The effectiveness of a program of physical activity and diet to modify cardiovascular risk factors in patients with severe mental illness after 3-month follow-up: CAPiCOR randomized clinical trial.
| Title: | The effectiveness of a program of physical activity and diet to modify cardiovascular risk factors in patients with severe mental illness after 3-month follow-up: CAPiCOR randomized clinical trial. |
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| Authors: | Masa-Font R; EAP Besòs, Institut Català de la Salut (ICS), C/Alfons el Magnànim 57, 08019 Barcelona, Spain. Electronic address: rosermasa@gmail.com.; Fernández-San-Martín MI; Unitat Docent de Medicina Familiar i Comunitària, C/Sardenya 375, 08025 Barcelona, Spain.; Martín López LM; Centre Institut de Neuropsiquiatria i Addiccions (INAD), Parc de Salut Mar Hospital del Mar, Passeig Marítím, 25-29, 08003 Barcelona, Spain.; Alba Muñoz AM; Centre Salut Mental Ciutat Vella, Parc Sanitari Sant Joan de Déu, C/Via Laietana 19, 08003 Barcelona, Spain.; Oller Canet S; Centre Salut Mental Martí i Juliá (INAD), C/President Lluís Companys 8, 08921 Santa Coloma de Gramenet, Spain.; Martín Royo J; CUAP Casernes (ICS), C/Fernando Pessoa 47-51, 08030 Barcelona, Spain.; San Emeterio Echevarría L; Centre Salut Mental Sant Martí Nord (INAD), Pl Infància, s/n, 08020 Barcelona, Spain.; Olona Tabueña N; Àmbit d'Atenció Primària Barcelona Ciutat, Unitat d'Avaluació, Sistemes d'Informació i Qualitat, C/Numància 23, Barcelona, Spain.; Ibarra Jato M; Centre Salut Mental Sant Martí Nord (INAD), Pl Infància, s/n, 08020 Barcelona, Spain.; Barroso García A; EAP Sant Martí (ICS), C/Fluvià 211, 08020 Barcelona, Spain.; González Tejón S; EAP Raval Sud (ICS), Av/Drassanes 17-21, 08001 Barcelona, Spain.; Tajada Vitales C; EAP Doctor Vilaseca (Can Mariner), C/Sant Carles 79, 08921 Santa Coloma de Gramenet, Spain.; Díaz Mújica B; Centre Salut Mental Sant Martí Sud (INAD), Passeig Marítim 25-29, 08003 Barcelona, Spain.; Viñas Cabrera L; EAP Poblenou (ICS), C/Lope de Vega 138, 08005 Barcelona, Spain.; Sanchís Catalán R; Centre Salut Mental Sant Martí Sud (INAD), Passeig Marítim 25-29, 08003 Barcelona, Spain.; Salvador Barbarroja T; Centre Salut Mental Sant Martí Nord (INAD), Pl Infància, s/n, 08020 Barcelona, Spain. |
| Source: | European psychiatry : the journal of the Association of European Psychiatrists [Eur Psychiatry] 2015 Nov; Vol. 30 (8), pp. 1028-36. Date of Electronic Publication: 2015 Oct 30. |
| Publication Type: | Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: Cambridge University Press Country of Publication: England NLM ID: 9111820 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1778-3585 (Electronic) Linking ISSN: 09249338 NLM ISO Abbreviation: Eur Psychiatry Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2020- : Cambridge : Cambridge University Press; Original Publication: Paris : Editions scientifiques Elsevier, c1991- |
| MeSH Terms: | Cardiovascular Diseases*/complications ; Cardiovascular Diseases*/psychology ; Cardiovascular Diseases*/therapy ; Psychotic Disorders*/complications ; Psychotic Disorders*/physiopathology ; Psychotic Disorders*/therapy ; Quality of Life*; Antipsychotic Agents/*therapeutic use ; Diet Therapy/*methods ; Exercise Therapy/*methods; Cholesterol/blood ; Motor Activity/physiology ; Triglycerides/blood ; Adult ; Body Mass Index ; Female ; Humans ; Male ; Middle Aged ; Surveys and Questionnaires ; Treatment Outcome ; Waist Circumference |
| Abstract: | Background: The aim of this randomized clinical trial follow-up at three months was to evaluate the effectiveness of an educational intervention with a focus on diet and physical activity (PA) to change the amount of PA, body mass index (BMI) and the waist circumference (WC) in patients with severe mental illness.; Methods: We recruited 332 outpatients with severe mental disorders undergoing treatment with antipsychotic medication from Mental Healthcare Centers of Barcelona. They were randomly assigned to an intervention or a control group. The patients in the intervention group participated in a group PA and diet educational program. The blinded measurements at 0 and 3 months were: the level of PA (IPAQ questionnaire), BMI, WC, blood pressure, dietary habits (PREDIMED questionnaire), quality of life (SF-36 questionnaire) and laboratory parameters (cholesterol, triglycerides, glucose).; Results: The average age was 46.7 years and 55% were males. Schizophrenia had been diagnosed in 67.1% of them. At 3 months, the average weekly walking METs rose significantly in the IG 266.05 METs (95%CI: 16.86 to 515.25; P=0.036). The total MET average also rose although not significantly: 191.38 METs (95%CI: 1.38 to 381.38; P=0.086). However, the BMI decreased significantly more in the CG, by 0.26kg/m(2) (95%CI: 0.02 to 0.51; P=0.038), than in the IG. There were no significant differences in the WC.; Conclusions: The short-term results suggest that the intervention increases the level of PA, but does not improve physical or laboratory parameters.; Trial Registration: Clinicaltrials.gov NCT01729650 (effectiveness of a physical activity and diet program in patients with psychotic disorder [CAPiCOR]).; (Copyright © 2015 Elsevier Masson SAS. All rights reserved.) |
| Comments: | Erratum in: Eur Psychiatry. 2017 Mar;41:e1. doi: 10.1016/j.eurpsy.2016.10.004.. (PMID: 28277243) |
| Contributed Indexing: | Keywords: Bipolar disorder; Cardiovascular risk factors; Diet; Physical activity; Quality of life; Schizophrenia |
| Molecular Sequence: | ClinicalTrials.gov NCT01729650 |
| Substance Nomenclature: | 0 (Antipsychotic Agents); 0 (Triglycerides); 97C5T2UQ7J (Cholesterol) |
| Entry Date(s): | Date Created: 20151102 Date Completed: 20160627 Latest Revision: 20200109 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.eurpsy.2015.09.006 |
| PMID: | 26521223 |
| Database: | MEDLINE |
Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't