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Solving a weighty problem: Systematic review and meta-analysis of nutrition interventions in severe mental illness

by Stubbs, Brendon , Samaras, Katherine , Teasdale, Scott B. , Ward, Philip B. , Rosenbaum, Simon

in 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

2017

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Solving a weighty problem: Systematic review and meta-analysis of nutrition interventions in severe mental illness

by Stubbs, Brendon , Samaras, Katherine , Teasdale, Scott B. , Ward, Philip B. , Rosenbaum, Simon

2017

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Solving a weighty problem: Systematic review and meta-analysis of nutrition interventions in severe mental illness

by Stubbs, Brendon , Samaras, Katherine , Teasdale, Scott B. , Ward, Philip B. , Rosenbaum, Simon

2017

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Journal Article

Solving a weighty problem: Systematic review and meta-analysis of nutrition interventions in severe mental illness

Stubbs, Brendon,

Samaras, Katherine,

Teasdale, Scott B.,

Ward, Philip B.,

Rosenbaum, Simon

2017

Overview

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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Publisher

Cambridge University Press

Subject

Antipsychotics

/ Biochemical markers

/ Blood