Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in people with first-episode psychosis: the Keeping the Body in Mind program

J. Curtis; S. Teasdale; R. Morell; P. Wadhwa; O. Lederman; H. Fibbins; A. Watkins; P. Ward

doi:10.1192/j.eurpsy.2022.359

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Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in people with first-episode psychosis: the Keeping the Body in Mind program

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Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in people with first-episode psychosis: the Keeping the Body in Mind program

J. Curtis, S. Teasdale, R. Morell, P. Wadhwa, O. Lederman, H. Fibbins, A. Watkins and P. Ward

European Psychiatry, Vol.65(Suppl 1), pp.S131-S132

2022

DOI: https://doi.org/10.1192/j.eurpsy.2022.359

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Abstract

Antipsychotics

E-Poster Presentation

First-episode psychosis

Metabolic

weight-gain

Introduction: The development of obesity and metabolic abnormalities that seed future ill-health occur early with antipsychotic treatment. In 2013, the 12-week Keeping the Body in Mind (KBIM) pilot lifestyle intervention was delivered to a small sample of youth experiencing first-episode psychosis (FEP) with <4 weeks of antipsychotic exposure in a cluster-controlled design. The control group experienced significant increases in weight (mean 7.8kg) and waist circumference (mean 7.1cm) compared to non-significant increases (mean 1.8kg) in the KBIM group. Objectives: To evaluate the effect of KBIM as routine care on anthropometry and metabolic biochemistry in a larger sample of youth with FEP across three mental health services. Methods: This retrospective chart audit was conducted on youth with FEP, prescribed a therapeutic dose of antipsychotic medication, and who engaged with KBIM between 2015 and 2019. Primary outcomes were weight and waist circumference. Secondary outcomes were blood pressure, blood glucose and blood lipids. Outcomes were collected in a pre-post design. Implementation elements were also obtained from the participant’s medical file. Results: One-hundred and eighty-two people met inclusion criteria. Follow-up data were available on up to 134 people for individual outcomes. Mean number of sessions attended was 11.1 (SD=7.3). Weight and waist changes were limited to 1.5kg (SD=5.3, t(133)=3.2, p=0.002) and 0.7cm (SD=5.8, t(109)=1.2, p=0.23). Nineteen percent experienced clinically significant weight gain. There were no changes to blood pressure or metabolic biochemistry. Conclusions: The positive outcomes for weight and waist circumference found in the initial pilot study were maintained with implementation as routine care. Disclosure: No significant relationships.

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Title: Implementation of a lifestyle and life-skills intervention to prevent weight-gain and cardiometabolic abnormalities in people with first-episode psychosis: the Keeping the Body in Mind program
Authors: J. Curtis (Corresponding Author) - UNSW Sydney
S. Teasdale (Author) - UNSW Sydney
R. Morell (Author) - UNSW Sydney
P. Wadhwa (Author) - UNSW Sydney
O. Lederman (Author) - UNSW Sydney
H. Fibbins (Author) - UNSW Sydney
A. Watkins (Author) - University of the Sunshine Coast, Queensland, Thompson Institute
P. Ward (Author) - UNSW Sydney
Publication details: European Psychiatry, Vol.65(Suppl 1), pp.S131-S132
Publisher: Cambridge University Press
Date published: 2022
DOI: 10.1192/j.eurpsy.2022.359
ISSN: 1778-3585; 0924-9338
Copyright note: © The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Organisation Unit: Thompson Institute
Language: English
Record Identifier: 99716031802621
Output Type: Abstract

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