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The effects of lifestyle interventions on (long-term) weight management, cardiometabolic risk and depressive symptoms in people with psychotic disorders: a meta-analysis.生活方式干预对精神障碍患者（长期）体重管理、心血管代谢风险和抑郁症状的影响：一项荟萃分析。
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本文引用的文献

1
Behavioral treatment for weight gain prevention among black women in primary care practice: a randomized clinical trial.初级保健实践中针对黑人女性体重增加预防的行为治疗：一项随机临床试验。
JAMA Intern Med. 2013 Oct 28;173(19):1770-7. doi: 10.1001/jamainternmed.2013.9263.
2
Mental health in primary care: perceptions of augmented care for individuals with serious mental illness.初级保健中的心理健康：严重精神疾病患者增强护理的认知。
Soc Work Health Care. 2013;52(7):656-68. doi: 10.1080/00981389.2013.797537.
3
Effect of lifestyle intervention on cardiometabolic risk factors: results of the POWER-UP trial.生活方式干预对心脏代谢危险因素的影响：POWER-UP 试验结果。
Int J Obes (Lond). 2013 Aug;37 Suppl 1(0 1):S19-24. doi: 10.1038/ijo.2013.92.
4
Two-year weight-loss maintenance in primary care-based Diabetes Prevention Program lifestyle interventions.基于初级保健的糖尿病预防计划生活方式干预的两年体重维持。
Nutr Diabetes. 2013 Jun 24;3(6):e76. doi: 10.1038/nutd.2013.17.
5
Interventions for the metabolic syndrome in schizophrenia: a review.精神分裂症代谢综合征的干预措施：综述。
Ther Adv Endocrinol Metab. 2012 Oct;3(5):141-62. doi: 10.1177/2042018812458697.
6
A systematic review of behavioural weight-loss interventions involving primary-care physicians in overweight and obese primary-care patients (1999-2011).一项系统评价：涉及初级保健医生的行为体重减轻干预措施在超重和肥胖初级保健患者中的应用（1999-2011 年）。
Public Health Nutr. 2013 Nov;16(11):2083-99. doi: 10.1017/S1368980012004375. Epub 2012 Oct 26.
7
Acute and maintenance effects of non-pharmacologic interventions for antipsychotic associated weight gain and metabolic abnormalities: a meta-analytic comparison of randomized controlled trials.非药物干预对抗精神病药相关体重增加和代谢异常的急性和维持效果：随机对照试验的荟萃分析比较。
Schizophr Res. 2012 Sep;140(1-3):159-68. doi: 10.1016/j.schres.2012.03.017. Epub 2012 Jul 3.
8
Primary care interventions for obesity: behavioural support, whether delivered remotely or in person, facilitates greater weight loss over 2 years than self-directed weight loss.肥胖症的初级保健干预措施：行为支持，无论是远程提供还是面对面提供，在两年内比自我指导的减肥更有助于减轻体重。
Evid Based Nurs. 2012 Jul;15(3):89-90. doi: 10.1136/ebnurs-2012-100530. Epub 2012 Apr 17.
9
Effective lifestyle interventions to improve type II diabetes self-management for those with schizophrenia or schizoaffective disorder: a systematic review.改善精神分裂症或分裂情感障碍患者 2 型糖尿病自我管理的有效生活方式干预措施：系统评价。
BMC Psychiatry. 2012 Mar 23;12:24. doi: 10.1186/1471-244X-12-24.
10
The effectiveness of a non-pharmacological intervention for weight gain management in severe mental disorders: results from a national multicentric study.非药物干预在严重精神障碍患者体重管理中的效果：一项全国多中心研究的结果。
Braz J Psychiatry. 2011 Jun;33(2):117-21. doi: 10.1590/s1516-44462011000200005.

基于初级保健的教育干预措施，以降低患有重度精神病和/或情感障碍的成年人代谢综合征的风险因素：一项系统综述。

Primary care-based educational interventions to decrease risk factors for metabolic syndrome for adults with major psychotic and/or affective disorders: a systematic review.

作者信息

Nover Cynthia, Jackson Sarah S

机构信息

College of Social & Behavioral Sciences and Social Work, Eastern Washington University, 208 Senior Hall, Cheney, WA 99004, USA.

出版信息

Syst Rev. 2013 Dec 27;2:116. doi: 10.1186/2046-4053-2-116.

DOI:10.1186/2046-4053-2-116
PMID:24369749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3877871/
Abstract

BACKGROUND

Individuals with major psychotic and/or affective disorders are at increased risk for developing metabolic syndrome due to lifestyle- and treatment-related factors. Numerous pharmacological and non-pharmacological interventions have been tested in inpatient and outpatient mental health settings to decrease these risk factors. This review focuses on primary care-based non-pharmacological (educational or behavioral) interventions to decrease metabolic syndrome risk factors in adults with major psychotic and/or affective disorders.

METHODS

The authors conducted database searches of PsychINFO, MEDLINE and the Cochrane Database of Systematic Reviews, as well as manual searches and gray literature searches to identify included studies.

RESULTS

The authors were unable to identify any studies meeting a priori inclusion criteria because there were no primary care-based studies.

CONCLUSIONS

This review was unable to demonstrate effectiveness of educational interventions in primary care. Interventions to decrease metabolic syndrome risk have been demonstrated to be effective in mental health and other outpatient settings. The prevalence of mental illness in primary care settings warrants similar interventions to improve health outcomes for this population.

摘要

背景

由于生活方式和治疗相关因素，患有重度精神病和/或情感障碍的个体患代谢综合征的风险增加。在住院和门诊心理健康环境中已经测试了许多药物和非药物干预措施，以降低这些风险因素。本综述重点关注基于初级保健的非药物（教育或行为）干预措施，以降低患有重度精神病和/或情感障碍的成年人的代谢综合征风险因素。

方法

作者对心理学文摘数据库（PsychINFO）、医学文献数据库（MEDLINE）和Cochrane系统评价数据库进行了检索，同时进行了手工检索和灰色文献检索，以确定纳入的研究。

结果

由于没有基于初级保健的研究，作者未能识别出任何符合先验纳入标准的研究。

结论

本综述未能证明教育干预在初级保健中的有效性。降低代谢综合征风险的干预措施已被证明在心理健康和其他门诊环境中有效。初级保健环境中精神疾病的患病率使得有必要采取类似的干预措施来改善该人群的健康结局。