{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T14:46:19Z","timestamp":1794062779900,"version":"4.8.0"},"reference-count":151,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T00:00:00Z","timestamp":1733788800000},"content-version":"unspecified","delay-in-days":344,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>There is growing interest in lifestyle interventions as stand-alone and add-on therapies in mental health care due to their potential benefits for both physical and mental health outcomes. We evaluated lifestyle interventions focusing on physical activity, diet, and sleep in adults with severe mental illness (SMI) and the evidence for their effectiveness. To this end, we conducted a meta-review and searched major electronic databases for articles published prior to 09\/2022 and updated our search in 03\/2024. We identified 89 relevant systematic reviews and assessed their quality using the SIGN checklist. Based on the findings of our meta-review and on clinical expertise of the authors, we formulated seven recommendations. In brief, evidence supports the application of lifestyle interventions that combine behavioural change techniques, dietary modification, and physical activity to reduce weight and improve cardiovascular health parameters in adults with SMI. Furthermore, physical activity should be used as an adjunct treatment to improve mental health in adults with SMI, including psychotic symptoms and cognition in adults with schizophrenia or depressive symptoms in adults with major depression. To ameliorate sleep quality, cognitive behavioural informed interventions can be considered. Additionally, we provide an overview of key gaps in the current literature. Future studies should integrate both mental and physical health outcomes to reflect the multi-faceted benefits of lifestyle interventions. Moreover, our meta-review highlighted a relative dearth of evidence relating to interventions in adults with bipolar disorder and to nutritional and sleep interventions. Future research could help establish lifestyle interventions as a core component of mental health care.<\/jats:p>","DOI":"10.1192\/j.eurpsy.2024.1766","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T09:13:28Z","timestamp":1733822008000},"source":"Crossref","is-referenced-by-count":56,"title":["EPA guidance on lifestyle interventions for adults with severe mental illness: A meta-review of the evidence"],"prefix":"10.1192","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6208-5180","authenticated-orcid":false,"given":"Isabel","family":"Maurus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6550-0638","authenticated-orcid":false,"given":"Johanna","family":"Spaeth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Vogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1088-8459","authenticated-orcid":false,"given":"Susanne","family":"Muenz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6129-2425","authenticated-orcid":false,"given":"Valentina","family":"Seitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7059-6944","authenticated-orcid":false,"given":"Peter","family":"von Philipsborn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4877-7233","authenticated-orcid":false,"given":"Marco","family":"Solmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Firth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon","family":"Stubbs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davy","family":"Vancampfort","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mats","family":"Hallgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5996-8417","authenticated-orcid":false,"given":"Tam\u00e1s","family":"Kurimay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6140-8948","authenticated-orcid":false,"given":"Markus","family":"Gerber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7254-5646","authenticated-orcid":false,"given":"Christoph U.","family":"Correll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Gaebel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-J\u00fcrgen","family":"M\u00f6ller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5426-4023","authenticated-orcid":false,"given":"Andrea","family":"Schmitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkomiet","family":"Hasan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Falkai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2024,12,10]]},"reference":[{"key":"S0924933824017668_r75","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.01.005"},{"key":"S0924933824017668_r10","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S113099"},{"key":"S0924933824017668_r72","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2023.105257"},{"key":"S0924933824017668_r139","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20040"},{"key":"S0924933824017668_r86","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-015-1807-1"},{"key":"S0924933824017668_r35","first-page":"124","article-title":"EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and Position Statement from the European Psychiatric Association (EPA)","volume":"54","author":"Stubbs","year":"2018","journal-title":"supported by the International Organization of Physical Therapists in Mental Health (IOPTMH). Eur Psychiatry."},{"key":"S0924933824017668_r70","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2015.12.006"},{"key":"S0924933824017668_r112","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2019.07.030"},{"key":"S0924933824017668_r34","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20773"},{"key":"S0924933824017668_r132","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2019.11.014"},{"key":"S0924933824017668_r125","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51680"},{"key":"S0924933824017668_r151","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2021-300291"},{"key":"S0924933824017668_r134","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30132-4"},{"key":"S0924933824017668_r64","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-022-09994-3"},{"key":"S0924933824017668_r15","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)00023-6"},{"key":"S0924933824017668_r31","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20252"},{"key":"S0924933824017668_r111","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.753117"},{"key":"S0924933824017668_r29","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20309"},{"key":"S0924933824017668_r103","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-39783-2"},{"key":"S0924933824017668_r4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00271-3"},{"key":"S0924933824017668_r150","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-2473-0"},{"key":"S0924933824017668_r145","first-page":"27","article-title":"Framework