A Randomized, Controlled Multisite Study of Behavioral Interventions for Veterans with Mental Illness and Antipsychotic Medication-Associated Obesity

Erickson, Zachary D.; Kwan, Crystal L.; Gelberg, Hollie A.; Arnold, Irina; Chamberlin, V. D.; Rosen, Jennifer A.; Shah, Chandresh; Nguyen, Charles; Hellemann, Gerhard; Aragaki, Dixie; Kunkel, Charles F.; Lewis, Melissa; Sachinvala, Neena; Sonza, Patrick; Pierre, Joseph M.; Ames, Donna

doi:10.1007/s11606-016-3960-3

Cited by 17 publications

(39 citation statements)

References 53 publications

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“…In addition, these Veterans decreased their waist circumference and adiposity, reflecting changes in body composition from exercise and weight loss. Changes in intermediate measures (e.g., nutritional behaviors, waist circumference, and adiposity) suggested possible long-term reductions in the risk from cardiovascular and metabolic diseases 6 if these improvements can be sustained over the long term.…”

Section: Behavioral Interventionsmentioning

confidence: 99%

Improving Weight Management among Veterans

Atkins

2017

J GEN INTERN MED

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Section: Behavioral Interventionsmentioning

confidence: 99%

Improving Weight Management among Veterans

Atkins

2017

J GEN INTERN MED

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“…This study critically appraised the lifestyle intervention studies that target weight outcomes among people with psychosis, for adequate reporting against the methods component of the CONSORT statement for randomised trials of nonpharmacologic treatments . Reporting was generally poor with fewer than 50% of studies providing the recommended information on trial design, participants, interventions, outcomes, sample size, randomisation, blinding and statistical methods . This limits the utility of lifestyle intervention research for people with psychosis .…”

Section: Discussionmentioning

confidence: 99%

“…The most concerning of our findings were the incomplete descriptions of treatments applied. There was a large variety of treatments applied in lifestyle interventions, including education, tailored advice, goal setting, food and activity records, supervised exercise, motivational interviewing, cognitive behaviour therapy and psychoeducation . Where multiple intervention components were applied, processes for ensuring efficacy of each element were not given .…”

Section: Discussionmentioning

confidence: 99%

An appraisal of methodology reporting in lifestyle interventions among people with psychosis: A systematic review

Mucheru

Hanlon

McEvoy

et al. 2019

Health Prom J of Aust

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Issue addressed: Lifestyle interventions use nutrition and physical activity behaviour modification techniques to decrease obesity and cardio-metabolic risk in people with psychosis. Evidence on the specific behaviour modification strategies applied to decrease obesity is weakened by inadequate methodology reporting of lifestyle interventions. A systematic review that we conducted earlier highlighted a possible deficiency in reporting; hence we aim to critically appraise lifestyle intervention studies that target weight outcomes for people with psychosis against the methods component of the CONSORT statement for randomised trials of nonpharmacologic treatments. Methods component: We considered randomised controlled studies which delivered lifestyle interventions to community-dwelling adults with psychotic disorders, and included those with the following outcomes of interest: weight, body mass index, waist circumference and waist-to-hip ratio. The Cochrane Library, MEDLINE/PREMEDLINE, EMBASE, CINAHL, Scopus and PsycINFO were searched for English publications between 1985 and 2018. Methodology and reporting of studies were evaluated using the CONSORT statement for randomised trials of nonpharmacologic treatments. Results: Thirty-two studies met the inclusion criteria. Critical appraisals revealed that reporting of lifestyle intervention studies was generally incomplete. Fewer than 50% provided the recommended information on trial design, participant characteristics, detail of interventions, outcomes, sample size, randomisation, blinding and statistical methods. Conclusions: Application of guidelines, like the CONSORT statement, in future publications of lifestyle interventions for people with psychosis will improve accuracy of reporting. So what? Enhanced reporting in lifestyle intervention studies for people with psychosis will promote guideline creation and translation of research, which is likely to positively impact physical health outcomes.

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“…Moreover, it has been suggested that subjects with spinal cord injury have distinct physiological characteristics from the ablebodied adults, making difficult the estimate of the prevalence of carbohydrates and lipid disorder, of the potential impact of exercise and of the pharmacological therapies and dietary interventions [141]. Contrary to the mindfulness-based stress reduction, which did not improve dietary habit in veterans [142], integrated approaches, such as "Lifestyle Balance" (modified from the Diabetes Prevention Program) [143], gave promising results. The weight management MOVE!…”

Section: Healthy Diet For Veteransmentioning

confidence: 99%

Nutraceutical-based Integrative Medicine: Adopting a Mediterranean Diet Pyramid for Attaining Healthy Ageing in Veterans with Disabilities

Ciccotti¹,

Raguzzini

Sciarra³

et al. 2019

CPD

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Veterans with disability represent a big burden worldwide and often require long-term rehabilitation. Unhealthy dietary and lifestyle habits, including smoke and alcohol abuse, are common in veterans. In the context of integrative medicine approaches, the "complementary and alternative medicine" has been suggested for the management of chronic diseases. However, the potential risk of interaction between herbal products, dietary supplements and drugs must be considered in veterans. The Mediterranean diet has been suggested as a natural, non-pharmacological nutraceutical for healthy ageing. Although there is a broad consensus on the positive effect of plant foods consumption, the presence of glucosinolates, flavonoids and furanocoumarins in some plant foods and beverages must be taken into consideration owing to their potential interfering with drugs metabolism and bioavailability. Albeit seasonality could ensure the maintenance of the single dose of phytochemical below that at which adverse effects in some individuals genetically predisposed or unpleasant drug interactions in diseased subjects can occur, a personalized nutrition is recommended in veterans who are under treatment for comorbidities. Furthermore, sports practice can lead veterans with motor disabilities and mental impairments to excel in some disciplines, giving rise to the phenomenon of the Paralympics and the development of "recreational therapy". Moreover, outdoor lifestyle, through vitamin D synthesis, and conviviality, improving socialization, could account for the Mediterranean lifestyle health benefits. In this work, we propose for veterans a Mediterranean Pyramid, which could be the basis for integrative medicine for veterans with disabilities, patient-centered approaches and interprofessional (including physical medicine and rehabilitation clinicians, pharmacists and nutritionists) interventions.

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A Randomized, Controlled Multisite Study of Behavioral Interventions for Veterans with Mental Illness and Antipsychotic Medication-Associated Obesity

Cited by 17 publications

References 53 publications

Improving Weight Management among Veterans

Improving Weight Management among Veterans

An appraisal of methodology reporting in lifestyle interventions among people with psychosis: A systematic review

Nutraceutical-based Integrative Medicine: Adopting a Mediterranean Diet Pyramid for Attaining Healthy Ageing in Veterans with Disabilities

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