@article {Pendlebury:April 2007:0001-690X:286, author = "Pendlebury, J.", author = "Bushe, C. J.", author = "Wildgust, H. J.", author = "Holt, R. I. G.", title = "Long-term maintenance of weight loss in patients with severe mental illness through a behavioural treatment programme in the UK", journal = "Acta Psychiatrica Scandinavica", volume = "115", year = "April 2007", abstract = "Pendlebury J, Bushe CJ, Wildgust HJ, Holt RIG. Long-term maintenance of weight loss in patients with severe mental illness through a behavioural treatment programme in the UK. Objective:
Obesity is common among people with severe mental illness (SMI). We report our experience from the first 4 years of The Cromwell House weight management clinic. Method: Ninety-three patients with SMI aged 43.7 ± 1.2 years referred themselves to this clinic. The patients were seen in weekly group sessions that involved weight measurement, discussion and education. Results: Mean baseline weight was 89.5 ± 1.8 kg [body mass index (BMI) 32.3 ± 0.5 kg/m2]. Twenty-three per cent dropped out within the first 8 weeks. There was progressive statistically significant reduction in mean weight and BMI throughout the duration of monitoring with no suggestion of a plateau. The mean final weight loss was 6.2 ± 0.6 kg. Weight loss was correlated only with the number of sessions attended (r = 0.53, P < 0.0001). Conclusion: Long-term weight management of obese and overweight patients with severe forms of mental illness was possible through the provision of simple lifestyle advice within the group setting.", pages = "286-294(9)", url = "http://www.ingentaconnect.com/content/mksg/acp/2007/00000115/00000004/art00005" doi = "doi:10.1111/j.1600-0447.2006.00906.x" }