Schizophrenia and weight management: a systematic review of interventions to control weight
Article first published online: 6 OCT 2003
Acta Psychiatrica Scandinavica
Volume 108, Issue 5, pages 324–332, November 2003
How to Cite
Faulkner, G., Soundy, A. A. and Lloyd, K. (2003), Schizophrenia and weight management: a systematic review of interventions to control weight. Acta Psychiatrica Scandinavica, 108: 324–332. doi: 10.1034/j.1600-0447.2003.00218.x
- Issue published online: 6 OCT 2003
- Article first published online: 6 OCT 2003
- Accepted for publication June 30, 2003
- weight loss;
Objective: Weight gain is a frequent side effect of antipsychotic medication which has serious implications for a patient's health and well being. This study systematically reviews the literature on the effectiveness of interventions designed to control weight gain in schizophrenia.
Method: A systematic search strategy was conducted of major databases in addition to citation searches. Study quality was rated.
Results: Sixteen studies met the inclusion criteria. Five of eight pharmacological intervention studies reported small reductions in weight (<5% baseline body weight). All behavioural (including diet and/or exercise) interventions reported small reductions in, or maintenance of, weight.
Conclusion: Weight loss may be difficult but it is not impossible. Given the inconsistent results, the widespread use of pharmacological interventions cannot be recommended. Both dietary and exercise counselling set within a behavioural modification programme is necessary for sustained weight control.