[Non-pharmacological interventions for weight gain in patients with schizophrenia taking antipsychotics].
BACKGROUND
Schizophrenic patients have a higher prevalence of obesity than the general population. There are several factors implicated in weight gain, including poor dietary conditions, sedentary lifestyle and antipsychotic drugs use. Obesity is also associated with metabolic disturbances such as diabetes mellitus. Weight gain interventions are necessary in this population, especially non-pharmacological interventions.


OBJECTIVE
To review the non-pharmacological interventions for weight gain management in patients with schizophrenia.


METHODS
Eight clinical trials and four open-label studies using these interventions were found. The methodology, strength and limitations of the studies were reviewed.


CONCLUSIONS
Non-pharmacological interventions seem to have an important effect on weight gain prevention and control, and should be encouraged and adapted to patients and in mental health institution's reality.
Attux
Cecília
C
Departamento de Psiquiatria, , Universidade Federal de São Paulo, São Paulo, SP, Brasil. cattux@gmail.com
Martini
Larissa C
LC
Reis
André F
AF
Bressan
Rodrigo A
RA
D014150:Antipsychotic Agents / Q000009:adverse effects*; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy; D004032:Diet; D015444:Exercise; D006801:Humans; D009765:Obesity / Q000139:chemically induced / Q000517:prevention & control*; D016032:Randomized Controlled Trials as Topic; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D015430:Weight Gain / Q000502:physiology*
D014150:Antipsychotic Agents