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The Effectiveness of Lifestyle Interventions to Reduce Cardiovascular Risk in Patients with Severe Mental Disorders: Meta-Analysis of Intervention Studies

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Abstract

Patients with severe mental illness have higher prevalences of cardiovascular risk factors (CRF). The objective is to determine whether interventions to modify lifestyles in these patients reduce anthropometric and analytical parameters related to CRF in comparison to routine clinical practice. Systematic review of controlled clinical trials with lifestyle intervention in Medline, Cochrane Library, Embase, PsycINFO and CINALH. Change in body mass index, waist circumference, cholesterol, triglycerides and blood sugar. Meta-analyses were performed using random effects models to estimate the weighted mean difference. Heterogeneity was determined using i2 statistical and subgroups analyses. 26 studies were selected. Lifestyle interventions decrease anthropometric and analytical parameters at 3 months follow up. At 6 and 12 months, the differences between the intervention and control groups were maintained, although with less precision. More studies with larger samples and long-term follow-up are needed.

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Acknowledgments

This study supported by a grant from the National Institute Carlos III, FIS PI11/01861.

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Authors and Affiliations

  1. Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Maria Isabel Fernández-San-Martín, Noemí Olona-Tabueña & Yuani Roman

  2. Hospital del Mar, Parc de Salut Mar, Barcelona, Spain

    Luis Miguel Martín-López

  3. Primary Health Care Team 10D, Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Roser Masa-Font

  4. Primary Health Care Team 10I, Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Jaume Martin-Royo

  5. Mental Health Care Centre Maragall, Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Silvia Oller-Canet

  6. Primary Health Care Team 1D, Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Susana González-Tejón

  7. Mental Health Care Centre Sant Martí Nord, Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Luisa San-Emeterio

  8. Primary Health Care Team 10HJ, Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Albert Barroso-Garcia

  9. Primary Health Care Team 10C, Àmbit Atenció Primària Barcelona, Institut Català de la Salut, Barcelona, Spain

    Lidia Viñas-Cabrera

  10. Departament de Salut, Institut Investigació Atenció Primària JordiGol, Institut Català de la Salut, Barcelona, Spain

    Gemma Flores-Mateo

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  1. Maria Isabel Fernández-San-Martín
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  2. Luis Miguel Martín-López
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  3. Roser Masa-Font
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  4. Noemí Olona-Tabueña
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  5. Yuani Roman
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  6. Jaume Martin-Royo
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  7. Silvia Oller-Canet
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  8. Susana González-Tejón
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  9. Luisa San-Emeterio
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  10. Albert Barroso-Garcia
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  11. Lidia Viñas-Cabrera
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  12. Gemma Flores-Mateo
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Correspondence to Maria Isabel Fernández-San-Martín.

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Fernández-San-Martín, M.I., Martín-López, L.M., Masa-Font, R. et al. The Effectiveness of Lifestyle Interventions to Reduce Cardiovascular Risk in Patients with Severe Mental Disorders: Meta-Analysis of Intervention Studies. Community Ment Health J 50, 81–95 (2014). https://doi.org/10.1007/s10597-013-9614-6

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  • DOI: https://doi.org/10.1007/s10597-013-9614-6

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