A5047426107- Diet and metabolism studies
- Schizophrenia research and treatment
- Clinical Nutrition and Gastroenterology
- Child Nutrition and Feeding Issues
- Eating Disorders and Behaviors
- Gastrointestinal Bleeding Diagnosis and Treatment
- Bipolar Disorder and Treatment
- Pituitary Gland Disorders and Treatments
- Growth Hormone and Insulin-like Growth Factors
- Tryptophan and brain disorders
- Adrenal Hormones and Disorders
- Ion channel regulation and function
- Tracheal and airway disorders
- Hemostasis and retained surgical items
- Diabetes Management and Research
- FinTech, Crowdfunding, Digital Finance
- COVID-19 and Mental Health
- Diabetes Treatment and Management
- Congenital Anomalies and Fetal Surgery
- Esophageal and GI Pathology
- Adipose Tissue and Metabolism
- Dysphagia Assessment and Management
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Pharmacological Effects and Toxicity Studies
- Vagus Nerve Stimulation Research
Oxford Health NHS Foundation Trust
2023
University of Oxford
2023
Greater Manchester Mental Health NHS Foundation Trust
2015-2018
Eli Lilly (United Kingdom)
2011
Edinburgh Royal Infirmary
2009
University of Salford
2005-2008
Early Intervention Foundation
2005
Bupa Cromwell Hospital
2005
Western General Hospital
1997-2002
University of Edinburgh
2001
Background Obesity is a major challenge for people with schizophrenia. Aims We assessed whether STEPWISE, theory-based, group structured lifestyle education programme could support weight reduction in Method In this randomised controlled trial (study registration: ISRCTN19447796), we recruited adults schizophrenia, schizoaffective disorder or first-episode psychosis from ten mental health organisations England. Participants were randomly allocated to the STEPWISE intervention treatment as...
Cardiometabolic disease is more common in patients with schizophrenia than the general population.The purpose of study was to assess lifestyle factors, including diet and exercise, estimate prevalence metabolic syndrome.This a cross-sectional representative group outpatients Salford, UK. An interview supplemented by questionnaires used diet, physical activity, cigarette alcohol use. Likert scales assessed subjects' views activity. A examination relevant blood tests were...
Objective Although gastrostomy feeding tends to have fewer interruptions than naso-gastric and is cosmetically more acceptable; there little information on health-related quality of life (HRQoL) in these patients. This study aimed measure the patients after placement. Design Cross-sectional prospective cohorts. Setting Institutional community-dwelling receiving nutritional support via a gastrostomy. Participants For cross-sectional cohort, all individuals who received percutaneous from our...
Obesity is common among people with severe mental illness (SMI). We report our experience from the first 4 years of The Cromwell House weight management clinic.Ninety-three patients SMI aged 43.7 +/- 1.2 referred themselves to this clinic. were seen in weekly group sessions that involved measurement, discussion and education.Mean baseline was 89.5 1.8 kg [body mass index (BMI) 32.3 0.5 kg/m(2)]. Twenty-three per cent dropped out within 8 weeks. There progressive statistically significant...
Background Obesity is twice as common in people with schizophrenia the general population. The National Institute for Health and Care Excellence guidance recommends that psychosis or schizophrenia, especially those taking antipsychotics, be offered a healthy eating physical activity programme by their mental health care provider. There insufficient evidence to inform how these lifestyle services should commissioned. Objectives To develop intervention first episode evaluate its clinical...
Obesity is 2 to 3 times more common among people with severe mental illness and has adverse effects on physical psychological health. We report the experience from first 8 years of a self-referring weight management clinic.From 2000 2008, 113 patients (according ICD-10 criteria) mean +/- SE age 43.8 1.7 (range, 22-71 years) referred themselves this clinic. The were seen in weekly group sessions lasting 1 hour that involved measurement, discussion, education. response program was assessed by...
Excess weight is a common problem in the general population and those with severe mental illness associated range of adverse consequences. The evidence base for managing excess psychiatric small. We report outcome management programme provided community health centre. consisted group sessions, held weekly lasting one hour. Participants self-referred attended as many sessions they wished. Sessions included weighing, feedback from participants education on issues including healthy eating...
People with schizophrenia are two to three times more likely be overweight than the general population. The UK National Institute of Health and Care Excellence (NICE) recommends an annual physical health review signposting to, or provision of, a lifestyle programme address weight concerns obesity. purpose this randomised controlled trial is assess whether group-based structured education can help people lose weight. Design: programme. Setting: 10 community mental trusts. Participants: 396...
Obesity is twice as common in people with schizophrenia the general population and associated significantly worsened psychiatric physical health. Despite National Institute for Health Care Excellence guidelines management of psychosis recommending that mental health services offer lifestyle programmes to improve health, this not currently occurring. The aim STEPWISE research programme was develop a intervention addressing obesity preventing weight gain schizophrenia, schizoaffective...
This review describes the association between diabetes and two main severe mental illnesses (SMIs), schizophrenia bipolar illness, which have been recognised for over a century. It also explains how lifestyle modification can improve outcomes. People with SMI an increased prevalence of other metabolic comorbidities. The increase in syndrome is predictor cardiovascular disease, commonest cause death people (accounting up to 60% all deaths these people). Factors contributing risk disease are...
We report a case of ambulatory endoscopic gastrostomy feeding via low profile button device using portable pump. This provided successful nutritional support to patient with chronic intestinal pseudo-obstruction who became pregnant while on feeding. She successfully completed her pregnancy through the gastrostomy. The pump gave excellent quality life both indoors and outdoors, she could continue without interrupting daily housework, shopping babycare.
Objective Formal monitoring of nutritional status may be lacking in many patients after gastrostomy. We aimed to study assessment and its problems gastrostomy a cross-sectional study, assess prospectively the changes at 1 month 6 months placement, determine prognostic value indices assessed time placement. Design used prospective cohorts. The subjects were institutional community receiving percutaneous teaching hospital. Method studied living long-term care institutions In we observed all...