BACKGROUND: There 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. METHODS: A 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. RESULTS: Fourteen 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. CONCLUSION: Further 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.
BACKGROUND: There 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. METHODS: A 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. RESULTS: Fourteen 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. CONCLUSION: Further 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.
Authors: Alvaro Sanchez; Gregory J Norman; James F Sallis; Karen J Calfas; Cheryl Rock; Kevin Patrick Journal: Prev Med Date: 2007-10-18 Impact factor: 4.018
Authors: Kelly Aschbrenner; Kim Mueser; Stephen Bartels; Elizabeth Carpenter-Song; Sarah Pratt; Laura Barre; John Naslund; Allison Kinney Journal: Health Soc Work Date: 2015-05
Authors: Eva Tseng; Arlene T Dalcin; Gerald J Jerome; Joseph V Gennusa; Stacy Goldsholl; Courtney Cook; Lawrence J Appel; Nisa M Maruthur; Gail L Daumit; Nae-Yuh Wang Journal: Diabetes Care Date: 2019-02-14 Impact factor: 19.112
Authors: Stephen J Bartels; Sarah I Pratt; Kelly A Aschbrenner; Laura K Barre; John A Naslund; Rosemarie Wolfe; Haiyi Xie; Gregory J McHugo; Daniel E Jimenez; Ken Jue; James Feldman; Bruce L Bird Journal: Am J Psychiatry Date: 2014-12-12 Impact factor: 18.112
Authors: Kelly Aschbrenner; Elizabeth Carpenter-Song; Kim Mueser; Allison Kinney; Sarah Pratt; Stephen Bartels Journal: Community Ment Health J Date: 2012-09-29
Authors: Stephen J Bartels; Sarah I Pratt; Kelly A Aschbrenner; Laura K Barre; Kenneth Jue; Rosemarie S Wolfe; Haiyi Xie; Gregory McHugo; Meghan Santos; Gail E Williams; John A Naslund; Kim T Mueser Journal: Psychiatr Serv Date: 2013-08-01 Impact factor: 3.084
Authors: Scott P Stumbo; Bobbi Jo H Yarborough; Micah T Yarborough; Shannon L Janoff; Victor J Stevens; Mark Lewinsohn; Carla A Green Journal: Transl Behav Med Date: 2015-09 Impact factor: 3.046