Community Mental Health Journal

, Volume 50, Issue 1, pp 81–95 | Cite as

The Effectiveness of Lifestyle Interventions to Reduce Cardiovascular Risk in Patients with Severe Mental Disorders: Meta-Analysis of Intervention Studies

  • Maria Isabel Fernández-San-Martín
  • Luis Miguel Martín-López
  • Roser Masa-Font
  • Noemí Olona-Tabueña
  • Yuani Roman
  • Jaume Martin-Royo
  • Silvia Oller-Canet
  • Susana González-Tejón
  • Luisa San-Emeterio
  • Albert Barroso-Garcia
  • Lidia Viñas-Cabrera
  • Gemma Flores-Mateo
Original Paper


Patients with severe mental illness have higher prevalences of cardiovascular risk factors (CRF). The objective is to determine whether interventions to modify lifestyles in these patients reduce anthropometric and analytical parameters related to CRF in comparison to routine clinical practice. Systematic review of controlled clinical trials with lifestyle intervention in Medline, Cochrane Library, Embase, PsycINFO and CINALH. Change in body mass index, waist circumference, cholesterol, triglycerides and blood sugar. Meta-analyses were performed using random effects models to estimate the weighted mean difference. Heterogeneity was determined using i2 statistical and subgroups analyses. 26 studies were selected. Lifestyle interventions decrease anthropometric and analytical parameters at 3 months follow up. At 6 and 12 months, the differences between the intervention and control groups were maintained, although with less precision. More studies with larger samples and long-term follow-up are needed.


Psychotic Disorders Schizophrenia Life Style Food Habits Exercise 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Maria Isabel Fernández-San-Martín
    • 1
  • Luis Miguel Martín-López
    • 2
  • Roser Masa-Font
    • 3
  • Noemí Olona-Tabueña
    • 1
  • Yuani Roman
    • 1
  • Jaume Martin-Royo
    • 4
  • Silvia Oller-Canet
    • 5
  • Susana González-Tejón
    • 6
  • Luisa San-Emeterio
    • 7
  • Albert Barroso-Garcia
    • 8
  • Lidia Viñas-Cabrera
    • 9
  • Gemma Flores-Mateo
    • 10
  1. 1.Àmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  2. 2.Hospital del Mar, Parc de Salut MarBarcelonaSpain
  3. 3.Primary Health Care Team 10DÀmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  4. 4.Primary Health Care Team 10IÀmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  5. 5.Mental Health Care Centre MaragallÀmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  6. 6.Primary Health Care Team 1DÀmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  7. 7.Mental Health Care Centre Sant Martí NordÀmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  8. 8.Primary Health Care Team 10HJÀmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  9. 9.Primary Health Care Team 10CÀmbit Atenció Primària Barcelona, Institut Català de la SalutBarcelonaSpain
  10. 10.Departament de SalutInstitut Investigació Atenció Primària JordiGol, Institut Català de la SalutBarcelonaSpain

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