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生活方式干预和甲福明治疗抗精神病药物诱导的体重增加:一项随机对照试验
Ren-Rong Wu1, Jing-Ping Zhao, Hua Jin
1Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. wurenrong2005@yahoo.com.cn
JAMA
|January 10, 2008
概括
与甲福明相结合的生活方式干预有效地减少了抗精神病药物诱导的体重增加,并改善了精神分裂症患者的胰岛素敏感性. 这种组合疗法与单独的甲福明或生活方式改变相比,显示出更好的结果.
科学领域:
- 代谢精神病学 代谢精神病学
- 药物治疗 药物治疗
- 行为干预行为干预
背景情况:
- 抗精神病药物通常会导致体重增加,增加精神病患者的并发症.
- 对接受抗精神病治疗的患者来说,管理体重增加和代谢变化至关重要.
研究的目的:
- 评估生活方式干预和甲福明的有效性,单独和联合,用于管理抗精神病药物诱导的体重增加.
- 评估这些干预措施对胰岛素敏感性异常的影响.
主要方法:
- 一项随机对照试验,涉及128名成年精神分裂症患者.
- 四个治疗组:安慰剂,单独使用甲福明,单独使用生活方式干预,以及与甲福明结合使用生活方式干预.
- 干预持续了12周,测量包括BMI,腰围和胰岛素抵抗指数.
主要成果:
- 生活方式干预和甲福明的结合显著降低了BMI,腰围和胰岛素抵抗.
- 与安慰剂相比,单独使用甲胺也显著改善了体重和胰岛素敏感性.
- 仅仅生活方式干预就产生了适度的改善,而安慰剂组则出现体重增加.
结论:
- 生活方式干预和甲福明都有效地对抗抗精神病药物诱导的体重增加.
- 生活方式干预和甲福明的组合为减肥提供了最实质性的好处.
- 单独使用甲福明比单独使用生活方式干预更有效地减少体重和改善胰岛素敏感性.
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