Abstract
Individual dietetic consultations were trialled in a community-based first-episode psychosis program. Participants received eight individualised dietetic consultations, plus weekly shopping tours and cooking groups. The outcome measure was waist circumference (WC). In total, 30 patients commenced the program. An intention-to-treat analysis revealed, a statistically significant reduction in WC (mean = 2.1 ± 5.4 cm, t = 2.1, df = 29, p = 0.04). Similar results were found for the 14 participants who attended all eight sessions (mean WC reduction = 2.9 ± 4.7 cm, t = 2.3, df = 13, p = 0.04). Dietetic consultations were feasible and effective in reducing WC, and could enhance programs to reduce cardiometabolic risk in youth with psychosis using lifestyle interventions.
References
Alvarez-Jiménez, M., González-Blanch, C., Crespo-Facorro, B., Hetrick, S., Rodriguez-Sánchez, A. M., Pérez-Iglesias, R., et al. (2008). Antipsychotic-induced weight gain in chronic and first-episode psychotic disorders. CNS Drugs, 22(7), 547–562.
Cerhan, J. R., Moore, S. C., Jacobs, E. J., Kilahara, C. M., Rosenberg, P. S., Adami, H. O., et al. (2014). A pooled analysis of waist circumference and mortality in 650,000 adults. Mayo Clinic Proceedings, 89(3), 335–345.
Correll, C. U., Manu, P., Olshanskiy, V., Napolitano, B., Kane, J. M., & Malhotra, A. K. (2009). Cardiometabolic risk of second-generation antipsychotic medications during first-time use in children and adolescents. The Journal of the American Medical Association, 302(21), 1765–1773.
Curtis, J., Watkins, A., Rosenbaum, S., Teasdale, S., Kalucy, M., Samaras, K., et al. (2014). Evaluating an individualised lifestyle and life-skills intervention to prevent antipsychotic-induced weight gain in first-episode psychosis. Early Intervention in Psychiatry (under review).
Daumit, G. L., Dickerson, F. B., Wang, N. Y., Dalcin, A., Jerome, G. J., Anderson, C. A. M., et al. (2013). A behavioral weight-loss intervention in persons with serious mental illness. New England Journal of Medicine, 368(17), 1594–1602.
De Hert, M., Schreurs, V., Sweers, K., Van Eyck, D., Hanssens, L., Sinko, S., et al. (2008). Typical and atypical antipsychotics differentially affect long-term incidence rates of the metabolic syndrome in first-episode patients with schizophrenia: A retrospective chart review. Schizophrenia Research, 101(1–3), 295–303.
Dipasquale, S., Pariante, C. M., Dazzan, P., Aguglia, E., McGuire, P., & Mondelli, V. (2012). The dietary pattern of patients with schizophrenia: A systematic review. Journal of Psychiatric Research, 47(2), 197–207.
Doyle, R., Turner, N., Fanning, F., Brennan, D., Renwick, L., Lawlor, E., et al. (2014). First-episode psychosis and disengagement from treatment: A systematic review. Psychiatric Services, 65(5), 603–611.
Evans, S., Newton, R., & Higgins, S. (2005). Nutritional intervention to prevent weight gain in patients commenced on olanzapine: A randomized controlled trial. Australian and New Zealand Journal of Psychiatry, 39(6), 479–486.
Foley, D. L., & Morley, K. I. (2011). Systematic review of early cardiometabolic outcomes of the first treated episode of psychosis. Archives of General Psychiatry, 68(6), 609–616.
Gupta, A., & Craig, T. K. (2009). Special Articles Diet, smoking and cardiovascular risk in schizophrenia in high and low care supported housing. Epidemiologia e Psichiatria Sociale, 18(3), 200–207.
Hennekens, C. H., Hennekens, A. R., & Hollar, D. (2005). Schizophrenia and increased risks of cardiovascular disease. American Heart Journal, 150(6), 1115–1121.
Jerome, G. J., Young, D. R., Dalcin, A., Charleston, J., Anthony, C., Hayes, J., et al. (2009). Physical activity levels of persons with mental illness attending psychiatric rehabilitation programs. Schizophrenia Research, 108(1–3), 252–257.
McCreadie, R. G. (2003). Diet, smoking and cardiovascular risk in people with schizophrenia: Descriptive study. British Journal of Psychiatry, 183, 534–539.
Morgan, V. A., Waterreus, A., Jablensky, A., Mackinnon, A., McGrath, J. J., Carr, V., et al. (2012). People living with psychotic illness in 2010: The second Australian national survey of psychosis. Australian and New Zealand Journal of Psychiatry, 46(8), 735–752.
Skouroliakou, M., Giannopoulou, I., Kostara, C., & Hannon, J. C. (2009). Effects of nutritional intervention on body weight and body composition of obese psychiatric patients taking olanzapine. Nutrition, 25(7–8), 729–735.
Thornicroft, G. (2013). Premature death among people with mental illness. BMJ, 346, f2969.
Acknowledgments
The study was funded by the Prince of Wales Hospital Foundation. The authors would like to thank caseworkers Natalie Bradbury, Alana Scully and Beth Kendrick for their involvement throughout the intervention.
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All authors certify responsibility for the manuscript and declare that there are no conflicts of interest.
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Teasdale, S., Harris, S., Rosenbaum, S. et al. Individual Dietetic Consultations in First Episode Psychosis: A Novel Intervention to Reduce Cardiometabolic Risk. Community Ment Health J 51, 211–214 (2015). https://doi.org/10.1007/s10597-014-9787-7
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DOI: https://doi.org/10.1007/s10597-014-9787-7