Obesity Among Those with Mental Disorders

Allison, David B.; Newcomer, John W.; Dunn, Andrea L.; Blumenthal, James A.; Fabricatore, Anthony N.; Daumit, Gail L.; Cope, Mark B.; Riley, William T.; Vreeland, Betty; Hibbeln, Joseph R.; Alpert, Jonathan E.

doi:10.1016/j.amepre.2008.11.020

Cited by 335 publications

(126 citation statements)

References 79 publications

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“…Both types of outcomes are important health indicators for individuals with mental illnesses because they are linked to the elevated mortality and morbidity reported in this population (43). …”

Section: Discussionmentioning

confidence: 99%

“…Even though these risk factors were secondary outcomes and only a limited number of studies explored these effects, these findings seem promising because improvements in these risk factors may exert a bigger health benefit than weight loss (46). Because of the high prevalence of obesity and chronic medical illnesses among persons with serious mental illness and the negative metabolic alterations associated with second-generation antipsychotics (43,47), future trials need to be properly powered to examine the effect of lifestyle interventions on these risk factors.…”

Section: Discussionmentioning

confidence: 99%

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Lifestyle Interventions for Adults With Serious Mental Illness: A Systematic Literature Review

Cabassa¹,

Ezell²,

Lewis‐Fernández³

2010

Psychiatric Services

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Objective The promotion of healthy lifestyles among persons with serious mental illness is an integral part of their recovery. The aims of this systematic literature review were to rate the methodological quality of lifestyle intervention outcome studies for persons with serious mental illness, summarize intervention strategies, examine physical health outcomes, and evaluate the inclusion of racial and ethnic minority groups in these studies. Methods Electronic bibliographic database searches were performed to locate studies conducted in the United States. Articles written in English and published in peer-reviewed journals between 1980 and 2009 were included. The authors used a standardized instrument to rate studies' methodological quality. Results Twenty-three articles were reviewed. Based on studies' methodological quality, three levels of evidence were found: single-group reports, quasi-experimental studies, and randomized controlled trials. Most interventions used behavioral techniques to improve dietary habits and increase physical activity. Twelve studies reported significant improvements in either weight loss or metabolic syndrome risk factors associated with receiving a lifestyle intervention. Persons from racial and ethnic minority groups were underrepresented, especially Hispanics and Asian Americans. Only one study included non–English-speaking participants. Conclusions Lifestyle interventions adapted to persons with serious mental illness show promise in reducing weight loss and some risk factors for metabolic syndrome. The under-representation of persons from racial or ethnic minority groups in this literature limits its generalizability. Implications for research and practice are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lifestyle Interventions for Adults With Serious Mental Illness: A Systematic Literature Review

Cabassa¹,

Ezell²,

Lewis‐Fernández³

2010

Psychiatric Services

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“…The obesity rates among people in this population are at least as high as those among the general population and possibly higher, particularly for women (1). Moreover physical health concerns associated with obesity are more prevalent among people diagnosed as having serious mental illness than in the general population and result in greater problems.…”

mentioning

confidence: 94%

“…However, most studies have been small, short-term investigations at a single site that underrepresented participants from minority groups and focused on either physical activity or dietary changes but not both. Few used randomized controlled trial designs (1,5). …”

mentioning

confidence: 99%

Weight Loss Intervention for People With Serious Mental Illness: A Randomized Controlled Trial of the RENEW Program

Brown

Goetz²,

Hamera³

2011

Psychiatric Services

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Objective This study assessed phases one and two of a three-phase weight-loss program called RENEW—Recovering Energy Through Nutrition and Exercise for Weight Loss—among individuals with serious mental illness at four mental health centers. RENEW provides meal replacements twice daily and intensive instruction in nutrition and meal preparation, exercise, and goal setting for three months followed by three months of maintenance. Methods Individuals grouped by the psychiatric medication they took were assigned randomly to RENEW or to a control group. Results Participants who completed RENEW (N=47) had lost more weight on average than had the control group (N=42) at three and six months (weight loss of 5.3 and 4.4 pounds, respectively, versus weight gain of .1 pounds and weight loss of .9 pounds, respectively; F=5.74, df=2 and 82, p=.005). Results did not vary on the basis of type of medication. Conclusions Weight loss programs that address cognitive impairments that may accompany serious mental illness can be effective.

