Cited by 176Obesity, Physical Activity, DietEating Disorders and BehaviorsSchizophrenia research and treatment

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Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

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Naslund, John A., Whiteman, Karen L., McHugo, Gregory J., Aschbrenner, Kelly A., Marsch, Lisa A., Bartels, Stephen J.·2017·General Hospital Psychiatry

DOI 10.1016/j.genhosppsych.2017.04.003PMC PMC5575752

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Abstract

Objective To conduct a systematic review and meta-analysis to estimate effects of lifestyle intervention participation on weight reduction among overweight and obese adults with serious mental illness.Method We systematically searched electronic databases for randomized controlled trials comparing lifestyle interventions with other interventions or usual care controls in overweight and obese adults with serious mental illness, including schizophrenia spectrum or mood disorders. Included studies reported change in weight [kg] or body mass index (BMI) [kg/m 2] from baseline to follow-up. Standardized mean differences (SMD) were calculated for change in weight from baseline between intervention and control groups.Results Seventeen studies met inclusion criteria (1968 participants; 50% male; 66% schizophrenia spectrum disorders). Studies were grouped by intervention duration (≤6-months or ≥12-months). Lifestyle interventions of ≤6-months duration showed greater weight reduction compared with controls as indicated by effect size for weight change from baseline (SMD=-0.20; 95% CI=-0.34, -0.05; 10 studies), but high statistical heterogeneity (I 2=90%). Lifestyle interventions of ≥12-months duration also showed greater weight reduction compared with controls (SMD=-0.24; 95% CI=-0.36, -0.12; 6 studies) with low statistical heterogeneity (I 2=0%).Conclusion Lifestyle interventions appear effective for treating overweight and obesity among people with serious mental illness. Interventions of ≥12-months duration compared to ≤6-months duration appear to achieve more consistent outcomes, though effect sizes are similar for both shorter and longer duration interventions.

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Additional file 1 of Systematic review of lifestyle interventions to improve weight, physical activity and diet among people with a mental health condition
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Additional file 1 of Implementation of a lifestyle intervention for people with a severe mental illness (SMILE): a process evaluation
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Additional file 1 of Metabolic impact of a nutrition education program for the promotion of fruit and vegetable consumption with people with severe mental disorders (DIETMENT)
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Additional file 1 of Patient-reported outcomes of lifestyle interventions in patients with severe mental illness: a systematic review and meta-analysis
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Additional file 2 of Metabolic impact of a nutrition education program for the promotion of fruit and vegetable consumption with people with severe mental disorders (DIETMENT)
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Authors: Naslund, J. A., Whiteman, K. L., McHugo, G. J., Aschbrenner, K. A., Marsch, L. A., & Bartels, S. J.
Affiliations: Dartmouth College (US)
Corresponding author: Naslund, John A.
ORCID: Naslund, John A.
McHugo, Gregory J.
Aschbrenner, Kelly A.
Marsch, Lisa A.
Bartels, Stephen J.
Venue: General Hospital Psychiatry
Publisher: Elsevier BV
Published: 2017-07
Volume: 47
Pages: 83-102
ISSN: 0163-8343 (ISSN-L)
DOI: 10.1016/j.genhosppsych.2017.04.003
PMC: PMC5575752
OpenAlex: W2604907288
Cited by: 176
References: 63
Citations by year: 2026: 12 · 2025: 17 · 2024: 20 · 2023: 17 · 2022: 28 · 2021: 22 · 2020: 24 · 2019: 22 · 2018: 13 · 2017: 1
FWCI: 2.66
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: General Hospital Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Centers for Disease Control and Prevention (R01DD000140)
National Institute of Mental Health (R01MH089811, T32MH073553, R01MH078052)
National Institute on Drug Abuse (P30DA029926)
National Center for Chronic Disease Prevention and Health Promotion (U48DP005018, U48DP001935)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords: lifestyle intervention, weight loss, obesity, overweight, severe mental illness, schizophrenia spectrum disorders, mood disorders, body mass index, intervention duration, dietary habits
MeSH terms: Mental Disorders, Humans, Outcome and Process Assessment, Health Care, Weight Loss, Comorbidity, Risk Reduction Behavior, Overweight

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Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

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