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People with serious mental illness have 2-3 times higher than the general population mortality. The main cause of death is cardiovascular disease , which is due to an extremely high prevalence of obesity (twice that of the general population). Physical inactivity , poor diet and weight gain of psychotropic drugs are all factors that contribute to it .

Lifestyle interventions to modify diet and activity , therefore a key priority for this group. However, this population has been largely ignored in previous intervention lifestyle tests effective weight loss, and he was asked whether behavioral interventions may benefit because they often face problems with memory and executive functions.

The NEJM published a Maryland study that examined the effectiveness of a behavioral intervention for weight loss for people with severe mental illness.
methods
People with serious mental illness are 2-3 times more likely to be overweight or obese than the general population effective weight loss.

People with serious mental illness are 2-3 times more likely to be overweight or obese than the general population effective weight loss.

The study was conducted in an RCT for a period of 18 months effective weight loss. Participants should be adults and participation in programs related to psychiatric rehabilitation outpatient clinics . The authors excluded participants with medical cons -indications for weight loss, those who had a cardiovascular event in the previous six months, they were unable to walk effective weight loss, or had problems with drug or alcohol present . The 417 participants who were recruited , 291 were randomized to an intervention group (144 participants) and a control group (147 participants).

The intervention consists of three components : Individual weight control , control sessions and group exercise classes weight group . It is based on interventions that have proven effective in the general population effective weight loss, but has been adapted to the specific needs of the study population ( impaired memory and executive functions ) to break information into small pieces and repeat the information.

The control group received information from the physical activity standard nutrition out. Courses are also offered quarterly health management had no content related to weight.
Despite the healthy food choices are available for all participants effective weight loss, those in the intervention group lost significantly more weight.

Despite the healthy food choices are available for all participants, those in the intervention group lost significantly more weight effective weight loss.

Rehabilitation programs generally serve breakfast and lunch for the participants as well as part of the test effective weight loss, the researchers told the kitchen staff to offer healthy foods. This means that healthy options were available for the two groups.

Data on participants height effective weight loss, weight and blood pressure, waist circumference and levels of chemicals in fasting blood were collected by independent evaluators at baseline and 6, 12 and 18 months. Data on demographics effective weight loss, medications and diagnoses were obtained from program records and self- reports of participants.

The primary endpoint was the researchers studied the variation of the mass of randomization to 6 and 18 months effective weight loss, respectively. They also analyzed the percentage change in the basic weight, the number of people who had lost at least 5% and 10% effective weight loss, respectively, and the change in BMI ( body mass index ) effective weight loss.