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Non-pharmacological interventions reduce antipsychotic-associated weight gain in outpatients

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Question

Question: What are the effects of non-pharmacological interventions on antipsychotic-associated weight gain and metabolic abnormalities?

Outcomes: Primary outcomes: body weight and body mass index (BMI). Secondary outcomes: waist circumference, body fat percentage, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglycerides, systolic sitting blood pressure and all-cause discontinuation.

Methods

Design: Systematic review and meta-analysis.

Data sources: PsycInfo, MEDLINE, PubMed, CINAHL and the Cochrane Library (search date not reported). Reference lists of relevant articles were also searched for additional studies.

Study selection and analysis: Randomised controlled trials (RCTs) of non-pharmacological interventions which aimed to prevent or reduce antipsychotic-associated weight gain were included. All data were extracted by one author and verified by a second author. Data were pooled using random effects models in Review Manager 5.0.24 software. Study heterogeneity was measured using the I2 statistic. Sensitivity analyses were carried out to assess the effects of potential moderators.

Main results

Of the 17 RCTs meeting inclusion criteria, 7 trialled cognitive behavioural therapy and 10 assessed nutritional and/or exercise interventions. …

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