The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.
Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis
Open accessAbstract
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In fact, some reviews have pointed out the effectiveness of OT interventions in SMI aimed at facilitating work,13 community integration57 or weight loss.58”
From Occupational therapy interventions for adults with severe mental illness: a scoping review (2021) · cites this paper as [58]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,417
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554
Operating characteristics of a rank correlation test for publication bias
Begg, C. B., & Mazumdar, M. (1994) · Biometrics · doi:10.2307/2533446 · Cited by 16,955
Walker, E. R., McGee, R. E., & Druss, B. G. (2015) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.2502 · Cited by 2,976
Wing, R. R., Lang, W., Wadden, T. A., Safford, M., Knowler, W. C., Bertoni, A. G., Hill, J. O., Brancati, F. L., Peters, A., Wagenknecht, L., et al. (2011) · Diabetes Care · doi:10.2337/dc10-2415 · Cited by 1,828
Franz, M. J., VanWormer, J. J., Crain, A. L., Boucher, J. L., Histon, T., Caplan, W., Bowman, J. D., & Pronk, N. P. (2007) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2007.07.017 · Cited by 1,559
Variance imputation for overviews of clinical trials with continuous response
Follmann, D. A., Elliott, P., Suh, I., & Cutler, J. A. (1992) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(92)90054-q · Cited by 1,391
(2006) · Europe PMC (PubMed Central) · Cited by 1,299
Avenell, A., Broom, J., Brown, T., Poobalan, A., Aucott, L., Stearns, S., Smith, W., Jung, R., Campbell, M., & Grant, A. (2004) · Health Technology Assessment · doi:10.3310/hta8210 · Cited by 1,041 · cited 1×
“One researcher (JAN) extracted the following data from the full text articles using a data extraction form adapted from Avenell et al. [24]: study setting; participant characteristics (age, sex, and diagnosis); lifestyle intervention characteristics; comparison group characteristics; length of…”
Beneficial health effects of modest weight loss.
Goldstein, D. J. (1992) · PubMed · Cited by 915
Stevens, V. J., Obarzanek, E., Cook, N. R., Lee, I.-M., Appel, L. J., Smith West, D., Milas, N. C., Mattfeldt-Beman, M., Belden, L., Bragg, C., et al. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-1-200101020-00007 · Cited by 886 · cited 1×
“Research shows that even modest weight loss of 5–10% can reduce cholesterol levels, improve glycemic control, and lower blood pressure [10–12].”
A systematic review and meta-analysis of exercise interventions in schizophrenia patients
Firth, J., Cotter, J., Elliott, R., French, P., & Yung, A. R. (2015) · Psychological Medicine · doi:10.1017/s0033291714003110 · Cited by 600
Ali, M. K., Echouffo-Tcheugui, J. B., & Williamson, D. F. (2012) · Health Affairs · doi:10.1377/hlthaff.2011.1009 · Cited by 594
A Behavioral Weight-Loss Intervention in Persons with Serious Mental Illness
Daumit, G. L., Dickerson, F. B., Wang, N.-Y., Dalcin, A., Jerome, G. J., Anderson, C. A. M., Young, D. R., Frick, K. D., Yu, A., Gennusa, J. V., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1214530 · Cited by 523 · cited 1×
“[34,37– 39,41,52].”
Interpreting estimates of treatment effects: implications for managed care.
(2008) · PubMed Central · Cited by 511
Understanding Excess Mortality in Persons With Mental Illness
Druss, B. G., Zhao, L., von Esenwein, S. A., Morrato, E. H., & Marcus, S. C. (2011) · Medical Care · doi:10.1097/mlr.0b013e31820bf86e · Cited by 438
Obesity Among Those with Mental Disorders
Allison, D. B., Newcomer, J. W., Dunn, A. L., Blumenthal, J. A., Fabricatore, A. N., Daumit, G. L., Cope, M. B., Riley, W. T., Vreeland, B., Hibbeln, J. R., et al. (2009) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.11.020 · Cited by 403
Wu, R.-R., Zhao, J.-P., Jin, H., Shao, P., Fang, M.-S., Guo, X.-F., He, Y.-Q., Liu, Y.-J., Chen, J.-D., & Li, L.-H. (2008) · JAMA · doi:10.1001/jama.2007.56-b · Cited by 366
