{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T13:01:32Z","timestamp":1792501292733,"version":"4.5.0"},"reference-count":100,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2019,2,20]],"date-time":"2019-02-20T00:00:00Z","timestamp":1550620800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec id=\"S0007125019000205_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Severe mental illness (SMI) is thought to be associated with lower diet quality and adverse eating behaviours contributing towards physical health disparities. A rigorous review of the studies looking at dietary intake in psychotic disorders and bipolar disorder is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019000205_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To conduct a systematic, comprehensive evaluation of the published research on dietary intake in psychotic disorders and bipolar disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019000205_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Six electronic databases were searched for studies reporting on dietary intakes in psychotic disorders and bipolar disorder. Dietary-assessment methods, and dietary intakes, were systematically reviewed. Where possible, data was pooled for meta-analysis and compared with healthy controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019000205_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 58 eligible studies were identified. People with SMI were found to have significantly higher dietary energy (mean difference 1332 kJ, 95% CI 487\u20132178 kJ\/day,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002,\n                      <jats:italic>g<\/jats:italic>\n                      = 0.463) and sodium (mean difference 322 mg, 95% CI 174\u2013490 mg,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic>g<\/jats:italic>\n                      = 0.414) intake compared with controls. Qualitative synthesis suggested that higher energy and sodium intakes were associated with poorer diet quality and eating patterns.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019000205_sec_a5\" sec-type=\"conclusion\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These dietary components should be key targets for preventative interventions to improve weight and other physical health outcomes in people with SMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019000205_sec_a6\">\n                    <jats:title>Declaration of interest<\/jats:title>\n                    <jats:p>S.B.T. and E.T. have clinical dietitian appointments within the South Eastern Sydney Local Health District and do not receive any further funding.<\/jats:p>\n                  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