Objective:To assess the impact of a weight management program on metabolic health of second-generation antipsychotic (SGA)-treated patients.Methods: A prospective 12-week intervention program including individual exercise training and nutritional group sessions was performed as a pilot study. An intervention group of 6 SGA-treated patients (5 men and 1 woman; mean 15.0, SD 11.8 months) was compared with 10 reference patients under SGAs (8 men and 2 women; mean 14.0, SD 14.2 months), presenting similar age and baseline weekly levels of physical activity. For patients of both groups, anthropometric measurements and basic fasting lipid profile were assessed. For patients in the intervention group, an adapted Rockport Test was performed to evaluate their aerobic fitness and compliance to training sessions, and was recorded.Results: After the 12-week period, reference patients significantly gained weight (P = 0.001), whereas intervention patients showed significant weight loss and decreased body mass index (P = 0.02); interaction between groups: P < 0.01. This weight loss was accompanied by a decreased cholesterol-high-density lipoprotein cholesterol ratio (P = 0.04). Overall, the intervention patients' adherence to exercise prescription was 95.1 %, and this adherence induced a significant improvement of their aerobic fitness (P = 0.05). Conclusion Limitations· This pilot intervention study was not randomized and was completed with a small sample size. · Patients were not treated for dyslipidemia, diabetes, or obesity whereas treatment with concomitant medication for depression, anxiety, and (or) mood disorders were not considered as exclusion criteria. · No information was collected on level of physical activities or dietary habits of the patients during the intervention program.
Résumé Cette étude vise à déterminer les caractéristiques souhaitables que devrait posséder un suppléant en éducation physique. L’utilisation de la technique de groupe nominal (TGN) auprès de dix-huit professionnels impliqués à divers niveaux de l’enseignement de l’éducation physique a permis d’identifier dix-huit de ces caractéristiques. Elles se regroupent sous quatre thèmes principaux : les relations humaines, le sens de l’organisation, la connaissance de la matière et le souci professionnel.
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