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Access to weight loss counseling services among patients with bipolar disorder

David E Goodrich1, Zongshan Lai, Elaine Lasky

  • 1VA Ann Arbor Health Services Research and Development Center of Excellence, Ann Arbor, MI, USA.

Journal of Affective Disorders
|April 13, 2010
PubMed

Insights

Most patients with bipolar disorder received weight counseling, especially those with obesity or on second-generation antipsychotics (SGA). However, low utilization highlights the need for better long-term counseling strategies to improve health outcomes.

Area of Science:

  • Psychiatry
  • Public Health
  • Cardiovascular Health

Background:

  • Cardiovascular disease is a leading cause of mortality in individuals with bipolar disorder.
  • Limited understanding exists regarding the utilization of services for cardiovascular risk reduction in this population.

Purpose of the Study:

  • To assess the determinants of access to weight counseling among patients diagnosed with bipolar disorder.

Main Methods:

  • Prospective study (July 2004-July 2006) involving 298 patients enrolled in the Continuous Improvement for Veterans in Care: Mood Disorders (CIVIC-MD) program.
  • Data collected via baseline questionnaire and chart review.

Main Results:

  • 73% of patients received weight counseling; utilization was higher for those with greater Body Mass Index (BMI) or on second-generation antipsychotics (SGA).
  • Dietary and exercise consultation rates varied, with SGA treatment associated with increased utilization for both, while illicit substance use and binge drinking were linked to fewer exercise consults.
  • Factors such as BMI, SGA treatment, gender, illicit substance use, binge drinking, and ethnicity influenced the utilization of weight management services.

Conclusions:

  • While the majority of patients received some weight counseling, with obesity and SGA use predicting service uptake, overall utilization patterns remain suboptimal.
  • Further research is needed to identify barriers and facilitators for long-term counseling utilization to enhance patient health outcomes in bipolar disorder.
Abstract

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