Are there any effective interventions for preventing falls in older people with mental health problems?

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Falls are estimated to cost the NHS more than £2.3 billion per year (College of Optometrists, 2011) and are associated with significant morbidity and mortality. This fact alone should be giving us the drive to look for ways to prevent falls in healthcare settings. A systematic review recently published in BMC Nursing (Bunn et al, 2014) is [read the full story...]

Exercise may help older people with dementia, but more research is needed

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Many of our older readers will remember tales of the Great Elf Mother running miles every day, o’er hills and vales, to bring the very latest evidence-based research to us younger elves at the breakfast table. It was she who inspired our National Elf Service, and I’m delighted to say that she’s still going strong [read the full story...]

Weak evidence from recent review suggests there is no harm when using exercise to treat anorexia nervosa

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Exercise is usually promoted as a healthy behaviour, with government guidelines on how much we should all do per week. At the right levels many people find exercise an enjoyable way to improve their health, but is this always the case? For a particular group of people who have problems with eating and weight, this [read the full story...]

CAM: Many of us are using it, despite poor evidence. Whats going on?

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Complementary and alternative medicine (CAM) therapies are often perceived to be as effective as conventional treatments, more “natural”, less expensive, have fewer side-effects and are easily available without a prescription. But do these perceptions match up with the reality? Can CAM therapies be helpful additions to conventional treatments? This alludes to an interesting sociological question [read the full story...]

What kind of exercise is best for depression? New Cochrane review says we need more trials before we can be sure

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Some mental health interventions feel intuitively right.  Exercise for depression is a great example.  Of course, people suffering from low mood, poor motivation, lethargy and all of the other symptoms of depression will benefit from a jog around the park and some fresh air, right? The logical explanation for how this might help is fairly [read the full story...]

Systematic review shows higher quality RCTs needed on psychological effects of exercise for type 2 diabetes

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In the UK alone it’s estimated over two million adults have type 2 diabetes. That clearly warrants some serious research into its prevention and treatment, including the valuable role of exercise.  We also know the effects of diabetes are not confined to physical problems, linked as it is to reduced quality of life as well [read the full story...]

Moderate intensity exercise programmes do not improve depressive symptoms in elderly care home residents: results from the OPERA trial

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Depression is a common problem in older adults with some data suggesting significant symptoms are present in over 40% of nursing home residents (Teresi, 2001). Clearly physical exercise has a number of benefits particularly with regards to cardiovascular health. Some of you may remember the Mental Elf blog back in September 2012 with positive results from [read the full story...]

Behavioural weight-loss interventions can be effective for people with serious mental illness, says new RCT

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People with serious mental illness have mortality rates 2-3 times as high as the general population. The primary cause of death is cardiovascular disease, which in turn is due to an extremely high prevalence of obesity (twice that of the overall population). Physical inactivity, unhealthy diets, and weight gain from psychotropic medication are all factors [read the full story...]

Yoga for schizophrenia: meta-analysis shows short-term quality of life improvements

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This blog entry is the second in a series which is examining the mental health benefits of yoga.  Last month I blogged about yoga for psychiatric disorders, and today I shall be looking specifically at the benefits for schizophrenia. The benefits of exercise and physical activity for schizophrenia are increasingly being recognised.  Regular exercise can [read the full story...]

Yoga for psychiatric disorders: systematic review shows some benefit but more research needed

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Here at Mental Elf HQ, several new pieces of research relating to yoga have come our way.  This blog is the first in a series examining the mental health effects of engaging in yoga. Yoga is a form of exercise (largely comprising physical postures and breathing) which originated in India over 5,000 years ago.  Many [read the full story...]