Waist circumference and not body mass index as the outcome of a group weight intervention for patients with severe mental illness

Nik Ruzyanei Nik Jaafar, Marhani Midin, Raynuha Mahadevan, Aishvarya Sinniah, Abdul Hamid Abdul Rahman, Wong Ming, Shamsul Azhar Shah, Srijit Das, Hatta Sidi

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2 Citations (Scopus)

Abstract

Objective Most weight interventions among patients with severe mental illness (SMI) used body mass index (BMI) as outcome measure but excluded waist circumference (WC) although the latter is a stronger predictor of obesity complications. This study aimed to assess a weight-management program consisting of education, exercise and behavioural techniques for patients with SMI using weight parameters including WC as the outcome measures. Methods A group intervention was carried out as part of psychiatric outpatient community service. It used structured modules on diet, exercise and related topics comprising of education and exercises sessions with a total of 12-week duration. The participants were outpatients with SMI recruited through referrals to the program by the treating doctor. The participants' body weight, BMI and WC were measured at the baseline, fortnightly and at the end of the program. Results A total of 27 patients participated in the program which was carried out in 6 cycles. The pre- and post-intervention comparisons analysis of the weight parameters found a significant reduction in the WC (mean = 3.878 cm + 5.165, p = 0.001) while no significant changes were recorded in body weight and BMI. Conclusion Small but significant loss in WC and possibly weight maintenance were achieved using this non-pharmacological intervention. Modest loss in WC may have an impact on reducing the risk of obesity-related health risks.

Original languageEnglish
JournalComprehensive Psychiatry
Volume55
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Jan 2014

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Waist Circumference
Body Mass Index
Weights and Measures
Exercise
Obesity
Body Weight
Outcome Assessment (Health Care)
Education
Social Welfare
Ambulatory Care
Psychiatry
Outpatients
Referral and Consultation
Maintenance
Diet
Health

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

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title = "Waist circumference and not body mass index as the outcome of a group weight intervention for patients with severe mental illness",
abstract = "Objective Most weight interventions among patients with severe mental illness (SMI) used body mass index (BMI) as outcome measure but excluded waist circumference (WC) although the latter is a stronger predictor of obesity complications. This study aimed to assess a weight-management program consisting of education, exercise and behavioural techniques for patients with SMI using weight parameters including WC as the outcome measures. Methods A group intervention was carried out as part of psychiatric outpatient community service. It used structured modules on diet, exercise and related topics comprising of education and exercises sessions with a total of 12-week duration. The participants were outpatients with SMI recruited through referrals to the program by the treating doctor. The participants' body weight, BMI and WC were measured at the baseline, fortnightly and at the end of the program. Results A total of 27 patients participated in the program which was carried out in 6 cycles. The pre- and post-intervention comparisons analysis of the weight parameters found a significant reduction in the WC (mean = 3.878 cm + 5.165, p = 0.001) while no significant changes were recorded in body weight and BMI. Conclusion Small but significant loss in WC and possibly weight maintenance were achieved using this non-pharmacological intervention. Modest loss in WC may have an impact on reducing the risk of obesity-related health risks.",
author = "{Nik Jaafar}, {Nik Ruzyanei} and Marhani Midin and Raynuha Mahadevan and Aishvarya Sinniah and {Abdul Rahman}, {Abdul Hamid} and Wong Ming and Shah, {Shamsul Azhar} and Srijit Das and Hatta Sidi",
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T1 - Waist circumference and not body mass index as the outcome of a group weight intervention for patients with severe mental illness

AU - Nik Jaafar, Nik Ruzyanei

AU - Midin, Marhani

AU - Mahadevan, Raynuha

AU - Sinniah, Aishvarya

AU - Abdul Rahman, Abdul Hamid

AU - Ming, Wong

AU - Shah, Shamsul Azhar

AU - Das, Srijit

AU - Sidi, Hatta

PY - 2014/1

Y1 - 2014/1

N2 - Objective Most weight interventions among patients with severe mental illness (SMI) used body mass index (BMI) as outcome measure but excluded waist circumference (WC) although the latter is a stronger predictor of obesity complications. This study aimed to assess a weight-management program consisting of education, exercise and behavioural techniques for patients with SMI using weight parameters including WC as the outcome measures. Methods A group intervention was carried out as part of psychiatric outpatient community service. It used structured modules on diet, exercise and related topics comprising of education and exercises sessions with a total of 12-week duration. The participants were outpatients with SMI recruited through referrals to the program by the treating doctor. The participants' body weight, BMI and WC were measured at the baseline, fortnightly and at the end of the program. Results A total of 27 patients participated in the program which was carried out in 6 cycles. The pre- and post-intervention comparisons analysis of the weight parameters found a significant reduction in the WC (mean = 3.878 cm + 5.165, p = 0.001) while no significant changes were recorded in body weight and BMI. Conclusion Small but significant loss in WC and possibly weight maintenance were achieved using this non-pharmacological intervention. Modest loss in WC may have an impact on reducing the risk of obesity-related health risks.

AB - Objective Most weight interventions among patients with severe mental illness (SMI) used body mass index (BMI) as outcome measure but excluded waist circumference (WC) although the latter is a stronger predictor of obesity complications. This study aimed to assess a weight-management program consisting of education, exercise and behavioural techniques for patients with SMI using weight parameters including WC as the outcome measures. Methods A group intervention was carried out as part of psychiatric outpatient community service. It used structured modules on diet, exercise and related topics comprising of education and exercises sessions with a total of 12-week duration. The participants were outpatients with SMI recruited through referrals to the program by the treating doctor. The participants' body weight, BMI and WC were measured at the baseline, fortnightly and at the end of the program. Results A total of 27 patients participated in the program which was carried out in 6 cycles. The pre- and post-intervention comparisons analysis of the weight parameters found a significant reduction in the WC (mean = 3.878 cm + 5.165, p = 0.001) while no significant changes were recorded in body weight and BMI. Conclusion Small but significant loss in WC and possibly weight maintenance were achieved using this non-pharmacological intervention. Modest loss in WC may have an impact on reducing the risk of obesity-related health risks.

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