A nutrition intervention is effective in improving dietary components linked to cardiometabolic risk in youth with first-episode psychosis

Teasdale, Scott; Ward, Philip B.; Rosenbaum, Simon; Watkins, Andrew; Curtis, Jackie; Kalucy, Megan; Samaras, Katherine

doi:10.1017/s0007114516001033

Cited by 55 publications

(44 citation statements)

References 44 publications

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“…These workshops were very popular and showed successful preliminary outcomes (20). A recent study reported that a nutrition intervention in youth with first-episode psychosis successfully improved their dietary behaviors, particularly reduced intake of discretionary foods high in fat and sugar, and increased vegetable intake that is associated with reduced CVD risk (21). …”

Section: Discussionmentioning

confidence: 99%

Health Behaviors, Knowledge, Life Satisfaction, and Wellbeing in People with Mental Illness across Four Countries and Comparisons with Normative Sample

2016

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BackgroundPeople with chronic mental illness have poorer physical health and higher mortality than the general population. We investigated lifestyle factors in people with mental illness across four countries and compared with a normative sample.Design and methodsData were collected from N = 672 people (Germany, n = 375; Palestine, n = 192; London, n = 63; Australia, n = 42) with substance abuse disorder (n = 224), schizophrenia (n = 158), mood disorders (n = 227), and somatoform disorders (n = 63). The General Health Behaviour Questionnaire measured behaviors and knowledge related to nutrition, physical activity, alcohol, smoking, sleep, life satisfaction, and wellbeing. The normative samples were derived from a German population (N = 1,019). Data were analyzed using ANOVAs and t-tests.ResultsThe Palestine sample did not differ from the Western samples on reported life satisfaction and wellbeing. However, they reported unhealthier diets, less physical activity, and lower knowledge about the impact of diet, physical activity, smoking, and sleep on health than the Western samples. Comparing the Western and normative samples, people with mental illness reported lower intake of healthy foods/drinks, higher intake of unhealthy foods, higher exercise, higher alcohol consumption, less cigarettes, less sleep, and more sleep problems. Their knowledge was lower for nutrition, physical activity, and smoking. All participants reported lower life satisfaction and wellbeing than the normative sample (P-values <0.001).ConclusionEducation on health-related lifestyle factors present important targets for primary care, quality of life and prevention of illness in people with mental illness. Further research will clarify specific predictors of health behaviors in each country.

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Section: Discussionmentioning

confidence: 99%

Health Behaviors, Knowledge, Life Satisfaction, and Wellbeing in People with Mental Illness across Four Countries and Comparisons with Normative Sample

2016

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“…The seminal works of Teasdale et al . (, ) highlight for youth with first‐episode psychosis that tailored dietetic consultation can reduce cardiometabolic risk (Teasdale et al . ) and improve diet quality (Teasdale et al .…”

Section: Discussionmentioning

confidence: 99%

“…Teasdale et al . , ). Therefore, strategies to improve access to APD healthcare provision for adults with SMI attending community mental health services (CMHS) are only barely known.…”

Section: Introductionmentioning

confidence: 97%

Colocating an accredited practising dietitian to an adult community mental health service: An exploratory study

Furness

Wallace

McElhinney

et al. 2018

Int J Mental Health Nurs

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For people with severe mental illness, accredited practising dietitians may assist with a nutrition care plan that considers the medical, psychiatric, psychological, social, spiritual, and pharmacological aspects of their care. However, consumers' access to care has been limited by difficulties attending appointments and suboptimal interface between nutritional and mental health services. Therefore, the objectives of this exploratory study were to describe access to, and key stakeholder perspectives of, the accredited practising dietitian role colocated in a community mental health service. A total of 16 key stakeholders participated in one-to-one interviews. Two main themes with subthemes were derived from analysis of interviews: (i) 'building empowerment and collaboration' and included the subthemes, (a) nutrition awareness and education and (b) healthy lifestyle changes, and (ii) 'overcoming challenges to optimal nutrition and effective health care'. In addition, improved access to the role was demonstrated with 124 (79%) consumers attending at least one appointment with an accredited practising dietitian. A total of 15 (12%) consumers attended more than 10 appointments during their outpatient admission to the community mental health service. Colocating an accredited practising dietitian was perceived to build empowerment and collaboration, and overcome challenges to optimal nutrition and effective health care for consumers, carers, and clinicians. The colocation of a dietitian can empower consumers' to make health-informed decisions and support their willingness to engage with physical healthcare provision when it is prioritized alongside mental healthcare provision.