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“…Em causa estão os inadequados estilos de vida que são comumente reportados pelas pessoas com esquizofrenia. Mais especificamente, a maioria das pessoas com esquizofrenia são sedentárias, ingerem frequentemente bebidas alcoóli-cas, são fumadores e apresentam uma inadequada dieta alimentar (Faulkner & Biddle, 1999) Somado a isso, os medicamentos antipsicóticos regularmente utilizados para controlo dos sintomas da doença, podem provocar ganho de peso corporal, bem como o desenvolvimento de doenças cardiovasculares, Diabetes Mellitus e síndrome metabólica (Allison et al, 2009;Attux et al, 2011;Ministério da Saúde, 2008). Neste sentido, as intervenções psicossociais apresentam-se como essenciais no tratamento da esquizofrenia (Attux et al, 2011).…”

Section: Introductionunclassified

Efeito de um programa de atividade física na capacidade funcional para o exercício e nível de atividade física de pessoas com esquizofrenia – um estudo piloto

Gomes

Bastos

Costa

et al. 2017

RPESM

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RESUMO CONTEXTO:A esquizofrenia é uma doença grave e debilitante. Somado a isso, a maioria das pessoas com esquizofrenia apresenta um estilo de vida pouco saudável, que inclui níveis insuficientes de atividade física diária. OBJETIVO: O propósito do presente estudo foi avaliar a eficácia de um programa de Atividade Física (AF) de 24 semanas na capacidade funcional para o exercício e no nível de AF de pessoas com esquizofrenia. MÉTODOS: Nove pessoas (cinco homens e quatro mulheres) com diagnóstico de esquizofrenia participaram durante 24 semanas num programa de AF. O programa contemplou duas sessões por semana, com a duração de 60 minutos/sessão. As avaliações ocorreram no início (M0), após 12 semanas (M1) e 24 semanas (M2). A capacidade funcional e o nível de AF foram avaliados através do Teste de caminhada de 6 minutos e do Questionário Internacional de AF, versão curta, respetivamente. RESULTADOS: Verificaram-se melhorias significativas na capacidade funcional para o exercício. Apesar da ausência de significância estatística, observou-se um aumento no nível de AF e redução nos valores da circunferência da cintura e da anca entre M0 e M2. CONCLUSÕES: Os resultados sugerem que o programa de AF pode promover um estilo de vida saudável nas pessoas com esquizofrenia. PALAVRAS-CHAVE: Espectro da esquizofrenia e outros transtornos psicóticos; Atividade motora; CaminhadaCitação: Gomes, E., Bastos, T., Costa, R., & Corredeira, R. (2017). Efeito de um programa de exercício na capacidade funcional para o exercício e nível de atividade física de pessoas com esquizofrenia -um estudo piloto. BACKGROUND: Schizophrenia is a most debilitating disease. In addition, much of this people had an unhealthy lifestyle, which includes insufficient daily physical activity levels. AIM: The purpose of this study was to evaluate the effects of a 24-week physical activity (PA) program in functional exercise capacity and level of PA in people with schizophrenia. METHODS: Nine persons (five men and four women) with diagnose of schizophrenia participated for 24 weeks in a PA program. The program occurred twice a week, with 60 minutes per session. The evaluations occurred at baseline (M0), after 12 weeks (M1) and 24 weeks (M2). The functional capacity and the level of PA were evaluated through the 6-minute Walk Test and the International Physical Activity Questionnaire -Short Form, respectively. RESULTS: There were significant improvements in functional exercise capacity. Although there were no significant statistically differences, there was an increase in the level of PA and a reduction in waist and hip circumferences between M0 and M2. CONCLUSIONS:The results suggest that the PA program can promote a healthy lifestyle in people with schizophrenia.

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Obesity Among Those with Mental Disorders

Cited by 335 publications

References 79 publications

Lifestyle Interventions for Adults With Serious Mental Illness: A Systematic Literature Review

Lifestyle Interventions for Adults With Serious Mental Illness: A Systematic Literature Review

Weight Loss Intervention for People With Serious Mental Illness: A Randomized Controlled Trial of the RENEW Program

Efeito de um programa de atividade física na capacidade funcional para o exercício e nível de atividade física de pessoas com esquizofrenia – um estudo piloto

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