Improving physical activity and diet in patients with severe mental disorders: Results from the LIFESTYLE multicentric, real-world randomized controlled trial

•Factors increasing total MET were younger age, reduced BPRS positive symptoms and increased BPRS hyperactivity symptoms.•Treated patients have almost 8 times the likelihood to show an increase of the total and walking MET.•Receiving the experimental intervention increased the frequency of vegetable...

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Published in:Psychiatry research 2022-11, Vol.317, p.114818-114818, Article 114818
Main Authors: Luciano, Mario, Sampogna, Gaia, Amore, Mario, Bertolino, Alessandro, Dell'Osso, Liliana, Rossi, Alessandro, Siracusano, Alberto, Calcagno, Pietro, Carmassi, Claudia, Di Lorenzo, Giorgio, Di Vincenzo, Matteo, Giallonardo, Vincenzo, Rampino, Antonio, Rossi, Rodolfo, Fiorillo, Andrea
Format: Article
Language:English
Subjects:
Adult
Bipolar disorder
Cognitive functioning
Depression
Diet
Exercise
Female
Healthy diet
Humans
Life Style
Male
Mental Disorders - therapy
Middle Aged
Physical activity
Psychosis
Psychotic Disorders - therapy
Randomized controlled trial
Schizophrenia
Severe mental disorders
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Summary:•Factors increasing total MET were younger age, reduced BPRS positive symptoms and increased BPRS hyperactivity symptoms.•Treated patients have almost 8 times the likelihood to show an increase of the total and walking MET.•Receiving the experimental intervention increased the frequency of vegetables consumption and reduced the likelihood of eating junk food.•Factors influencing vegetables’ consumption included higher levels of cognitive functioning.•A better cognitive functioning was positively associated to a significant reduction in junk food consumption. Aims of the present study are to test the efficacy of a lifestyle group intervention, compared to a brief psychoeducational intervention, on levels of physical activity and dietary habits in a real-world sample of patients with severe mental disorders. The study, funded by the Italian Ministry of Education, has been carried out in six Italian University psychiatric outpatient units. All patients were randomly assigned to the experimental or control group and were assessed through standardized assessment instruments at baseline and six months after randomization. Of the 401 recruited patients, 43.3% had a diagnosis of bipolar disorder, 29.9% of psychosis and 26.9% of major depression. Patients were mainly female (57%), with a mean age of 45.6±11.8 years. Treated patients have almost 8 times the likelihood to show an increase of the total MET (OR: 8.02; p 
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2022.114818