Intentional weight loss in overweight and obese patients with severe mental illness: 8-year experience of a behavioral treatment program
Intentional weight loss in overweight and obese patients with severe mental illness: 8-year experience of a behavioral treatment program
Objective: obesity is 2 to 3 times more common among people with severe mental illness and has adverse effects on physical and psychological health. We report the experience from the first 8 years of a self-referring weight management clinic.
Method: from 2000 to 2008, 113 patients with severe mental illness (according to ICD-10 criteria) with a mean±SE age of 43.8±1.7 years (range, 22–71 years) referred themselves to this clinic. The patients were seen in weekly group sessions lasting 1 hour that involved weight measurement, discussion, and education. The response to the program was assessed by the paired Student t test and linear analysis corrected for repeated measures.
Results: mean±SE baseline weight was 90.1±1.6 kg (body mass index [BMI]=32.2±0.5 kg/m2). Fifty subjects of the 142 total patient episodes (35%) dropped out within the first 3 months. Sixty-four subjects completed 1 year of the program, and 35 have attended for 2 years or longer. There were progressive statistically significant reductions in mean weight and BMI throughout the duration of monitoring, with no suggestion of a plateau. The mean±SE final weight loss was 7.2±0.6 kg. Weight loss was correlated only with the number of sessions attended (r=0.42, P<.0001).
Conclusions: lifestyle advice within a group setting may be effective in long-term management of obese and overweight patients with severe mental illness
800-805
Holt, Richard I.G.
d54202e1-fcf6-4a17-a320-9f32d7024393
Pendlebury, John
32cfcf82-628a-431e-8924-cf7c180db906
Wildgust, Hiram J.
c49a2353-26a9-4ed7-ae92-402cb779e956
Bushe, Chris J.
584a8f4c-590b-48c4-ae02-473e1a1b4e16
June 2010
Holt, Richard I.G.
d54202e1-fcf6-4a17-a320-9f32d7024393
Pendlebury, John
32cfcf82-628a-431e-8924-cf7c180db906
Wildgust, Hiram J.
c49a2353-26a9-4ed7-ae92-402cb779e956
Bushe, Chris J.
584a8f4c-590b-48c4-ae02-473e1a1b4e16
Holt, Richard I.G., Pendlebury, John, Wildgust, Hiram J. and Bushe, Chris J.
(2010)
Intentional weight loss in overweight and obese patients with severe mental illness: 8-year experience of a behavioral treatment program.
The Journal of Clinical Psychiatry, 71 (6), .
(doi:10.4088/JCP.09m05627gre).
(PMID:20361917)
Abstract
Objective: obesity is 2 to 3 times more common among people with severe mental illness and has adverse effects on physical and psychological health. We report the experience from the first 8 years of a self-referring weight management clinic.
Method: from 2000 to 2008, 113 patients with severe mental illness (according to ICD-10 criteria) with a mean±SE age of 43.8±1.7 years (range, 22–71 years) referred themselves to this clinic. The patients were seen in weekly group sessions lasting 1 hour that involved weight measurement, discussion, and education. The response to the program was assessed by the paired Student t test and linear analysis corrected for repeated measures.
Results: mean±SE baseline weight was 90.1±1.6 kg (body mass index [BMI]=32.2±0.5 kg/m2). Fifty subjects of the 142 total patient episodes (35%) dropped out within the first 3 months. Sixty-four subjects completed 1 year of the program, and 35 have attended for 2 years or longer. There were progressive statistically significant reductions in mean weight and BMI throughout the duration of monitoring, with no suggestion of a plateau. The mean±SE final weight loss was 7.2±0.6 kg. Weight loss was correlated only with the number of sessions attended (r=0.42, P<.0001).
Conclusions: lifestyle advice within a group setting may be effective in long-term management of obese and overweight patients with severe mental illness
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Published date: June 2010
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Local EPrints ID: 73085
URI: http://eprints.soton.ac.uk/id/eprint/73085
PURE UUID: f459d608-309d-42a7-a338-4dd4bf70537b
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Date deposited: 02 Mar 2010
Last modified: 14 Mar 2024 02:45
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Author:
John Pendlebury
Author:
Hiram J. Wildgust
Author:
Chris J. Bushe
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