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Eat Behav. 2015 Dec;19:61-4. doi: 10.1016/j.eatbeh.2015.06.009. Epub 2015 Jul 2.

Meal replacements as a weight loss tool in a population with severe mental illness.

Author information

1
Department of Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, United States. Electronic address: Hollie.gelberg@va.gov.
2
Department of Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, United States. Electronic address: Crystal.kwan@va.gov.
3
Department of Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, United States. Electronic address: Shirley.mena@va.gov.
4
Department of Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, United States. Electronic address: Zachary.erickson@va.gov.
5
Department of Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, United States. Electronic address: Matthew.baker9@va.gov.
6
Department of Veterans Affairs Greater Los Angeles Healthcare System, 16111 Plummer Street, North Hills, CA 91343, United States. Electronic address: Valery.chamberlin@va.gov.
7
Department of Veterans Affairs Long Beach Healthcare System, 5901 East 7th Street, Long Beach, CA 90822, United States. Electronic address: Charles.nguyen@va.gov.
8
Department of Veterans Affairs Long Beach Healthcare System, 5901 East 7th Street, Long Beach, CA 90822, United States. Electronic address: Jennifer.rosen@va.gov.
9
Department of Veterans Affairs Greater Los Angeles Healthcare System, 351 East Temple Street, Los Angeles, CA 90012, United States. Electronic address: Chandresh.shah@va.gov.
10
Department of Veterans Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, CA 90073, United States. Electronic address: Donna.ames@va.gov.

Abstract

Weight gain and worsening metabolic parameters are often side effects of antipsychotic medications used by individuals with severe mental illness. To address this, a randomized, controlled research study of a behavioral weight management program for individuals with severe mental illness was undertaken to assess its efficacy. Patients unable to meet weight loss goals during the first portion of the year-long study were given the option of using meal replacement shakes in an effort to assist with weight loss. Specific requirements for use of meal replacement shakes were specified in the study protocol; only five patients were able to use the shakes in accordance with the protocol and lose weight while improving metabolic parameters. Case studies of two subjects are presented, illustrating the challenges and obstacles they faced, as well as their successes. Taking responsibility for their own weight loss, remaining motivated through the end of the study, and incorporating the meal replacement shakes into a daily routine were factors found in common with these patients. Use of meal replacements shakes with this population may be effective.

KEYWORDS:

Diet; Meal replacements; Mental illness; Nutrition; Obesity; Weight management

PMID:
26172565
DOI:
10.1016/j.eatbeh.2015.06.009
[Indexed for MEDLINE]

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