Effectiveness of a community‐based nurse‐led lifestyle‐modification intervention for people with serious mental illness and metabolic syndrome

The development of metabolic syndrome negatively affects the quality of life of people with serious mental illness. Experts agree on the need to evaluate the physical health of patients and intervene in modifiable risk factors, with emphasis on the promotion of healthy lifestyles. Interventions shou...

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Bibliographic Details
Published in:International journal of mental health nursing 2019-12, Vol.28 (6), p.1328-1337
Main Authors: Fernández Guijarro, Sara, Pomarol‐Clotet, Edith, Rubio Muñoz, Mª Carmen, Miguel García, Carolina, Egea López, Elena, Fernández Guijarro, Rebeca, Castán Pérez, Lidia, Rigol Cuadra, Mª Assumpta
Format: Article
Language:English
Subjects:
Adult
Blood pressure
Body mass index
Body weight
Clinical research
Clinical trials
Community Health Nursing - methods
Community mental health services
Counseling
Exercise
Experts
Fasting
Female
Glucose
Health facilities
Health promotion
Health status
Humans
Intervention
lifestyle
Lifestyles
Male
Mental disorders
Mental Disorders - complications
Mental Disorders - nursing
Mental Disorders - psychology
Mental Disorders - therapy
Mental health care
Metabolic syndrome
Metabolic Syndrome - complications
Metabolic Syndrome - nursing
Metabolic Syndrome - psychology
Metabolic Syndrome - therapy
Middle Aged
nurse
Nurses
Nursing
Physical activity
Psychiatric nurses
Quality of life
Risk factors
Risk Reduction Behavior
serious mental illness
Triglycerides
Waist
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Summary:The development of metabolic syndrome negatively affects the quality of life of people with serious mental illness. Experts agree on the need to evaluate the physical health of patients and intervene in modifiable risk factors, with emphasis on the promotion of healthy lifestyles. Interventions should include nutritional counselling and physical activity. This 24‐week randomized trial evaluated the effects of a community‐based nurse‐led lifestyle‐modification intervention in people with serious mental illness meeting metabolic syndrome criteria, and its impact on health‐related quality of life and physical activity. Sixty‐one participants from two community mental health centres were randomly assigned to the intervention or control group. The intervention consisted of weekly group sessions, with 20 min of theoretical content and 60 min of nurse‐led physical activity. Postintervention results between groups showed no differences in weight, waist circumference, fasting glucose, and systolic blood pressure. Differences in body mass index, triglyceride concentrations, and diastolic blood pressure were found to be significant (P = 0.010, P = 0.038, and P = 0.017). Participants who performed the intervention reported an increase in physical activity, which did not occur in the control group (P = 0.035), and also reported better health status (P 
ISSN:1445-8330
1447-0349
DOI:10.1111/inm.12644