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
Solutions for Wellness (SfW) is an educational 3-month program concerning nutrition and exercise for psychiatric patients on psychotropic medication, who have weight problems. This observational study assessed the impact of SfW on subjective well-being, weight and waist circumference (WC).MethodData 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 <1kg) 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.
Conclusion: 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.
Author: Vibeke PorsdalCatherine BealOle Kristian KleivenesEgil MartinsenEva LindstromHarriet NilssonPar Svanborg
Credits/Source: BMC Psychiatry 2010, 10:42
Published on: 2010-06-10
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