Álvarez‐Jiménez, M., Hetrick, S. E., González‐Blanch, C., Gleeson, J., & McGorry, P. D. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.042853 · Cited by 315
Tarrier, N., & Wykes, T. (2004) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.06.020 · Cited by 312
(1997) · PubMed · Cited by 302
How sedentary are people with psychosis? A systematic review and meta-analysis
Stubbs, B., Williams, J., Gaughran, F., & Craig, T. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.01.034 · Cited by 284
Antipsychotic-Induced Weight Gain in Chronic and First-Episode Psychotic Disorders
Álvarez‐Jiménez, M., González‐Blanch, C., Crespo‐Facorro, B., Hetrick, S. E., Rodríguez-Sánchez, J. M., Pérez‐Iglesias, R., & Vázquez‐Barquero, J. L. (2008) · CNS Drugs · doi:10.2165/00023210-200822070-00002 · Cited by 271
Green, C. A., Yarborough, B. J. H., Leo, M. C., Yarborough, M. T., Stumbo, S. P., Janoff, S. L., Perrin, N., Nichols, G. A., & Stevens, V. J. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.14020173 · Cited by 223
Obesity among individuals with serious mental illness
Dickerson, F., Brown, C. H., Kreyenbuhl, J. A., Fang, L., Goldberg, R. W., Wohlheiter, K. A., & Dixon, L. B. (2005) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00637.x · Cited by 198
Lifestyle Interventions for Adults With Serious Mental Illness: A Systematic Literature Review
Cabassa, L., Ezell, J. M., & Lewis-Fernández, R. (2010) · Psychiatric Services · doi:10.1176/ps.2010.61.8.774 · Cited by 194
Weight effects associated with antipsychotics: A comprehensive database analysis
Parsons, B., Allison, D. B., Loebel, A. D., Williams, K., Giller, E. L., Romano, S. J., & SIU, C. O. (2009) · Schizophrenia Research · doi:10.1016/j.schres.2008.09.025 · Cited by 193
Nutrition and exercise behavior among patients with bipolar disorder1
Kilbourne, A. M., Rofey, D. L., McCarthy, J. F., Post, E. P., Welsh, D. E., & Blow, F. C. (2007) · Bipolar Disorders · doi:10.1111/j.1399-5618.2007.00386.x · Cited by 193
Cabassa, L. J., Camacho, D., Vélez‐Grau, C., & Stefančić, A. (2016) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2016.09.021 · Cited by 192
Bartels, S. J., Pratt, S. I., Aschbrenner, K. A., Barré, L. K., Jue, K., Wolfe, R. S., Xie, H., McHugo, G. J., Santos, M. M., Williams, G. E., et al. (2013) · Psychiatric Services · doi:10.1176/appi.ps.003622012 · Cited by 190
Self-citationBrar, J. S., Ganguli, R., Pandina, G., Turkoz, I., Berry, S., & Mahmoud, R. A. (2005) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v66n0208 · Cited by 178
Effects on cardiovascular risk factors of weight losses limited to 5–10 %
Brown, J. D., Buscemi, J., Milsom, V. A., Malcolm, R. J., & O'Neil, P. M. (2015) · Translational Behavioral Medicine · doi:10.1007/s13142-015-0353-9 · Cited by 168
Stubbs, B., Rosenbaum, S., Vancampfort, D., Ward, P. B., & Schuch, F. B. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.10.010 · Cited by 163
Bartels, S., Pratt, S., Aschbrenner, K., Barre, L., Naslund, J., Wolfe, R. S., Xie, H.-Y., McHugo, G., Jimenez, D. E., Jue, K., et al. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.14030357 · Cited by 161
Self-citationWeber, M., & Wyne, K. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2006.01.008 · Cited by 139
McGinty, E. E., Baller, J. B., Azrin, S. T., Juliano‐Bult, D., & Daumit, G. L. (2015) · Schizophrenia Bulletin · doi:10.1093/schbul/sbv101 · Cited by 139
Bruins, J., Jörg, F., Bruggeman, R., Slooff, C., Corpeleijn, E., & Pijnenborg, M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0112276 · Cited by 129 · cited 1×
“…interventions for promoting physical activity and healthy eating among people with serious mental illness [17,18], and meta-analyses have demonstrated potential effectiveness of lifestyle interventions of short duration (≤ 6 months) for achieving weight loss in this high-risk group [19–21].”
