Solving a weighty problem: Systematic review and meta-analysis of nutrition interventions in severe mental illness
Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking. To subject randomised controlled trials of nutrition interventions in people w...
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| Vydané v: | British journal of psychiatry Ročník 210; číslo 2; s. 110 - 118 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Cambridge, UK
Cambridge University Press
01.02.2017
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| ISSN: | 0007-1250, 1472-1465, 1472-1465 |
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| Abstract | Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking.
To subject randomised controlled trials of nutrition interventions in people with SMI to systematic review and meta-analysis, and to measure anthropometric and biochemical parameters and nutritional intake.
An electronic database search identified trials with nutrition intervention components. Trials were pooled for meta-analysis. Meta-regression analyses were performed on anthropometric moderators.
Interventions led to significant weight loss (19 studies), reduced body mass index (17 studies), decreased waist circumference (10 studies) and lower blood glucose levels (5 studies). Dietitian-led interventions (6 studies) and studies delivered at antipsychotic initiation (4 studies) had larger effect sizes.
Evidence supports nutrition interventions as standard care in preventing and treating weight gain among people experiencing SMI. |
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| AbstractList | Background Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking. Aims To subject randomised controlled trials of nutrition interventions in people with SMI to systematic review and meta-analysis, and to measure anthropometric and biochemical parameters and nutritional intake. Method An electronic database search identified trials with nutrition intervention components. Trials were pooled for meta-analysis. Meta-regression analyses were performed on anthropometric moderators. Results Interventions led to significant weight loss (19 studies), reduced body mass index (17 studies), decreased waist circumference (10 studies) and lower blood glucose levels (5 studies). Dietitian-led interventions (6 studies) and studies delivered at antipsychotic initiation (4 studies) had larger effect sizes. Conclusions Evidence supports nutrition interventions as standard care in preventing and treating weight gain among people experiencing SMI. Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking. To subject randomised controlled trials of nutrition interventions in people with SMI to systematic review and meta-analysis, and to measure anthropometric and biochemical parameters and nutritional intake. An electronic database search identified trials with nutrition intervention components. Trials were pooled for meta-analysis. Meta-regression analyses were performed on anthropometric moderators. Interventions led to significant weight loss (19 studies), reduced body mass index (17 studies), decreased waist circumference (10 studies) and lower blood glucose levels (5 studies). Dietitian-led interventions (6 studies) and studies delivered at antipsychotic initiation (4 studies) had larger effect sizes. Evidence supports nutrition interventions as standard care in preventing and treating weight gain among people experiencing SMI. Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking.BACKGROUNDNutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking.To subject randomised controlled trials of nutrition interventions in people with SMI to systematic review and meta-analysis, and to measure anthropometric and biochemical parameters and nutritional intake.AIMSTo subject randomised controlled trials of nutrition interventions in people with SMI to systematic review and meta-analysis, and to measure anthropometric and biochemical parameters and nutritional intake.An electronic database search identified trials with nutrition intervention components. Trials were pooled for meta-analysis. Meta-regression analyses were performed on anthropometric moderators.METHODAn electronic database search identified trials with nutrition intervention components. Trials were pooled for meta-analysis. Meta-regression analyses were performed on anthropometric moderators.Interventions led to significant weight loss (19 studies), reduced body mass index (17 studies), decreased waist circumference (10 studies) and lower blood glucose levels (5 studies). Dietitian-led interventions (6 studies) and studies delivered at antipsychotic initiation (4 studies) had larger effect sizes.RESULTSInterventions led to significant weight loss (19 studies), reduced body mass index (17 studies), decreased waist circumference (10 studies) and lower blood glucose levels (5 studies). Dietitian-led interventions (6 studies) and studies delivered at antipsychotic initiation (4 studies) had larger effect sizes.Evidence supports nutrition interventions as standard care in preventing and treating weight gain among people experiencing SMI.CONCLUSIONSEvidence supports nutrition interventions as standard care in preventing and treating weight gain among people experiencing SMI. BackgroundNutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking.AimsTo subject randomised controlled trials of nutrition interventions in people with SMI to systematic review and meta-analysis, and to measure anthropometric and biochemical parameters and nutritional intake.MethodAn electronic database search identified trials with nutrition intervention components. Trials were pooled for meta-analysis. Meta-regression analyses were performed on anthropometric moderators.ResultsInterventions led to significant weight loss (19 studies), reduced body mass index (17 studies), decreased waist circumference (10 studies) and lower blood glucose levels (5 studies). Dietitian-led interventions (6 studies) and studies delivered at antipsychotic initiation (4 studies) had larger effect sizes.ConclusionsEvidence supports nutrition interventions as standard care in preventing and treating weight gain among people experiencing SMI. |
| Author | Stubbs, Brendon Samaras, Katherine Teasdale, Scott B. Ward, Philip B. Rosenbaum, Simon |
| Author_xml | – sequence: 1 givenname: Scott B. surname: Teasdale fullname: Teasdale, Scott B. email: Scott.Teasdale@sesiahs.health.nsw.gov.au organization: Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Bondi Junction, and School of Psychiatry, University of New South Wales, Sydney – sequence: 2 givenname: Philip B. surname: Ward fullname: Ward, Philip B. organization: School of Psychiatry, University of New South Wales, Sydney, Schizophrenia Research Unit, South Western Sydney Local Health District, and Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia – sequence: 3 givenname: Simon surname: Rosenbaum fullname: Rosenbaum, Simon organization: School of Medical Sciences, University of New South Wales, Sydney – sequence: 4 givenname: Katherine surname: Samaras fullname: Samaras, Katherine organization: Department of Endocrinology, St Vincent's Hospital, and Diabetes and Obesity Program, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia – sequence: 5 givenname: Brendon surname: Stubbs fullname: Stubbs, Brendon organization: Physiotherapy Department, South London and Maudsley National Health Service Foundation Trust, London, and Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27810893$$D View this record in MEDLINE/PubMed |
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| Snippet | Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI).... BackgroundNutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental... Background Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental... Background. Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental... |
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| SubjectTerms | Antipsychotics Biochemical markers Blood Body mass index Body weight Body weight gain Body weight loss Diet, Healthy Glucose Humans Illnesses Intervention Mental disorders Mental Disorders - diet therapy Mental Disorders - therapy Meta-analysis Moderators Nutrition Outcome Assessment, Health Care Patient Education as Topic Psychiatry Psychotropic drugs Review Articles Risk management Risk reduction Systematic review Waist Weight gain Weight Loss |
| Title | Solving a weighty problem: Systematic review and meta-analysis of nutrition interventions in severe mental illness |
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