Structured assessment of modifiable lifestyle habits among patients with mental illnesses in primary care

Pikkemaat, Miriam; Nymberg, Veronica Milos; Nymberg, Peter

doi:10.1038/s41598-022-16439-1

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…There is strong evidence that patients with both severe and common psychiatric problems have a higher risk of cardiometabolic disease compared to the rest of the population (1, 3, 4, 8–10, 13, 30). The results are consistent with findings in a Swedish study where patients with diagnosed psychiatric illness (depression, anxiety, sleeping disorder or stress) were included opportunistically after contact with primary care and screened for unhealthy lifestyle habits with a targeted Health Dialogue ( Pikkemaat et al, 2022 ).…”

Section: Discussionsupporting

confidence: 87%

Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms

Milos Nymberg,

Nymberg,

Pikkemaat

et al. 2024

Preventive Medicine Reports

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Section: Discussionsupporting

confidence: 87%

Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms

Milos Nymberg,

Nymberg,

Pikkemaat

et al. 2024

Preventive Medicine Reports

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“…75.8% were overweight or obese, (mean BMI of 28.3 kg/m 2 for the whole patient group), and 23.4% of all patients were very physically inactive. Baseline characteristics were presented in a study focusing on baseline data [ 22 ]. All participants had at least one elevated cardiovascular risk level on the Health Curve for the assessed lifestyles (measured on the scale between 1 and 3 or 4, where 1 is the lowest or no risk, and 4 is the highest risk), with no difference between men and women regarding the number of high or low-risk levels.…”

Section: Resultsmentioning

confidence: 99%

“…The baseline analysis showed that more than half of the participants had the highest risk level in at least one of the studied lifestyle areas [ 22 ]. Despite the small sample size of this study, baseline data confirms the hypothesis that this group of patients needs closer attention regarding lifestyle areas that might affect the mental wellbeing as well as increase the risk to develop diabetes or cardiovascular disease.…”

Section: Discussionmentioning

confidence: 99%

HEAD-MIP–(HEAlth Dialogues for patients with Mental Illness in Primary care)—a feasibility study

Milos Nymberg,

Pikkemaat,

Calling

et al. 2023

Pilot Feasibility Stud

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Background Patients with mental illness have an increased risk of cardiovascular morbidity and mortality compared to the rest of the population, which is partly related to unhealthy lifestyle habits. To individualise lifestyle counselling in primary care, the Swedish-developed Health Dialogue (HD) can be used as an educative tool at recurrent measurement points with the goal to improve non-healthy lifestyle habits. HD has not been aimed specifically at patients with mental illness, and the effect of a systematic approach with repeated HDs in patients with mental illness in primary care has not been previously studied. The aim of this pilot study was to assess the feasibility of the study design for a larger-scale cohort study using repeated HDs focused on the improvement of lifestyle habits in patients seeking primary care due to anxiety, depression, sleeping problems or stress-related symptoms. Methods Patients were recruited after a visit to a Primary Health Care Center due to mental illness between October 2019 until November 2021 and received a Health Dialogue, including an assessment of cardiovascular risk factors through a Health Curve. Specific feasibility objectives measured were dropout rate, time to follow-up, and risk improvement rate for different lifestyle changes. Results A total of 64 patients were recruited and 29 (45%) attended a second HD, with a mean follow-up time of 15 months. All participants had at least one elevated cardiovascular risk level on the Health Curve for the assessed lifestyles. Risk level improvement rate was good except for tobacco use. Conclusion Despite a higher dropout rate than expected, we suggest that the proposed methodology for a full cohort study within general practice of patients with mental illness in primary care is both acceptable to practice and feasible. Trial registration NCT05181254. Registered January 6th, 2022. Retrospectively registered.

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Quantifying the relationship between gardening and health and well-being in the UK: a survey during the covid-19 pandemic

Gulyas,

Caton,

Edmondson

2024

BMC Public Health

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Background Rates of non-communicable diseases, including cardiovascular disease and type 2 diabetes, and mental health problems, such as anxiety and depression, are high and rising in the urbanising world. Gardening could improve both mental and physical health and help prevent a range of conditions by increasing fruit and vegetable (F&V) consumption, promoting physical activity, and reducing stress. However, good quality quantitative research in the area is scarce, and our understanding of the role of allotments and home gardens, and the effects of the level of engagement in gardening and involvement with food production has thus far been limited. Methods We quantitatively assess the relationship between home and allotment gardening and various indicators and predictors of health and well-being using an online survey of gardeners (n = 203) and non-gardeners (n = 71) in the UK. The survey was composed of multiple validated questionnaires (including the Short Form Food Frequency Questionnaire (SFFFQ), the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), the Physical Health Questionnaire (PHQ) and the Self-Rated Health question (SRH)) and self-defined questions relating to participants’ involvement with gardening and food production, and relevant demographic and lifestyle factors. Data were analysed using a series of hierarchical logistic and multiple linear regression models adjusting for socio-demographic variables. Results After adjusting for relevant socio-demographic factors, gardening related variables were associated with better self-rated health, higher mental well-being, increased F&V consumption. Higher F&V intake was in turn also associated with better self-rated health and decreased odds of obesity. Thus, gardening had a positive association with four different aspects of health and well-being, directly or indirectly via increased F&V consumption. Conclusions Our results suggest that gardening in UK allotments and domestic gardens may promote different aspects of health and well-being via multiple mechanisms. Improving access to growing space and promoting regular gardening could provide a range of benefits to public health. More research on how socio-economic factors influence the health and well-being benefits of gardening will help policymakers devise strategies to maximise these benefits.

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Structured assessment of modifiable lifestyle habits among patients with mental illnesses in primary care

Cited by 3 publications

References 20 publications

Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms

Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms

HEAD-MIP–(HEAlth Dialogues for patients with Mental Illness in Primary care)—a feasibility study

Quantifying the relationship between gardening and health and well-being in the UK: a survey during the covid-19 pandemic

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