Evidence map›Paper›PMID 23677386›Full record

Trial reportPsychiatric services (Washington, D.C.)2013

Clinically significant improved fitness and weight loss among overweight persons with serious mental illness.

Stephen J Bartels, Sarah I Pratt, Kelly A Aschbrenner, Laura K Barre, Kenneth Jue, Rosemarie S Wolfe, Haiyi Xie, Gregory McHugo, Meghan Santos, Gail E Williams and 2 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Stephen J BartelsDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, 46 Centerra Parkway, Suite 200, Lebanon, NH 03766, USA. sbartels@dartmouth.edu
Sarah I Pratt
Kelly A Aschbrenner
Laura K Barre
Kenneth Jue
Rosemarie S Wolfe
Haiyi Xie
Gregory McHugo
Meghan Santos
Gail E Williams
John A Naslund
Kim T Mueser

Funding

Health Promotion and Fitness for Younger and Older Adults With SMIR01MH078052 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2007 to 2012
$3.5M
REDUCING DISPARITIES IN HEALTH FOR VULNERABLE POPULATIONS IN NH & VT (CATEGORY 2)U48DP001935 · DP · DARTMOUTH COLLEGE · PI FISHER, ELLIOTT S · 2009 to 2013
$2.3M
Interventions and Services for Older Adults with SMIK24MH066282 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2002 to 2011
$1.6M
Promoting Health & Functioning in Persons with SMIR01DD000140 · DD · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2006 to 2008
$975k
Individually Based Psychosocial Rehabilitation for Older People with SMIK23MH080021 · NIMH · DARTMOUTH COLLEGE · PI PRATT, SARAH ILANA · 2008 to 2012
$856k
NCBDD CDC HHS R01 DD000140NCCDPHP CDC HHS 1U48DP001935-0NCCDPHP CDC HHS U48 DP001935NIMH NIH HHS K23 MH080021NIMH NIH HHS K23MH080021NIMH NIH HHS K24 MH066282NIMH NIH HHS K24MH066282NIMH NIH HHS R01 MH078052
6 · The paper itself

Abstract

objectiveThe objective of this study was to evaluate the effectiveness of a fitness health mentor program (In SHAPE) in improving physical fitness and weight loss among overweight and obese adults with serious mental illness.

methodsA randomized controlled trial was conducted with 133 persons with serious mental illness and a body mass index (BMI) >25 who were assigned either to the In SHAPE program (one year of weekly sessions with a fitness trainer plus a fitness club membership) or to one year of fitness club membership and education. Assessments were conducted at baseline and three, six, nine, and 12 months later.

resultsParticipants had a mean baseline weight of 231.8±54.8 pounds and a mean BMI of 37.6±8.2. At 12-month follow-up, In SHAPE (N=67) compared with fitness club membership and education (N=66) was associated with three times greater fitness club attendance, twice as much participation in physical exercise, greater engagement in vigorous physical activity, and improvement in diet. Twice the proportion of participants (40% versus 20%) achieved clinically significant improvement in cardiorespiratory fitness (>50 m on the six-minute walk test). Weight loss and BMI did not differ between groups. Among In SHAPE participants, 49% achieved either clinically significant increased fitness or weight loss (5% or greater), and 24% achieved both clinically significant improved fitness and weight loss.

conclusionsThe In SHAPE program achieved clinically significant reduction in cardiovascular risk for almost one-half of participants at 12 months. Although the intervention showed promise in improving fitness, optimizing weight loss may require additional intensive, multicomponent dietary interventions.

Indexed as

AdultBody Mass IndexCardiovascular DiseasesComorbidityExercise TherapyFemaleFollow-Up StudiesHumansMaleMental DisordersMiddle AgedObesityOverweightPatient CompliancePatient Education as TopicPhysical Fitness

Identifiers

PMID23677386
PMCPMC5662189

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.