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 .
Effects of an Educational Intervention on Weight Gain in Patients Treated With Antipsychotics
Background : Increasing numbers of reports have raised concerns about significant increases in weight and adiposity over both short- and long-term treatment in patients treated with antipsychotics ( APs ) . The management of overweight and obesity in patients treated with APs has included pharmacological interventions , dietary suggestions , and behavioral strategies . Nevertheless , current evidence does not support the use of pharmacological management of this specific type of obesity , and only a limited number of studies have been published regarding prevention and treatment of weight gain with other strategies . Objective : The aim of this study was to evaluate the effectiveness of an educational intervention ( EI ) that combines low-calorie diet with increased physical activity to prevent and treat weight gain in patients treated with APs . Method : Data were from 53 subjects whose body mass index ( BMI ) had increased by more than 7 % after starting an AP therapy and who consented to participate in a 12-week educational intervention study aim ed at preventing further weight gain and , when possible , at inducing a weight loss . Weight and BMI were measured at baseline ( at each of the monthly follow-up visits ) and at study completion 12 weeks from entry in the study . Results : Twenty-six patients completed the 12-week program . Completers showed a significant mean body weight decrease of 3.15 kg , with a mean BMI reduction of 1.2 ( kg/m2 ) at the end of the 3-month period . Conclusions : Educational intervention can be an important tool for the management of weight increase in patients treated with APs . A larger prospect i ve and controlled study is now needed to confirm our findings
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 .