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Exercise and Lifestyle Therapy Improves Weight Maintenance in Young People with Psychosis: A Service Evaluation.1431 Board #84 June 2, 800 AM - 930 AM

Griffiths, Lisa A.; Bold, Justine; Smith, Jo; Bradley, Eleanor; Band, Marie; Hird-Smith, Rachael

Medicine & Science in Sports & Exercise: May 2016 - Volume 48 - Issue 5S - p 382
doi: 10.1249/01.mss.0000486156.63060.6d
C-30 Exercise is Medicine®/Poster - Exercise and Various Health States Thursday, June 2, 2016, 7:30 AM - 12:30 PM Room: Exhibit Hall A/B
Free

1University of Worcester, Worcester, United Kingdom. 2Worcestershire Health and Care NHS Trust, Worcester, United Kingdom.

Email: lisa.griffiths@worc.ac.uk

(No relationships reported)

Compared to same age counterparts, young people with psychosis are more likely to smoke tobacco, misuse harmful substances and have a poor diet and sedentary lifestyle. These behaviors are linked to premature cardiovascular disease and metabolic disorders. When prescribed obesogenic antipsychotic medication, a weight gain of >12 kg within 2 yrs is typical.

PURPOSE: To examine the benefits of a 12 wk exercise and lifestyle intervention entitled ‘Supporting Health and Promoting Exercise’ (SHAPE) for young people (18-24 yr) recently diagnosed with psychosis.

METHODS: Participants (n=27; 8 females) engaged in weekly 45’ education sessions on healthy lifestyle behaviors (e.g. smoking cessation, healthy eating, substance misuse) followed by 45’ exercise session (e.g., yoga, Tai Chi, circuit training). Anthropometric data were measured at baseline, 12 wk and 12 mo post-intervention. Lifestyle behaviors and clinical measurements, including pulse, blood pressure, total cholesterol, triglycerides, HbA1c and prolactin, were assessed at baseline and 12 mo as part of their routine care plan.

RESULTS: Mean baseline data suggests participants were at an increased health risk due to elevated values in mean resting heart rate (92.7 ± 20.3 beats/min), triglycerides (2.4 ± 1.5 mg/dL), BMI (30.4 ± 7.2 kg/m2) and waist circumference (97.7 ± 17.2 cm). At 12 wk post-intervention, there were no changes in mean BMI (30.7 ± 7.4; p = 0.39) or waist circumference (99.1 ± 17.1; p = 0.39); 19 participants either maintained (±2 kg) or decreased (2-7 kg) weight; 8 participants increased weight (2.0-9.6 kg). At 12 mo post-intervention (n=8), there was a 5.9 cm mean reduction in waist circumference (p = 0.04); no change was observed in mean BMI (+0.7 kg/m2), body mass (+1.9 kg) or other clinical variables (p > 0.05). Positive impacts on lifestyle behaviors included 4 participants eating ~ 400g of fruit/vegetables daily, 2 ceased substance use, 1 ceased alcohol use and 3 were less sedentary. Findings compare favorably to the only similar published study on the ‘Keeping Body in Mind’ program specifically designed for early intervention psychosis.

CONCLUSION: Findings suggest SHAPE supported young people with psychosis to make positive lifestyle behavior changes leading to sustained improvements in weight maintenance and physical health.

© 2016 American College of Sports Medicine