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“…The etiology of cardiovascular disease as relevant to schizophrenia is multifactorial and complex, with antipsychotic medications (Peet, 2004), increased incidence of smoking (McCreadie, 2003; Hennekens et al, 2005), unhealthy dietary and excess sodium intake (Brown et al, 1999; Teasdale et al, 2016), sedentary behavior (McCreadie et al, 1998), each having a substantial role. The primary cardiovascular disease risk markers that are routinely investigated in schizophrenia include metabolic syndrome, Framingham 10-year Relative Risk score, C-reactive protein, and dyslipidemia.…”

Section: Schizophrenia and Cardiovascular Diseasementioning

confidence: 99%

“…A similar nutritional intervention conducted in a first episode schizophrenia patient sample was effective at reducing excessive sodium and caloric intake observed at study baseline (Teasdale et al, 2016). While the DASH diet and other sodium intake reduction measures are quite effective at reducing hypertension and inflammation, compliance has been suboptimal in various clinical populations (Feyh et al, 2016; Teasdale et al, 2016). Successful implementation of the DASH or modified DASH diet to target hypertension or other cardiovascular risk factors will require cognitive and behavioral modification strategies to maintain adherence in schizophrenia spectrum populations.…”

Section: Schizophrenia Empirically Based Diets and Nutritional Suppmentioning

confidence: 99%

Modified Mediterranean Diet for Enrichment of Short Chain Fatty Acids: Potential Adjunctive Therapeutic to Target Immune and Metabolic Dysfunction in Schizophrenia?

et al. 2017

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Growing interest in gut and digestive processes and their potential link to brain and peripheral based inflammation or biobehavioral phenotypes has led to an increasing number of basic and translational scientific reports focused on the role of gut microbiota within the context of neuropsychiatric disorders. However, the effect of dietary modification on specific gut metabolites, in association with immune, metabolic, and psychopathological functioning in schizophrenia spectrum disorders has not been well characterized. The short chain fatty acids (SCFA) acetate, butyrate, and propionate, major metabolites derived from fermentation of dietary fibers by gut microbes, interact with multiple immune and metabolic pathways. The specific pathways that SCFA are thought to target, are dysregulated in cardiovascular disease, type II diabetes, and systemic inflammation. Most notably, these disorders are consistently linked to an attenuated lifespan in schizophrenia. Although, unhealthy dietary intake patterns and increased prevalence of immune and metabolic dysfunction has been observed in people with schizophrenia; dietary interventions have not been well utilized to target immune or metabolic illness. Prior schizophrenia patient trials primarily focused on the effects of gluten free diets. Findings from these studies indicate that a diet avoiding gluten benefits a limited subset of patients, individuals with celiac disease or non-celiac gluten sensitivity. Therefore, alternative dietary and nutritional modifications such as high-fiber, Mediterranean style, diets that enrich the production of SCFA, while being associated with a minimal likelihood of adverse events, may improve immune and cardiovascular outcomes linked to premature mortality in schizophrenia. With a growing literature demonstrating that SCFA can cross the blood brain barrier and target key inflammatory and metabolic pathways, this article highlights enriching dietary intake for SCFA as a potential adjunctive therapy for people with schizophrenia.

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A nutrition intervention is effective in improving dietary components linked to cardiometabolic risk in youth with first-episode psychosis

Cited by 55 publications

References 44 publications

Health Behaviors, Knowledge, Life Satisfaction, and Wellbeing in People with Mental Illness across Four Countries and Comparisons with Normative Sample

Health Behaviors, Knowledge, Life Satisfaction, and Wellbeing in People with Mental Illness across Four Countries and Comparisons with Normative Sample

Colocating an accredited practising dietitian to an adult community mental health service: An exploratory study

Modified Mediterranean Diet for Enrichment of Short Chain Fatty Acids: Potential Adjunctive Therapeutic to Target Immune and Metabolic Dysfunction in Schizophrenia?

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