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Dietary improvement in people with schizophrenia: Randomised controlled trial

  • Robin G. McCreadie (a1), Ciara Kelly (a2), Moira Connolly (a3), Sue Williams (a1), Gwen Baxter (a4), Michael Lean (a5) and John R. Paterson (a6)...
Abstract
Background

People with schizophrenia make poor dietary choices.

Aims

To measure the impact of giving free fruit and vegetables for 6 months on eating habits in schizophrenia.

Method

We randomly allocated 102 people with schizophrenia in two areas of Scotland to receive free fruit and vegetables for 6 months, supported by instruction in meal planning and food preparation; free fruit and vegetables alone; or to continue as before. Diet was assessed using the Scottish Health Survey questionnaire. Blood samples to measure micronutrients were taken and mental state, body mass index, level of physical activity and future risk of coronary heart disease (CHD) were assessed.

Results

After the intervention, those who received free fruit and vegetables, or free fruit and vegetables and associated instruction, were consuming significantly more fruit and vegetables than those in the treatment as usual group. Consumption fell to pre-intervention levels 12 months after the intervention stopped. There was no between-group difference at any time in blood micronutrients, body mass index, physical activity or risk of CHD.

Conclusions

The diet of people with schizophrenia improved when they were given free fruit and vegetables but this was not sustained after withdrawal of the intervention. A support programme added no benefit.

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Copyright
Corresponding author
Professor R. G. McCreadie, Director of Clinical Research, Crichton Royal Hospital, Dumfries DG1 4TG, UK. Tel: +44(0)1387 244 000; fax: +44 (0) 1387 257 735; e-mail: robin.mccreadie@nhs.net
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Declaration of interest

None. Funding detailed in Acknowledgements.

Footnotes
References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). Washington, DC: APA.
Department of Health (2005) School Fruit and Vegetable Scheme. http://www.5aday.nhs.uk/sfvs
Gelberg, L., Stein, J. A. & Neumann, C. G. (1995) Determinants of undernutrition among homeless adults. Public Health Reports, 110, 448454.
Gillman, M. W. (1996) Enjoy your fruits and vegetables. BMJ, 313, 765766.
Hingorami, A. D. & Vallance, P. (1999) A simple computer programme for guiding management of cardiovascular risk factors and prescribing. BMJ, 318, 101105.
Kay, S. R., Fiszbein, A. & Opler, L. A. (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261276.
Kerry, S. M. & Bland, J. M. (1998) Analysis of atrial randomised in clusters. BMJ, 316, 54.
Lean, M. E. J., Anderson, A. S., Morrison, C., et al (2003) Evaluation of a dietary target monitor. European Journal of Clinical Nutrition, 57, 667673.
Leff, J. P. & Wing, J. K. (1971) Trial of maintenance therapy in schizophrenia. BMJ, 3, 599604.
Lowther, M. P. & Mutrie, N. (1996) Reliability and concurrent validity of the Scottish physical activity questionnaire. British Journal of Sports Medicine, 30, 368.
McCreadie, R. G. (2003) Diet, smoking and cardiovascular risk in people with schizophrenia: descriptive study. British Journal of Psychiatry, 183, 534539.
McCreadie, R. G. & Kelly, C. (2000) Patients with schizophrenia who smoke: private disaster, public resource. British Journal of Psychiatry, 176, 109.
McCreadie, R., Macdonald, E., Blacklock, C., et al (1998) Dietary intake of schizophrenic patients in Nithsdale, Scotland: case -control study. BMJ, 317, 784785.
Mortensen, P. D. & Juel, K. (1993) Mortality and causes of death in first admitted schizophrenic patients. British Journal of Psychiatry, 163, 183189.
Pietinen, P., Dougherty, R., Mutanen, M., et al (1984) Dietary intervention study among 30 free-living families in Finland. Journal of the American Dietetic Association, 83, 313318.
Scottish Executive Health Department (1998) The Scottish Health Survey, vols I and II. Edinburgh: Scottish Executive Health Department.
Scottish Office Department of Health (1996) Eating for Health: A Diet Action Plan for Scotland. Edinburgh: Scottish Office Department of Health.
Scottish Office Department of Health (1999) Towards a Healthier Scotland. White Paper on Health. Edinburgh: Stationery Office.
Wing, R. R., Jeffery, R. W., Burton, L. R., et al (1996) Food provision vs structured meal plans in the behavioural treatment of obesity. International Journal of Obesity, 20, 5662.
Zino, S., Skeaff, M., Williams, S., et al (1997) Randomised controlled trial of effect of fruit and vegetable consumption on plasma concentration of lipid and antioxidants. BMJ, 314, 17871791.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Dietary improvement in people with schizophrenia: Randomised controlled trial

  • Robin G. McCreadie (a1), Ciara Kelly (a2), Moira Connolly (a3), Sue Williams (a1), Gwen Baxter (a4), Michael Lean (a5) and John R. Paterson (a6)...
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