Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Reviews Review Faculty Publications- Reviews Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Effectiveness of interventions to address obesity and health risk behaviours among people with severe mental illness in low- and middle-income countries (LMICs): A systematic review and meta analysis Subject The topic of the resource Health risk behaviours; low and middle income countries; schizophrenia; severe mental illness Description An account of the resource Introduction People with severe mental illness (SMI) are more likely to have obesity and engage in health risk behaviours than the general population. The aims of this study are (1) evaluate the effectiveness of interventions that focus on body weight, smoking cessation, improving sleeping patterns, and alcohol and illicit substance abuse; (2) Compare the number of interventions addressing body weight and health risk behaviours in low- and middle-income countries (LMICs) v. those reported in published systematic reviews focusing on high-income countries (HICs). Methods Intervention studies published up to December 2020 were identified through a structured search in the following database; OVID MEDLINE (1946-December 2020), EMBASE (1974-December 2020), CINAHL (1975-2020), APA PsychoINFO (1806-2020). Two authors independently selected studies, extracted study characteristics and data and assessed the risk of bias. and risk of bias was assessed using the Cochrane risk of bias tool V2. We conducted a narrative synthesis and, in the studies evaluating the effectiveness of interventions to address body weight, we conducted random-effects meta-analysis of mean differences in weight gain. We did a systematic search of systematic reviews looking at cardiometabolic and health risk behaviours in people with SMI. We compared the number of available studies of LMICs with those of HICs. Results We assessed 15 657 records, of which 9 met the study inclusion criteria. Six focused on healthy weight management, one on sleeping patterns and two tested a physical activity intervention to improve quality of life. Interventions to reduce weight in people with SMI are effective, with a pooled mean difference of -4.2 kg (95% CI -6.25 to -2.18, 9 studies, 459 participants, I2 = 37.8%). The quality and sample size of the studies was not optimal, most were small studies, with inadequate power to evaluate the primary outcome. Only two were assessed as high quality (i.e. scored 'low' in the overall risk of bias assessment). We found 5 reviews assessing the effectiveness of interventions to reduce weight, perform physical activity and address smoking in people with SMI. From the five systematic reviews, we identified 84 unique studies, of which only 6 were performed in LMICs. Conclusion Pharmacological and activity-based interventions are effective to maintain and reduce body weight in people with SMI. There was a very limited number of interventions addressing sleep and physical activity and no interventions addressing smoking, alcohol or harmful drug use. There is a need to test the feasibility and cost-effectiveness of context-appropriate interventions to address health risk behaviours that might help reduce the mortality gap in people with SMI in LMICs. The Author(s), 2022. Published by Cambridge University Press. Creator An entity primarily responsible for making the resource Zavala G.A.; Todowede O.; Mazumdar P.; Aslam F.; Choudhury A.H.; Jarde A.; Khalid H.; Reddy S.; Gilbody S.; Siddiqi N. Source A related resource from which the described resource is derived Global Mental Health, Vol-9, pp. 264-273. Publisher An entity responsible for making the resource available Cambridge University Press Date A point or period of time associated with an event in the lifecycle of the resource 2022-01-01 Identifier An unambiguous reference to the resource within a given context <a href="https://doi.org/10.1017/gmh.2022.21" target="_blank" rel="noreferrer noopener">https://doi.org/10.1017/gmh.2022.21</a> <br /><br /><a href="https://www.scopus.com/inward/record.uri?eid=2-s2.0-85181922826&amp;doi=10.1017%2Fgmh.2022.21&amp;partnerID=40&amp;md5=5bb9b68fecd845f34c6b0eac04d4e25c" target="_blank" rel="noreferrer noopener">https://www.scopus.com/inward/record.uri?eid=2-s2.0-85181922826&amp;doi=10.1017%2fgmh.2022.21&amp;partnerID=40&amp;md5=5bb9b68fecd845f34c6b0eac04d4e25c</a> Rights Information about rights held in and over the resource All Open Access; Gold Open Access; Green Open Access Relation A related resource ISSN: 20544251 Format The file format, physical medium, or dimensions of the resource Online Language A language of the resource English Type The nature or genre of the resource Review Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Zavala G.A., Department of Health Sciences, University of York, York, United Kingdom; Todowede O., Department of Health Sciences, University of York, York, United Kingdom; Mazumdar P., Department of Health Sciences, University of York, York, United Kingdom; Aslam F., Institute of Psychiatry (IoP), Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan; Choudhury A.H., ARK Foundation, Dhaka, Bangladesh; Jarde A., Department of Health Sciences, University of York, York, United Kingdom; Khalid H., Institute of Psychiatry (IoP), Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan; Reddy S., School of Social Sciences/Psychology, CHRIST (Deemed to Be University), Bengaluru, India; Gilbody S., Department of Health Sciences, University of York, York, United Kingdom, Hull York Medical School, York, United Kingdom; Siddiqi N., Department of Health Sciences, University of York, York, United Kingdom, Hull York Medical School, York, United Kingdom