A 12-Week Weight Reduction Intervention for Overweight Individuals Taking Antipsychotic Medications

被引：16

作者：

Green, Carla A. ^{[1
]}

Janoff, Shannon L. ^{[1
]}

Yarborough, Bobbi Jo H. ^{[1
]}

Yarborough, Micah T. ^{[1
]}

机构：

[1] Kaiser Permanente Northwest, Ctr Hlth Res, Portland, OR 97227 USA

来源：

COMMUNITY MENTAL HEALTH JOURNAL | 2014年 / 50卷 / 08期

关键词：

Weight loss; Weight reduction; Exercise; Antipsychotic medications; Serious mental illness; QUALITY-OF-LIFE; BLOOD-PRESSURE; OBESITY; GAIN; 1ST-EPISODE; MORTALITY; HEALTH; INDEX; MODEL; DIET;

D O I：

10.1007/s10597-014-9716-9

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

People taking antipsychotic medications are at increased risk for obesity, diabetes, and early mortality. Few weight loss interventions have targeted this population. Thirty-six individuals were randomized to an evidence-based 12-week weight loss intervention (PREMIER with DASH diet, n = 18) or to usual care (n = 18) in this feasibility trial. Average attendance was 8.6 of 12 sessions. Intent-to-treat analyses of covariance, adjusted for baseline weight, showed significant changes in weight: Mean weight in intervention participants declined from 213.3 to 206.6 pounds, while control participants' weight was unchanged. It is possible to recruit, assess, intervene with, and retain participants taking antipsychotic medications in a dietary and exercise lifestyle change trial. Participants reported high levels of satisfaction with the intervention.

引用

页码：974 / 980

页数：7

共 41 条

[1] Obesity Among Those with Mental Disorders A National Institute of Mental Health Meeting Report [J].

Allison, David B. ;

Newcomer, John W. ;

Dunn, Andrea L. ;

Blumenthal, James A. ;

Fabricatore, Anthony N. ;

Daumit, Gail L. ;

Cope, Mark B. ;

Riley, William T. ;

Vreeland, Betty ;

Hibbeln, Joseph R. ;

Alpert, Jonathan E. .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2009, 36 (04) :341-350

[2]

Allison DB, 1999, AM J PSYCHIAT, V156, P1686

[3]

Allison DB, 2001, J CLIN PSYCHIAT, V62, P22

[4] Consensus development conference on antipsychotic drugs and obesity and diabetes [J].

DIABETES CARE, 2004, 27 (02) :596-601

[5]

[Anonymous], 2012, Health promotion programs for people with serious mental illness

[6]

[Anonymous], HLTH PROMOT PRACT

[7]

Appel LJ, 2003, JAMA-J AM MED ASSOC, V289, P2083, DOI 10.1001/jama.289.16.2083

[8] A clinical trial of the effects of dietary patterns on blood pressure [J].

Appel, LJ ;

Moore, TJ ;

Obarzanek, E ;

Vollmer, WM ;

Svetkey, LP ;

Sacks, FM ;

Bray, GA ;

Vogt, TM ;

Cutler, JA ;

Windhauser, MM ;

Lin, PH ;

Karanja, N .

NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (16) :1117-1124

[9] The effect of the PREMIER interventions on insulin sensitivity [J].

Ard, JD ;

Grambow, SC ;

Liu, D ;

Slentz, CA ;

Kraus, WE ;

Svetkey, LP .

DIABETES CARE, 2004, 27 (02) :340-347

[10]

Bandura A., 1986, Social Foundations of Thought andAction: ASocialCognitive Theory

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