1. The Scandinavian Solutions for Wellness study - a two-arm observational study on the effectiveness of lifestyle intervention on subjective well-being and weight among persons with psychiatric disorders.
- Author
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Porsdal V, Beal C, Kleivenes OK, Martinsen EW, Lindström E, Nilsson H, and Svanborg P
- Subjects
- Adult, Antipsychotic Agents therapeutic use, Body Weight, Data Collection, Female, Health Education organization & administration, Humans, Male, Mental Disorders psychology, Obesity chemically induced, Outcome Assessment, Health Care, Scandinavian and Nordic Countries, Schizophrenia drug therapy, Waist Circumference, Weight Gain drug effects, Weight Loss drug effects, Antipsychotic Agents adverse effects, Health Education methods, Health Status, Life Style, Mental Disorders drug therapy, Obesity therapy, Program Evaluation, Surveys and Questionnaires
- Abstract
Background: Solutions for Wellness (SfW) is an educational 3-month program concerning nutrition and exercise for persons with psychiatric disorders on psychotropic medication, who have weight problems. This observational study assessed the impact of SfW on subjective well-being, weight and waist circumference (WC)., Methods: Data was collected at 49 psychiatric clinics. Where the SfW program was offered patients could enter the intervention group; where not, the control group. Subjective well-being was measured by the Subjective Well-being under Neuroleptics scale (SWN), at baseline, at the end of SfW participation, and at a follow-up 6 months after baseline. Demographic, disease and treatment data was also collected., Results: 314 patients enrolled in the SfW group, 59 in the control group. 54% of the patients had schizophrenia, 67% received atypical antipsychotics, 56% were female. They averaged 41 +/- 12.06 years and had a BMI of 31.4 +/- 6.35. There were significant differences at baseline between groups for weight, SWN total score and other factors. Stepwise logistic models controlling for baseline covariates yielded an adjusted non-significant association between SfW program participation and response in subjective well-being (SWN increase). However, statistically significant associations were found between program participation and weight-response (weight loss or gain < 1 kg) OR = 2; 95% CI [1.1; 3.7] and between program participation and WC-response (WC decrease or increase < 2 cm) OR = 5; 95% CI [2.4; 10.3]), at 3 months after baseline., Conclusions: SfW program participation was associated with maintaining or decreasing weight and WC but not with improved subjective well-being as measured with the SWN scale.
- Published
- 2010
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