary tool with the potential to improve the physical and mental health of people with severe mental disorders. This has encouraged the team to continue this line of research through the launch of VITACTIVA’T 2.
A new phase focused on physical exercise
During the event, the team also presented the new edition of the project, VITACTIVA’T 2, which will begin a new exercise programme next October. This new phase will focus exclusively on physical activity and will be aimed at people with schizophrenia or other psychotic disorders.
Alba Valiente, psychiatrist and researcher involved in the project, explained that “the physical exercise programme will now last six months and will include three sessions per week, increasing both the duration of the intervention and the frequency of the sessions to meet the recommendations of the World Health Organization.”
Regarding the expected outcomes, Lourdes Martorell, principal investigator of the project, said: “The researchers involved believe that this more intensive exercise programme will provide new evidence of its role as a complementary therapy to standard treatment for people with schizophrenia or other psychotic disorders. The study will examine cognition, quality of life and several biomarkers. The project will also seek to identify specific genetic, clinical and metabolic factors that can help provide personalised recommendations.”
The event marked the end of the first edition of the project in a positive atmosphere of reunion and enthusiasm. The research team expressed their gratitude for the trust and commitment shown by all participants, as well as by their families and the professionals who helped make this initiative possible.
The team also expressed optimism about VITACTIVA’T 2 and highlighted their commitment to continuing to generate scientific evidence that supports physical exercise as a complementary strategy to improve the health, well-being and quality of life of people living with severe mental disorders.
Acting without sufficiently considering the consequences, making hasty decisions or being carried away by emotions of the moment are some of the behaviours associated with impulsivity. In the past, several studies have linked this psychological trait to unhealthy habits, such as tobacco consumption, harmful substances and unhealthy foods, among others. It has also been associated with mental health problems and poorer overall health status. However, there was no clear scientific evidence in older populations without any diagnosed psychiatric disorder.
Now, a research team from the Universitat Rovira i Virgili (URV), the Institut de Recerca Biomèdica Catalunya Sud (IRBCatSud) and the Biomedical Research Networking Centre for the Pathophysiology of Obesity and Nutrition (CIBEROBN) has demonstrated that following a low-calorie Mediterranean diet, engaging in physical activity and receiving behavioural support reduce impulsivity. The results have been published in the journal Psychotherapy and Psychosomatics, one of the scientific publications with the greatest international impact in the fields of psychology and psychiatry.
The team analysed data from 306 participants in the PREDIMED-Plus-Cognition study, which evaluates cognitive status and other factors related to the mental health of participants in the PREDIMED clinical trial. Volunteers were randomly assigned to two groups: one followed an intensive programme aimed at increasing adherence to a slightly calorie-restricted Mediterranean diet, increasing physical activity and reinforcing these changes through behavioural support; the other received only general recommendations to follow a Mediterranean diet. Impulsivity was assessed at the beginning of the study and during the three years of follow-up through personality questionnaires and cognitive tests.
Significant behavioural changes
After three years, participants who had followed the intensive lifestyle programme showed a significant reduction, between small and moderate, in impulsivity levels compared with the control group. More specifically, they improved impulsive personality traits, reducing tendencies such as acting without thinking about the consequences. Even more relevant was the change in their behaviour, as they improved their ability to make sound decisions, learning to prioritise long-term benefits over immediate rewards.
“This is the first time it has been shown that a multimodal intervention can regulate impulsivity in older adults, potentially helping to prevent the development of future chronic diseases,” states Carlos Gómez Martínez, postdoctoral researcher at Helse Vest and the University of Bergen (Norway). For Jordi Salas-Salvadó, Professor of Nutrition at the URV and co-leader of the study together with Gómez Martínez, adopting healthy habits not only improves physical health, but also promotes more reflective decision-making: “It could facilitate the maintenance of other healthy behaviours in the long term, contribute to preserving psychological well-being and foster a greater capacity for self-regulation.”
The study was carried out by researchers from the Human Nutrition Unit of the Universitat Rovira i Virgili, the Institut de Recerca Biomèdica Catalunya Sud (IRBCatSud) and the Biomedical Research Networking Centre for the Pathophysiology of Obesity and Nutrition (CIBEROBN). The research is part of the PREDIMED-Plus study, developed by several groups within the CIBER of the Instituto de Salud Carlos III, and has received funding from the European projects Eat2BeNice and PRIME, as well as from various competitive projects of the ISCIII.
Reference: Gómez-Martínez C, Shyam S, Camacho-Barcia L, Margara-Escudero HJ, Babio N, Forcano L, Corella D, Cuenca-Royo A, de la Torre R, Jimenez-Murcia S, Pintó X, Fitó M, Fernández-Carrión R, Matura S, Franke B, Haavik J, Fernández-Aranda F, Salas-Salvadó J. Three-year effects of a multidomain lifestyle intervention on impulsivity: Results from a randomized clinical trial. Psychotherapy and Psychosomatics. 2026. doi: 10.1159/000550126.