Pilot study of the efficacy of an educational programme to reduce weight, on overweight and obese patients with chronic stable schizophrenia

Hospital Valle del Nalon Langreo, Asturias, Spain.
Journal of Psychiatric and Mental Health Nursing (Impact Factor: 0.84). 11/2010; 17(9):849-51. DOI: 10.1111/j.1365-2850.2010.01590.x
Source: PubMed
Download full-text


Available from: Celso Iglesias-García
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Weight gain is common among people with schizophrenia. The medication commonly used to treat schizophrenia may cause substantial weight gain. This weight gain could be treated through lifestyle interventions that increase physical activity or change diet; or through using other forms of medication that might help with weight loss. However, an easier alternative might be changing the antipsychotic medication to one that causes less weight gain. This review examines evidence for this possibility. Switching antipsychotic medication did show some reduction in weight and also contributed broader health benefits such as reducing fasting blood glucose. Notably, there were no significant difference in outcomes of mental state, global state and adverse events between groups which switched medications and those that remained on previous medication.
    Preview · Article · Dec 2010 · Cochrane database of systematic reviews (Online)
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: People with serious mental illness have higher rates of physical illness and are more likely to experience premature death than the general population. Nurse-led strategies to improve physical healthcare in mental healthcare services could potentially reduce these inequalities. However the extent of nurse involvement in physical healthcare (such as physical risk screening, health education and care co-ordination) in mental health settings is not known. A systematic review was conducted on nurse-led physical healthcare reported for consumers with serious mental illness (SMI) in mental health services, and their benefits. Electronic literature bases (CINAHL, Proquest, PsychINFO and Web of Science) were systematically searched, in conjunction with a manual search of literature reviews on physical healthcare in mental health services. Articles were included if they: (a) were published in the last 10 years; (b) were English language; (c) involved physical healthcare of adult consumers receiving mental healthcare services; and (d) reported nurse involvement in physical healthcare. Forty articles were included in the review. The distribution of types of care were: health education (47%), screening and/or monitoring (33.3%), care co-ordination and management (33.3%), lifestyle programme delivery (30.5%), follow-up actions to screening results (25%) and registers and data administration (5.5%). Overall, the evaluation of nurse-based physical healthcare is in early stages. Thus far, they appear to have positive implications for consumers with SMI.
    Full-text · Article · Feb 2013 · Journal of Psychiatric and Mental Health Nursing
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective To present a systematic review of the evaluation of randomized interventions directed toward improving somatic health for patients with severe mental illness (SMI). MethodA systematic search in PubMed, Embase, Cinahl, and PsycInfo was performed. The scope of the search was prospective studies for patients aged 18-70, published from January 2000 till June 2011. Randomized interventions directed toward improving somatic health for patients with SMI were selected. We excluded studies on elderly, children, and studies performed before 2000. Information on population, type of intervention, follow-up, outcome measures, and on authors' conclusions were drawn from the original articles. ResultsTwenty-two original studies were included, presenting four types of interventions: health education (n=9), exercise (n=6), smoking cessation (n=5), and changes in health care organization (n=2). To evaluate the effect of these studies 93 different outcome measures were used in 16 categories. Conclusion Many interventions directed toward improving somatic health for patients with SMI have been started. These studies did not apply similar evaluations, and did not use uniform outcome measures of the effect of their interventions. Valuable comparisons on effectiveness are therefore almost impossible.
    Full-text · Article · Feb 2013 · Acta Psychiatrica Scandinavica
Show more