Results The results of the meta- analysis show an effect toward the experimental group .
Notably , prevention studies with individual psychoeducational programmes that include diet and /or physical activity seem to have the highest impact .
Conclusions When compared with treatment as usual in psychotic patients , preventive and individual lifestyle interventions that include diet and physical activity generally prove to be effective in reducing weight .
This percentage is below the 5 % to 10 % weight loss deemed sufficient to improve weight-related complications such as hypertension , type II diabetes , and dyslipidemia .
However , it is reported that outcomes associated with metabolic risk factors may have greater health implication s than weight changes alone .
Background Psychiatric patients have more physical health problems and much shorter life expectancies compared to the general population , due primarily to premature cardiovascular disease .
A multi-causal model which includes a higher prevalence of risk factors has provided a valid explanation .
It takes into consideration not only risks such as gender , age , and family history that are inherently non-modifiable , but also those such as obesity , smoking , diabetes , hypertension , and dyslipidemia that are modifiable through behavioural changes and improved care .
Thus , it is crucial to focus on factors that increase cardiovascular risk .
Obesity in particular has been associated with both the lifestyle habits and the side effects of antipsychotic medications .
The present systematic review and meta- analysis aims at collecting and updating available evidence on the efficacy of non-pharmacological health promotion programmes for psychotic patients in r and omised clinical trials .
Attenuation of antipsychotic-induced weight gain with early behavioral intervention in drug-naive first-episode psychosis patients: A randomized controlled trial.
BACKGROUND The purpose of this study was to compare an early behavioral intervention ( EBI ) with nonstructured st and ard physical care ( routine care intervention [ RCI ] ) in preventing antipsychotic-induced weight gain in drug-naive first-episode psychosis patients . METHOD Sixty-one patients with a DSM-IV-diagnosed psychotic disorder were first r and omly assigned to 3 different antipsychotic treatments ( risperidone [ N = 23 ] , olanzapine [ N = 18 ] , and haloperidol [ N = 21 ] ) and subsequently r and omly assigned to the intervention condition ( EBI , N = 35 ) or RCI ( N = 27 ) . EBI was specifically design ed to teach strategies to enhance control over factors associated with antipsychotic-induced weight gain and consisted of 8 flexible intervention modules that incorporated behavioral interventions , nutrition , and exercise . In the RCI group , patients were informed about potential weight gain and advised to increase their exercise and limit food intake . Body weight and body mass index were measured at baseline and then weekly for 3 months . In addition to change in weight and body mass index , a third outcome measure was the proportion of patients who had gained more than 7 % of their body weight at 3 months . Participating patients were referred between August 2002 and September 2004 . RESULTS All 61 participants completed the study . Patients in the EBI group gained significantly less weight ( mean = 4.1 kg , SD = 4.0 ) than those allocated to the RCI group ( mean = 6.9 kg , SD = 4.5 ) ( p < .01 ) during the 3-month follow-up period . Similar findings were obtained when both groups were compared on treatment-induced change in body mass index , which was significantly less in the EBI group than in the RCI group ( 1.40 vs. 2.39 kg/m2 ) ( p < .01 ) . Accordingly , significantly fewer patients in the EBI group ( N = 11 ; 39.3 % ) than in the RCI group ( N = 26 ; 78.8 % ) ( p < .002 ) increased their baseline weight by more than 7 % , the cutoff for clinical ly meaningful weight gain . CONCLUSIONS EBI was effective in attenuating antipsychotic-induced weight gain in a drug-naive first-episode psychosis cohort . Patients displayed good adherence to this type of preventive intervention
Results The results of the meta- analysis show an effect toward the experimental group .
Notably , prevention studies with individual psychoeducational programmes that include diet and /or physical activity seem to have the highest impact .
Conclusions When compared with treatment as usual in psychotic patients , preventive and individual lifestyle interventions that include diet and physical activity generally prove to be effective in reducing weight .
This percentage is below the 5 % to 10 % weight loss deemed sufficient to improve weight-related complications such as hypertension , type II diabetes , and dyslipidemia .
However , it is reported that outcomes associated with metabolic risk factors may have greater health implication s than weight changes alone .
Background Psychiatric patients have more physical health problems and much shorter life expectancies compared to the general population , due primarily to premature cardiovascular disease .
A multi-causal model which includes a higher prevalence of risk factors has provided a valid explanation .
It takes into consideration not only risks such as gender , age , and family history that are inherently non-modifiable , but also those such as obesity , smoking , diabetes , hypertension , and dyslipidemia that are modifiable through behavioural changes and improved care .
Thus , it is crucial to focus on factors that increase cardiovascular risk .
Obesity in particular has been associated with both the lifestyle habits and the side effects of antipsychotic medications .
The present systematic review and meta- analysis aims at collecting and updating available evidence on the efficacy of non-pharmacological health promotion programmes for psychotic patients in r and omised clinical trials .