Managing obesity in patients with mental illness

A literature review and implication for clinical practice

Zhongshu Yang, Glen Xiong

Research output: Contribution to journalArticle

Abstract

The article reviewed recent studies on life style and pharmacological treatments of obesity in patients with psychiatric disorders, by examining metaanalysis studies and studies that were not included in the meta-analyses. Dietary and behavioral treatments appear to be modestly effective. As for pharmacological treatments, evidence is strongest for augmentation treatment with metformin and topiramate. Switching of antipsychotic is another option, although there is risk of worsening psychiatric symptoms. Barriers and ways to overcome the barriers to implementing the various evidence-based interventions are discussed. The article proposes an algorithmic approach to management of obesity in patients with severe mental illness.

Original languageEnglish (US)
Pages (from-to)290-297
Number of pages8
JournalCurrent Psychiatry Reviews
Volume11
Issue number4
StatePublished - Dec 1 2015

Fingerprint

Mentally Ill Persons
Obesity
Psychiatry
Pharmacology
Metformin
Therapeutics
Antipsychotic Agents
Meta-Analysis
Life Style

Keywords

  • Life style intervention
  • Metabolic syndrome
  • Metformin
  • Obesity
  • Severe mental ill
  • Topiramate
  • Weight gain
  • Weight loss

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Managing obesity in patients with mental illness : A literature review and implication for clinical practice. / Yang, Zhongshu; Xiong, Glen.

In: Current Psychiatry Reviews, Vol. 11, No. 4, 01.12.2015, p. 290-297.

Research output: Contribution to journalArticle

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