Wu, M.-K., Wang, C., Bai, Y., Huang, C., & Lee, S. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.4.544 · Cited by 124
Daumit, G. L., Clark, J. M., Steinwachs, D. M., Graham, C. M., Lehman, A. F., & Ford, D. E. (2003) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000100923.20188.2d · Cited by 104
Putting policy into practice? Poverty and people with serious mental illness
Wilton, R. D. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00148-5 · Cited by 94
Methapatara, W., & Srisurapanont, M. (2011) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2011.02225.x · Cited by 84
Whiteman, K. L., Naslund, J. A., DiNapoli, E. A., BRUCE, M. L., & Bartels, S. J. (2016) · Psychiatric Services · doi:10.1176/appi.ps.201500521 · Cited by 75
Self-citationGates, J., Killackey, E., Phillips, L., & Álvarez-Jiménez, M. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00213-8 · Cited by 72
Martin, M., Martín‐Lopez, L. M., Masa-Font, R., Tabueña, N. O., Roman, Y. M., Martín‐Royo, J., Canet, S. O., Tejón, S. G., San-Emeterio, L., García, A. B., et al. (2013) · Community Mental Health Journal · doi:10.1007/s10597-013-9614-6 · Cited by 66
Masa-Font, R., Martin, M., López, L. M. M., Muñoz, A. M. A., Canet, S. O., Martín‐Royo, J., Echevarría, L. S. E., Tabueña, N. O., Jato, M. I., García, A. B., et al. (2015) · European Psychiatry · doi:10.1016/j.eurpsy.2015.09.006 · Cited by 60
“MOVE!”: Outcomes of a Weight Loss Program Modified for Veterans With Serious Mental Illness
Goldberg, R. W., Reeves, G. M., Tapscott, S. L., Medoff, D. R., Dickerson, F., Goldberg, A. P., Ryan, A. S., Fang, L., & Dixon, L. B. (2013) · Psychiatric Services · doi:10.1176/appi.ps.201200314 · Cited by 60
Lovell, K., Wearden, A. J., Bradshaw, T., Tomenson, B., Pedley, R., Davies, L. M., Husain, N., Woodham, A., Escott, D., Swarbrick, C., et al. (2014) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.13m08503 · Cited by 56
Brown, C. E., Goetz, J. R., Hamera, E. K., & Gajewski, B. J. (2014) · Schizophrenia Research · doi:10.1016/j.schres.2014.09.018 · Cited by 32
Green, C. A., Yarborough, B. J. H., Leo, M. C., Stumbo, S. P., Perrin, N., Nichols, G. A., & Stevens, V. J. (2015) · Obesity · doi:10.1002/oby.21205 · Cited by 30
Behavioral Interventions for Antipsychotic Medication–Associated Obesity
Erickson, Z. D., Mena, S. J., Pierre, J. M., Blum, L. H., Martin, E., Hellemann, G., Aragaki, D. R., Firestone, L., Lee, C., Lee, P., et al. (2016) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.14m09552 · Cited by 30
Lowe, T., & LUBOS, E. (2008) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2008.01337.x · Cited by 28
A 12-Week Weight Reduction Intervention for Overweight Individuals Taking Antipsychotic Medications
Green, C. A., Janoff, S. L., Yarborough, B. J. H., & Yarborough, M. T. (2014) · Community Mental Health Journal · doi:10.1007/s10597-014-9716-9 · Cited by 27
García, C. I., TOIMIL-IGLESIAS, A., & ALONSO-VILLA, M. J. (2010) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2010.01590.x · Cited by 25
Galletly, C. L., & Murray, L. (2009) · Issues in Mental Health Nursing · doi:10.1080/01612840903131784 · Cited by 24
Ratliff, J. C., Palmese, L. B., Tonizzo, K. M., Chwastiak, L., & Tek, C. (2012) · Obesity Facts · doi:10.1159/000345975 · Cited by 23
Naslund, J. A., Aschbrenner, K. A., Marsch, L. A., McHugo, G. J., & Bartels, S. J. (2015) · Contemporary Clinical Trials · doi:10.1016/j.cct.2015.07.012 · Cited by 22
Self-citationVaughn, M. G., & Howard, M. O. (2004) · Social Work Research · doi:10.1093/swr/28.1.41 · Cited by 21
Health Promotion for Young Adults With Serious Mental Illness
Naslund, J., Aschbrenner, K., Scherer, E. A., Pratt, S., & Bartels, S. (2016) · Psychiatric Services · doi:10.1176/appi.ps.201600091 · Cited by 11
Self-citationNaslund, J. A., Aschbrenner, K. A., Pratt, S. I., Lohman, M. C., Scherer, E. A., McHugo, G. J., Marsch, L. A., Unützer, J., & Bartels, S. J. (2017) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000669 · Cited by 9
Self-citation
Cited by
Sorted by citations
Afzal, M., Siddiqi, N., Ahmad, S. B., Afsheen, N., Aslam, F., Ali, A., Ayesha, R., Bryant, M., Holt, R. I. G., Khalid, H., et al. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.769309 · Cited by 170
Association between antipsychotic medication use and diabetes
Holt, R. I. G. (2019) · Current Diabetes Reports · doi:10.1007/s11892-019-1220-8 · Cited by 162
Kim, K. K., Haam, J.-H., Kim, B. T., Kim, E. M., Park, J. H., Rhee, S. Y., Jeon, E. J., Kang, E., Nam, G. E., Koo, H. Y., et al. (2023) · Journal of Obesity & Metabolic Syndrome · doi:10.7570/jomes23016 · Cited by 177
Holt, R. I. G., Gossage-Worrall, R., Hind, D., Bradburn, M. J., McCrone, P., Morris, T., Edwardson, C. L., Barnard-Kelly, K. D., Carey, M., Davies, M. J., et al. (2018) · The British Journal of Psychiatry · doi:10.1192/bjp.2018.167 · Cited by 128
Obesity in Adolescents with Psychiatric Disorders
Chao, A. M., Wadden, T. A., & Berkowitz, R. I. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-0990-7 · Cited by 89
Metadata
- 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.
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 47
- Pages
- 83-102
- ISSN
- 0163-8343 (ISSN-L)
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
