Evidence map›Paper›PMID 26385164›Full record

ArticleAmerican journal of preventive medicine2016

Lifestyle Intervention for People With Severe Obesity and Serious Mental Illness.

John A Naslund, Kelly A Aschbrenner, Emily A Scherer, Sarah I Pratt, Rosemarie S Wolfe, Stephen J Bartels

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 19% of its field
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Psychological interventions for psychosis in adolescents.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
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  10. The psychological journey of weight gain in psychosis.Psychology and psychotherapy · 2022
    Article
  11. Article
  12. Article
  13. Article
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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

6 authors at 2 institutions in 1 country.

John A NaslundThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, New Hampshire. Electronic address: john.a.naslund@gmail.com.
Kelly A AschbrennerThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, New Hampshire; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Emily A SchererDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Sarah I PrattThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, New Hampshire; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Rosemarie S WolfeDepartment of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Stephen J BartelsThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, New Hampshire; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Dartmouth Institute for Health Policy and Clinical Practice · USDartmouth College · US

Funding

Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
Health Promotion and Fitness for Younger and Older Adults With SMIR01MH078052 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2007 to 2012
$3.5M
Statewide Intervention to Reduce Early Mortality in Persons with Mental IllnessR01MH089811 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2010 to 2014
$2.7M
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
Promoting Health & Functioning in Persons with SMIR01DD000140 · DD · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2006 to 2008
$975k
ACL HHS U48DP005018NCBDD CDC HHS R01 DD000140NCCDPHP CDC HHS U48 DP001935NCCDPHP CDC HHS U48DP001935-0NCCDPHP CDC HHS U48 DP005018NCCDPHP CDC HHS U48DP005018NIMH NIH HHS R01 MH078052NIMH NIH HHS R01 MH089811NIMH NIH HHS R01 MH089811-01
6 · The paper itself

Abstract

introductionPeople with serious mental illness experience elevated severe obesity rates, yet limited evidence documents whether lifestyle intervention participation can benefit these individuals. This study examined the impact of the In SHAPE lifestyle intervention on weight loss among participants with serious mental illness and severe obesity (BMI ≥40) compared with participants who are overweight (BMI 25 to <30) and have class I (BMI 30 to <35) or class II (BMI 35 to <40) obesity.

methodsData were combined from three trials of the 12-month In SHAPE intervention for individuals with serious mental illness collected between 2007 and 2013 and analyzed in 2014. In SHAPE includes individual weekly meetings with a fitness trainer, a gym membership, and nutrition education. The primary outcome was weight loss. Secondary outcomes were fitness, blood pressure, lipids, and program adherence.

resultsParticipants (N=192) were diagnosed with schizophrenia spectrum (53.1%) or mood (46.9%) disorders. At 12 months, the overall sample showed significant weight loss, but differences among BMI groups were not significant (severe obesity, 2.57% [7.98%]; class II, 2.26% [8.69%]; class I, 1.05% [6.86%]; overweight, 0.83% [7.62%]). One third of participants with severe obesity achieved ≥5% weight loss, which was comparable across groups. More participants with severe obesity achieved ≥10% weight loss (20%) than overweight (2.9%, p=0.001) and class I (5.9%, p<0.001), but not class II (17.8%, p=0.974), obesity groups.

conclusionsPeople with severe obesity and serious mental illness benefit similarly to those in lower BMI groups from lifestyle intervention participation.

Indexed as

Life StyleAdultBlood PressureBody Mass IndexFemaleHealth BehaviorHealth PromotionHumansLipidsMaleMental DisordersMiddle AgedObesity, MorbidOverweightPatient CompliancePhysical FitnessLipids

Identifiers

PMID26385164
PMCPMC4718763
OpenAlexW1620490325

What OpenQuestion holds

Textmetadata
LicenceTDM
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.