Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Australia; School of Psychiatry, University of New South Wales, Sydney, Australia.
Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Australia; School of Psychiatry, University of New South Wales, Sydney, Australia.
Obes Res Clin Pract. 2019 Mar-Apr;13(2):214-216. doi: 10.1016/j.orcp.2019.02.003. Epub 2019 Feb 28.
Severe mental illness is characterised by a 15-year mortality gap driven by cardiometabolic disease. Antipsychotic treatment leads to increased appetite and rapid weight gain. The 12-week lifestyle pilot intervention improved dietary intake and prevented antipsychotic-induced weight gain. Here we report two-year outcomes.
Participants were exposed to an extended program. Weight and waist circumference were measured, and food frequency questionnaire completed.
Diet quality was higher, and discretionary food intake was 40% lower, at two-years compared to baseline. Weight and waist-circumference did not increase.
This pilot study demonstrated sustained effectiveness of a dietetic intervention in youth with first-episode psychosis with improvements in diet quality and no increase in weight secondary to antipsychotic medication initiation.
严重的精神疾病的特点是由于心血管代谢疾病导致的 15 年死亡率差距。抗精神病药物治疗会导致食欲增加和体重迅速增加。为期 12 周的生活方式试点干预措施改善了饮食摄入,并防止了抗精神病药物引起的体重增加。这里我们报告两年的结果。
参与者接受了扩展计划。测量体重和腰围,并完成食物频率问卷。
与基线相比,两年时的饮食质量更高,随意性食物摄入量降低了 40%。体重和腰围没有增加。
这项初步研究表明,对于首发精神病的年轻人,饮食干预的持续有效性,改善了饮食质量,并且由于抗精神病药物的使用,体重没有增加。