Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in young people with first-episode psychosis as part of routine care: The Keeping the Body in Mind program.

Autor: Curtis J; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW Sydney, Kensington, New South Wales, Australia.; Mindgardens Neuroscience Network, Sydney, New South Wales, Australia.; Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Bondi Junction, New South Wales, Australia., Teasdale SB; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW Sydney, Kensington, New South Wales, Australia.; Mindgardens Neuroscience Network, Sydney, New South Wales, Australia., Morell R; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW Sydney, Kensington, New South Wales, Australia.; Mindgardens Neuroscience Network, Sydney, New South Wales, Australia., Wadhwa P; Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Bondi Junction, New South Wales, Australia., Watkins A; Mindgardens Neuroscience Network, Sydney, New South Wales, Australia.; Faculty of Health, University of Technology, Sydney, New South Wales, Australia., Lederman O; Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Bondi Junction, New South Wales, Australia.; School of Health Sciences, UNSW Sydney, Kensington, New South Wales, Australia., O'Donnell C; Mindgardens Neuroscience Network, Sydney, New South Wales, Australia., Fibbins H; Mindgardens Neuroscience Network, Sydney, New South Wales, Australia.; Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Bondi Junction, New South Wales, Australia., Ward PB; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW Sydney, Kensington, New South Wales, Australia.; Schizophrenia Research Unit, South Western Sydney Local Health District and Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Early intervention in psychiatry [Early Interv Psychiatry] 2024 Sep; Vol. 18 (9), pp. 731-738. Date of Electronic Publication: 2024 Feb 09.
DOI: 10.1111/eip.13508
Abstrakt: Objectives: In 2013, a cluster-controlled pilot study found the 12-week Keeping the Body in Mind (KBIM) lifestyle and life skills intervention was able to prevent weight gain in a small sample of youth experiencing first-episode psychosis (FEP) with fewer than 4 weeks of antipsychotic exposure. This study aims to evaluate the effectiveness of KBIM as routine care on anthropometry and metabolic biochemistry in a larger sample of youth with FEP across three community mental health services.
Method: This retrospective chart audit was conducted on youth with FEP, prescribed a therapeutic dose of antipsychotic medication, and who engaged with KBIM between 2015 and 2019. Primary outcomes were weight and waist circumference. Secondary outcomes were blood pressure, blood glucose, and blood lipids. Outcomes were collected in at baseline and at 12 weeks. Data on program engagement were obtained from the participant's medical file.
Results: One-hundred and eighty-two people met inclusion criteria, and up to 134 people had baseline and 12-week data on one or more outcome. Mean number of sessions attended was 11.1 (SD = 7.3). Increases in weight and waist circumference were limited to 1.5 kg (SD = 5.3, t(133) = 3.2, p = .002) and 0.7 cm (SD = 5.8, t(109) = 1.2, p = .23) respectively. Eighty-one percent of participants did not experience clinically significant weight gain (>7% of baseline weight). There were no significant changes in blood pressure or metabolic biochemistry.
Conclusion: The prevention of substantial gains in weight and waist circumference observed in the initial pilot study was maintained with implementation of KBIM as part of routine clinical care for youth with FEP.
(© 2024 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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