Scott B Teasdale1, Jackie Curtis2, Philip B Ward3, Andrew Watkins4, Oscar Lederman5, Simon Rosenbaum6, Megan Kalucy2, Julia Lappin6, Katherine Samaras7. 1. Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Australia; School of Psychiatry, University of New South Wales, Sydney, Australia. Electronic address: Scott.Teasdale@health.nsw.gov.au. 2. Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Australia; School of Psychiatry, University of New South Wales, Sydney, Australia. 3. School of Psychiatry, University of New South Wales, Sydney, Australia; Schizophrenia Research Unit, South Western Sydney Local Health District and Ingham Institute of Applied Medical Research, Liverpool Hospital, Australia. 4. Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Australia; Faculty of Health, University of Technology Sydney, Australia. 5. Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Australia; School of Medical Sciences, University of New South Wales, Sydney, Australia. 6. School of Psychiatry, University of New South Wales, Sydney, Australia. 7. Department of Endocrinology, St Vincent's Hospital, Darlinghurst, Australia; Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, Australia; St Vincent's Clinical School, University of New South Wales, Sydney, Australia.
Abstract
BACKGROUND: Severe mental illness is characterised by a 15-year mortality gap driven by cardiometabolic disease. Antipsychotic treatment leads to increased appetite and rapid weight gain. The 12-week lifestyle pilot intervention improved dietary intake and prevented antipsychotic-induced weight gain. Here we report two-year outcomes. METHOD: Participants were exposed to an extended program. Weight and waist circumference were measured, and food frequency questionnaire completed. RESULTS: Diet quality was higher, and discretionary food intake was 40% lower, at two-years compared to baseline. Weight and waist-circumference did not increase. CONCLUSION: This pilot study demonstrated sustained effectiveness of a dietetic intervention in youth with first-episode psychosis with improvements in diet quality and no increase in weight secondary to antipsychotic medication initiation.
BACKGROUND: Severe mental illness is characterised by a 15-year mortality gap driven by cardiometabolic disease. Antipsychotic treatment leads to increased appetite and rapid weight gain. The 12-week lifestyle pilot intervention improved dietary intake and prevented antipsychotic-induced weight gain. Here we report two-year outcomes. METHOD:Participants were exposed to an extended program. Weight and waist circumference were measured, and food frequency questionnaire completed. RESULTS: Diet quality was higher, and discretionary food intake was 40% lower, at two-years compared to baseline. Weight and waist-circumference did not increase. CONCLUSION: This pilot study demonstrated sustained effectiveness of a dietetic intervention in youth with first-episode psychosis with improvements in diet quality and no increase in weight secondary to antipsychotic medication initiation.
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