Nutritional Intervention to Prevent Weight Gain in Patients Commenced on Olanzapine: A Randomizedcontrolled Trial

Evans, Sherryn; Newton, Richard; Higgins, Sarah

doi:10.1080/j.1440-1614.2005.01607.x

Cited by 40 publications

(70 citation statements)

References 28 publications

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“…Therefore, despite some positive outcomes in health behaviours, with the exception of waist circumference the physical state of patients remained largely unchanged over the 12 month period of the study. Our findings are similar to some of the previous exercise and nutritional studies which have shown that although health behaviours improved in patients with SMI, this did not manifest in significant reductions in BMI, waist circumference or body weight, however the interventions may have prevented further deterioration [26-29]. …”

Section: Discussionsupporting

confidence: 90%

Enhanced physical health screening for people with severe mental illness in Hong Kong: results from a one-year prospective case series study

et al. 2014

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BackgroundPeople with severe mental illness have significantly poorer physical health compared to the general population; previous health screening studies conducted outside Asian countries have demonstrated the potential in addressing this issue. This case series aimed to explore the effects and utility of integrating an enhanced physical health screening programme for community dwelling patients with severe mental illness into routine clinical practice in Hong Kong.MethodThis study utilises a consecutive prospective case series design. The serious mental illness Health Improvement Profile (HIP) was used as a screening tool at baseline and repeated at 12 months follow-up.ResultsA total of 148 community-based patients with severe mental illness completed the study. At one year follow-up analysis showed a significant improvement in self-reported levels of exercise and a reduction in the numbers of patients prescribed medications for diabetes However, mean waist circumference increased at follow-up. In addition to the statistically significant results some general trends were observed, including: a lack of deterioration in most areas of cardiovascular risk; a reduction in medicines prescribed for physical health problems; and general improvements in health behaviours over the 12 month period.ConclusionsThe findings demonstrate that using the HIP is feasible and acceptable in Hong Kong. The results of the enhanced physical health-screening programme are promising, but require further testing using a randomised controlled trial design in order to more confidently attribute the improvements in well-being and health behaviours to the HIP.Trial registrationClinical trial registration number: ISRCTN12582470

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Section: Discussionsupporting

confidence: 90%

Enhanced physical health screening for people with severe mental illness in Hong Kong: results from a one-year prospective case series study

et al. 2014

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“…The study period was equal to the duration of the health promotion intervention in 12 studies. In one study [64] the intervention period was 12 weeks, while the study period lasted 24 weeks. In another study [59] the intervention and study period lasted respectively 16 and 24 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…In two studies [59,62], the increase was not statistically significant. The study by Evans et al[64] provided no information on the level of significance of weight increase in the intervention group.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness and cost-effectiveness of lifestyle interventions on physical activity and eating habits in persons with severe mental disorders: A systematic review

Verhaeghe

Maeseneer

Maes

et al. 2011

Int J Behav Nutr Phys Act

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BackgroundThere is a high prevalence of overweight and obesity in persons with severe mental disorders and this has serious implications on the short and long term health outcomes of these patients. The aim of this review was to evaluate the effectiveness of lifestyle interventions targeting physical activity and eating habits in persons with severe mental disorders. Special attention was given if any of the included studies in the review also examined the cost-effectiveness of these health promotion interventions.MethodsA systematic search through the electronic databases Medline, Web of Science, CINAHL and Cohrane Library was conducted, and by hand-searching the reference lists of the retrieved articles from the electronic databases. Studies were included if they examined effectiveness and/or cost-effectiveness of lifestyle interventions targeting physical activity and eating habits in persons with severe mental disorders, with primary outcome changes in Body Mass Index and body weight.ResultsFourteen studies met the inclusion criteria. Weight loss and Body Mass Index decrease were observed in intervention groups in 11 studies. The difference in weight change between intervention and control groups was statistically significant in nine studies. Differences in mean Body Mass Index between intervention and control groups were statistically significant in eight studies. Five studies reported improvements in quality of life and general health. In none of the studies cost-effectiveness of lifestyle interventions was examined.ConclusionFurther research on both effectiveness and cost-effectiveness of lifestyle interventions targeting physical activity and eating habits in persons with severe mental disorders is required to assist in the development of new health promotion interventions in this population.

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“…Those studies of interventions that might not be appropriate for primary care include interventions that were too long [45,47,61], provided products or services that might not be available in primary care settings [43,48,55,62,71] or required patients to have not yet developed physical risk factors prior to the intervention [46]. …”

Section: Discussionmentioning

confidence: 99%

Primary care-based educational interventions to decrease risk factors for metabolic syndrome for adults with major psychotic and/or affective disorders: a systematic review

Nover

Jackson

2013

Syst Rev

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BackgroundIndividuals with major psychotic and/or affective disorders are at increased risk for developing metabolic syndrome due to lifestyle- and treatment-related factors. Numerous pharmacological and non-pharmacological interventions have been tested in inpatient and outpatient mental health settings to decrease these risk factors. This review focuses on primary care-based non-pharmacological (educational or behavioral) interventions to decrease metabolic syndrome risk factors in adults with major psychotic and/or affective disorders.MethodsThe authors conducted database searches of PsychINFO, MEDLINE and the Cochrane Database of Systematic Reviews, as well as manual searches and gray literature searches to identify included studies.ResultsThe authors were unable to identify any studies meeting a priori inclusion criteria because there were no primary care-based studies.ConclusionsThis review was unable to demonstrate effectiveness of educational interventions in primary care. Interventions to decrease metabolic syndrome risk have been demonstrated to be effective in mental health and other outpatient settings. The prevalence of mental illness in primary care settings warrants similar interventions to improve health outcomes for this population.

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Nutritional Intervention to Prevent Weight Gain in Patients Commenced on Olanzapine: A Randomizedcontrolled Trial

Abstract: Individual nutritional intervention provided by a dietitian is highly successful at preventing olanzapine-induced weight gain.

Cited by 40 publications

References 28 publications

Enhanced physical health screening for people with severe mental illness in Hong Kong: results from a one-year prospective case series study

Enhanced physical health screening for people with severe mental illness in Hong Kong: results from a one-year prospective case series study

Effectiveness and cost-effectiveness of lifestyle interventions on physical activity and eating habits in persons with severe mental disorders: A systematic review

Primary care-based educational interventions to decrease risk factors for metabolic syndrome for adults with major psychotic and/or affective disorders: a systematic review

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