The effectiveness of a program of physical activity and diet to modify cardiovascular risk factors in patients with severe mental illness after 3-month follow-up: CAPiCOR randomized clinical trial

Abstract

Clinicaltrials.gov NCT01729650 (effectiveness of a physical activity and diet program in patients with psychotic disorder [CAPiCOR]).

Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

“…This involved simplifying the lessons plans, applying guiding social cognitive and behavioral theories, combining psychiatric rehabilitation and skill building content, integrating materials related to mental health symptoms and how these symptoms can interfere with healthy eating and getting exercise, consideration of the effects of psychiatric medications on weight, and incorporating different strategies to encourage and motivate participants [34,37–39,41,43,48,52]. Many interventions were group-based [38,40,42–46,49,51], combined group and individual sessions [39,41,48,52], or were individually focused [34,37,47,50]. A range of different providers delivered the lifestyle interventions including fitness trainers or health coaches with specialized training for working with individuals with serious mental illness [34,37], other providers with basic training for working with people with mental illness [45], trained members of the study staff [39,46–48], mental health counselors [52], trained recovery workers [41], dietitians [47,50], psychiatric nurses [40,42,44], or an exercise physiologist [47].…”

“…Most studies compared lifestyle interventions to usual care, which generally consisted of medication and case management [38,41,42,50–52]. Participants in the comparison groups in other studies received usual care with the addition of regular weight measurement [40,44,45], paper handouts with basic information about healthy lifestyle [46], self-help materials with basic nutrition information and encouragement to increase physical activity participation [49], monthly weight measurement combined with handouts about diet and exercise [48], and a placebo [47].…”

“…There were also several quality metrics that were not met by many of the studies. These included follow-up length of 12-months or greater [40,42–48,50,51], follow-up rate of at least 85% [34,37,38,45,48–50], use of blinded outcome assessment [38,43,46,48], and recruitment through multiple study sites [37,40,43,44,46,47,50,51]. …”

“…The ten studies of lifestyle interventions of ≤ 6-months duration showed significant heterogeneity, indicating high variance and that effect estimates from these studies should be interpreted cautiously [40,42–48,50,51]. However, the six studies of lifestyle interventions of ≥ 12-months duration that reported weight loss as a continuous outcome (the seventh study reported the proportion of participants who achieved clinically significant weight loss) showed very low statistical heterogeneity (I 2 = 0%) [34,37–39,41,52].…”

How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression

“…234 full texts were reviewed and 199 were excluded with reasons (see Fig. 1), with 35 unique studies meeting the eligibility criteria (Arbour-Nicitopoulos et al, 2014;Arbour-Nicitopoulos et al, 2010;Attux et al, 2013;Baker et al, 2014;Beebe et al, 2011;Bredin et al, 2013;Brunero and Lamont, 2010;Curtis et al, 2015;Faulkner et al, 2006;Firth et al, 2016;Gardner-Sood et al, 2015;Gomes et al, 2014Gomes et al, , 2015Gorczynski et al, 2014;Janney, 2012;Janney et al, 2015;Keller-Varady et al, 2015;Kimhy et al, 2014;Leutwyler et al, 2013Leutwyler et al, , 2015Lindamer et al, 2008;Lovell et al, 2014;Masa-Font et al, 2015;McCreadie, 2003;McKibbin et al, 2006;McLeod et al, 2009;Morgan et al, 2014;Ostermann et al, 2012;Scheewe et al, 2013;Snethen et al, 2014;Vancampfort et al, 2013aVancampfort et al, , 2013cVancampfort et al, , 2015aVreeland et al, 2003;Wang et al, 2012) Full details of the search results are summarized in Fig. 1.…”