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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

Published online by Cambridge University Press:  30 October 2015

R. Masa-Font ,
M.I. Fernández-San-Martín ,
L.M. Martín López ,
A.M. Alba Muñoz ,
S. Oller Canet ,
J. Martín Royo ,
L. San Emeterio Echevarría ,
N. Olona Tabueña ,
M. Ibarra Jato  and
A. Barroso García
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R. Masa-Font*
Affiliation:
EAP Besòs, Institut Català de la Salut (ICS), C/Alfons el Magnànim 57, 08019Barcelona, Spain
M.I. Fernández-San-Martín
Affiliation:
Unitat Docent de Medicina Familiar i Comunitària C/Sardenya 375, 08025Barcelona, Spain
L.M. Martín López
Affiliation:
Centre Institut de Neuropsiquiatria i Addiccions (INAD), Parc de Salut Mar Hospital del Mar, Passeig Marítím, 25-29, 08003Barcelona, Spain
A.M. Alba Muñoz
Affiliation:
Centre Salut Mental Ciutat Vella, Parc Sanitari Sant Joan de Déu, C/Via Laietana 19, 08003Barcelona, Spain
S. Oller Canet
Affiliation:
Centre Salut Mental Martí i Juliá (INAD), C/President Lluís Companys 8, 08921Santa Coloma de Gramenet, Spain
J. Martín Royo
Affiliation:
CUAP Casernes (ICS), C/Fernando Pessoa 47-51, 08030Barcelona, Spain
L. San Emeterio Echevarría
Affiliation:
Centre Salut Mental Sant Martí Nord (INAD), Pl Infància, s/n, 08020Barcelona, Spain
N. Olona Tabueña
Affiliation:
Àmbit d’Atenció Primària Barcelona Ciutat, Unitat d’Avaluació, Sistemes d’Informació i Qualitat, C/Numància 23, Barcelona, Spain
M. Ibarra Jato
Affiliation:
Centre Salut Mental Sant Martí Nord (INAD), Pl Infància, s/n, 08020Barcelona, Spain
A. Barroso García
Affiliation:
EAP Sant Martí (ICS), C/Fluvià 211, 08020Barcelona, Spain
S. González Tejón
Affiliation:
EAP Raval Sud (ICS), Av/Drassanes 17-21, 08001Barcelona, Spain
C. Tajada Vitales
Affiliation:
EAP Doctor Vilaseca (Can Mariner), C/Sant Carles 79, 08921Santa Coloma de Gramenet, Spain
B. Díaz Mújica
Affiliation:
Centre Salut Mental Sant Martí Sud (INAD), Passeig Marítim 25-29, 08003Barcelona, Spain
L. Viñas Cabrera
Affiliation:
EAP Poblenou (ICS), C/Lope de Vega 138, 08005Barcelona, Spain
R. Sanchís Catalán
Affiliation:
Centre Salut Mental Sant Martí Sud (INAD), Passeig Marítim 25-29, 08003Barcelona, Spain
T. Salvador Barbarroja
Affiliation:
Centre Salut Mental Sant Martí Nord (INAD), Pl Infància, s/n, 08020Barcelona, Spain
*
⁎Corresponding author. Tel.: +34 60 55 79 09 9. E-mail address:rosermasa@gmail.com (R. Masa-Font).
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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 0.26 kg/m2 (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]).

Keywords

SchizophreniaBipolar disorderCardiovascular risk factorsPhysical activityDietQuality of life
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 8 , November 2015 , pp. 1028 - 1036
Copyright
Copyright © European Psychiatric Association 2020

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