Details:

Alternative Title:
Psychiatr Serv
Publisher's site:
http://dx.doi.org/10.1176/appi.ps.201600091
Personal Author:
Naslund, John A. ; Aschbrenner, Kelly A. ; Scherer, Emily A. ; Pratt, Sarah I. ; Bartels, Stephen J.
Naslund, John A. ; Aschbrenner, Kelly A. ; Scherer, Emily A. ; Pratt, Sarah I. ; Bartels, Stephen J. Less -
Description:
Objective

Young adulthood represents a critical time to address elevated obesity rates and the risk of early mortality, particularly among people with serious mental illness. Few studies have assessed the benefits of lifestyle interventions targeting weight loss among these young adults. This study examined the impact of the 12-month In SHAPE lifestyle intervention on weight loss and fitness among overweight and obese young adults with serious mental illness (ages 21–30) compared with participants over age 30.

Methods

Data were combined from three trials of the 12-month In SHAPE program delivered through community mental health centers. In SHAPE includes weekly fitness trainer meetings, a gym membership, and nutrition education. Primary outcomes were weight loss and change in fitness at 12 months.

Results

Participants (N=194) had a schizophrenia spectrum disorder (53%) or a mood disorder (47%). The overall sample achieved significant weight loss and improved fitness; differences between young adults (N=29) and participants over age 30 (N=165) were not significant. An important finding was that 42% of young adults achieved clinically significant reductions in cardiovascular risk, defined as ≥5% weight loss or improved fitness (>50-m increase on the 6-Minute Walk Test), compared with 54% of adults over age 30 (a non-significant difference between age groups).

Conclusions

Among persons enrolled in a lifestyle intervention, overweight and obese young adults experienced benefits comparable with those of adults over age 30. Young adults with serious mental illness face high risk of gaining weight, but a meaningful proportion of these individuals can achieve clinically significant cardiovascular risk reduction, thus highlighting the need to promote lifestyle intervention participation in this group.


Subject:
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Article

Source:
Psychiatr Serv. 68(2):137-143.
Pubmed ID:
27799016
Pubmed Central ID:
PMC5425088
Document Type:
Journal Article
Funding:
R01 MH078052/MH/NIMH NIH HHS/United States ; R01 MH089811/MH/NIMH NIH HHS/United States ; P30 DA029926/DA/NIDA NIH HHS/United States ; U48 DP005018/DP/NCCDPHP CDC HHS/United States ; U48 DP001935/DP/NCCDPHP CDC HHS/United States ; ... More +
R01 MH078052/MH/NIMH NIH HHS/United States ; R01 MH089811/MH/NIMH NIH HHS/United States ; P30 DA029926/DA/NIDA NIH HHS/United States ; U48 DP005018/DP/NCCDPHP CDC HHS/United States ; U48 DP001935/DP/NCCDPHP CDC HHS/United States ; R01 DD000140/DD/NCBDD CDC HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:ba43930abe70044f6cf9f88fd532a68140fc2292f3df214c747bfd0a291ad118
File Type:

Supporting Files

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