Follow-up study of an integrated weight management and fitness programme
Abstract
Purpose -- The aim of this study was to evaluate the results of 14 cohorts of patients recruited into an integrated weight management and fitness programme in a high secure psychiatric hospital. Design/methodology/approach -- Body measurements and fitness parameters were measured before commencement and after completion of the programme. Findings -- Of the 206 patients recruited for the first time to one of 14 programmes, 120 (58 per cent) patients completed their programme, of these 76/120 (63 per cent) lost weight with a mean weight loss of 1.3kg (sd 3.7). Statistically significant improvements were recorded for hand strength (p < 0.005), flexibility (p < 0.0001), peak expiratory flow (p < 0.0001) and aerobic capacity (p < 0.0001). There were no significant changes in systolic blood pressure and resting heart rate, although there was a significant decrease in diastolic blood pressure (p < 0.05). Research limitations/implications -- It was not possible to undertake an economic analysis. Motivation to lose weight was not assessed. Data were not available on the hours of staff time taken to deliver the programmes and whether patients were smokers or not. Practical implications -- These programmes complied with NICE guidance for weight management. This service evaluation demonstrates the effectiveness of these specially designed weight management and fitness interventions for patients with complex mental health needs. They could be used in conditions of lesser security and in the community with patients with complex mental health needs. Originality/value -- This is a follow-up study with significantly more data than presented in an earlier paper which reported on the results of only the first four programmes.
Citations
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Date
2013
Type
Article
Subject
Obesity, High security facilities, Health status
Collections
Citation
Cormac, I., Ferriter, M. & Buchan, S. (2013). Follow-up study of an integrated weight management and fitness programme. Mental Health Review Journal, 18 (1), pp.14-20.