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A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders.
Firth, Joseph; Solmi, Marco; Wootton, Robyn E; Vancampfort, Davy; Schuch, Felipe B; Hoare, Erin; Gilbody, Simon; Torous, John; Teasdale, Scott B; Jackson, Sarah E; Smith, Lee; Eaton, Melissa; Jacka, Felice N; Veronese, Nicola; Marx, Wolfgang; Ashdown-Franks, Garcia; Siskind, Dan; Sarris, Jerome; Rosenbaum, Simon; Carvalho, André F; Stubbs, Brendon.
Afiliação
  • Firth J; Division of Psychology and Mental Health, Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.
  • Solmi M; NICM Health Research Institute, Western -Sydney University, Westmead, NSW, Australia.
  • Wootton RE; Department of Neurosciences, University of Padua, Padua, Italy.
  • Vancampfort D; MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
  • Schuch FB; KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.
  • Hoare E; University Psychiatric Centre KU Leuven, Kortenberg, Belgium.
  • Gilbody S; Department of Sports Methods and -Techniques, Federal University of Santa Maria, Santa Maria, Brazil.
  • Torous J; UKCRC Centre for Diet and Activity Research (CEDAR) and MRC Epidemiology Unit, University of -Cambridge, Cambridge, UK.
  • Teasdale SB; Mental Health and Addictions Research Group, Department of Health Sciences, University of York, York, UK.
  • Jackson SE; Department of Psychiatry, Beth Israel Deaconess Medical Canter, Harvard Medical School, Boston, MA, USA.
  • Smith L; School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, NSW, -Australia.
  • Eaton M; Department of Behavioural Science and Health, University College London, London, UK.
  • Jacka FN; Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, -Cambridge, UK.
  • Veronese N; NICM Health Research Institute, Western -Sydney University, Westmead, NSW, Australia.
  • Marx W; Food & Mood Centre, IMPACT - Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, VIC, Australia.
  • Ashdown-Franks G; Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
  • Siskind D; Food & Mood Centre, IMPACT - Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, VIC, Australia.
  • Sarris J; Department of Exercise Sciences, University of Toronto, Toronto, ON, Canada.
  • Rosenbaum S; South London and Maudsley NHS Foundation Trust, London, UK.
  • Carvalho AF; Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • Stubbs B; Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia.
World Psychiatry ; 19(3): 360-380, 2020 Oct.
Article em En | MEDLINE | ID: mdl-32931092
There is increasing academic and clinical interest in how "lifestyle factors" traditionally associated with physical health may also relate to mental health and psychological well-being. In response, international and national health bodies are producing guidelines to address health behaviors in the prevention and treatment of mental illness. However, the current evidence for the causal role of lifestyle factors in the onset and prognosis of mental disorders is unclear. We performed a systematic meta-review of the top-tier evidence examining how physical activity, sleep, dietary patterns and tobacco smoking impact on the risk and treatment outcomes across a range of mental disorders. Results from 29 meta-analyses of prospective/cohort studies, 12 Mendelian randomization studies, two meta-reviews, and two meta-analyses of randomized controlled trials were synthesized to generate overviews of the evidence for targeting each of the specific lifestyle factors in the prevention and treatment of depression, anxiety and stress-related disorders, schizophrenia, bipolar disorder, and attention-deficit/hyperactivity disorder. Standout findings include: a) convergent evidence indicating the use of physical activity in primary prevention and clinical treatment across a spectrum of mental disorders; b) emerging evidence implicating tobacco smoking as a causal factor in onset of both common and severe mental illness; c) the need to clearly establish causal relations between dietary patterns and risk of mental illness, and how diet should be best addressed within mental health care; and d) poor sleep as a risk factor for mental illness, although with further research required to understand the complex, bidirectional relations and the benefits of non-pharmacological sleep-focused interventions. The potentially shared neurobiological pathways between multiple lifestyle factors and mental health are discussed, along with directions for future research, and recommendations for the implementation of these findings at public health and clinical service levels.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Idioma: En Ano de publicação: 2020 Tipo de documento: Article