for understanding movement and physical activity in patients diagnosed with psychosis","author":"Diamond","year":"2024","journal-title":"BMJ Ment Health"},{"key":"S0924933824017668_r66","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.13r08558"},{"key":"S0924933824017668_r52","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2017.04.003"},{"key":"S0924933824017668_r87","doi-asserted-by":"publisher","DOI":"10.1080\/10401230500464646"},{"key":"S0924933824017668_r81","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12245"},{"key":"S0924933824017668_r1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.10.020"},{"key":"S0924933824017668_r43","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00597"},{"key":"S0924933824017668_r9","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(23)00262-6"},{"key":"S0924933824017668_r24","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2302-5"},{"key":"S0924933824017668_r83","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2004.03338.x"},{"key":"S0924933824017668_r69","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12256"},{"key":"S0924933824017668_r50","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0112276"},{"key":"S0924933824017668_r96","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101452"},{"key":"S0924933824017668_r39","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2017.1325321"},{"key":"S0924933824017668_r65","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2012.00816.x"},{"key":"S0924933824017668_r120","doi-asserted-by":"publisher","DOI":"10.1016\/bs.pbr.2024.01.002"},{"key":"S0924933824017668_r58","doi-asserted-by":"publisher","DOI":"10.3310\/NFIZ5916"},{"key":"S0924933824017668_r115","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20043719"},{"key":"S0924933824017668_r12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.06.017"},{"key":"S0924933824017668_r54","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-03854-x"},{"key":"S0924933824017668_r68","first-page":"Cd008567","article-title":"General physical health advice for people with serious mental illness","author":"Tosh","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"S0924933824017668_r71","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000270"},{"key":"S0924933824017668_r116","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2023.110771"},{"key":"S0924933824017668_r136","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.191707"},{"key":"S0924933824017668_r97","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112595"},{"key":"S0924933824017668_r119","article-title":"Video games for people with schizophrenia","author":"Roberts","year":"2021","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S0924933824017668_r85","doi-asserted-by":"publisher","DOI":"10.1080\/13651500902763840"},{"key":"S0924933824017668_r100","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.705559"},{"key":"S0924933824017668_r137","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.04.013"},{"key":"S0924933824017668_r8","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20204"},{"key":"S0924933824017668_r55","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2018.06.066"},{"key":"S0924933824017668_r146","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.3.405"},{"key":"S0924933824017668_r147","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-12638-7"},{"key":"S0924933824017668_r123","doi-asserted-by":"publisher","DOI":"10.3390\/nu13061894"},{"key":"S0924933824017668_r149","doi-asserted-by":"publisher","DOI":"10.1007\/s10389-006-0024-x"},{"key":"S0924933824017668_r121","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113402"},{"key":"S0924933824017668_r25","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2017.01.032"},{"key":"S0924933824017668_r143","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20032548"},{"key":"S0924933824017668_r38","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v10.i8.187"},{"key":"S0924933824017668_r40","first-page":"n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ (Clinical research ed)."},{"key":"S0924933824017668_r56","doi-asserted-by":"publisher","DOI":"10.1159\/000502293"},{"key":"S0924933824017668_r93","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291723002064"},{"key":"S0924933824017668_r7","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/S2215-0366(21)00395-3","article-title":"Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"9","author":"Collaborators","year":"2022","journal-title":"Lancet Psychiatry."},{"key":"S0924933824017668_r30","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713002778"},{"key":"S0924933824017668_r102","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1138205"},{"key":"S0924933824017668_r124","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.115.177139"},{"key":"S0924933824017668_r27","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.17m12007"},{"key":"S0924933824017668_r17","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284985"},{"key":"S0924933824017668_r78","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2022.21"},{"key":"S0924933824017668_r94","doi-asserted-by":"publisher","DOI":"10.1186\/s40798-022-00529-5"},{"key":"S0924933824017668_r76","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.12391"},{"key":"S0924933824017668_r82","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-12-24"},{"key":"S0924933824017668_r11","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20420"},{"key":"S0924933824017668_r37","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2019.11.002"},{"key":"S0924933824017668_r18","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.20"},{"key":"S0924933824017668_r26","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyy223"},{"key":"S0924933824017668_r2","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-020-0741-x"},{"key":"S0924933824017668_r113","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2023.24"},{"key":"S0924933824017668_r53","doi-asserted-by":"publisher","DOI":"10.1080\/15487768.2016.1231643"},{"key":"S0924933824017668_r118","doi-asserted-by":"publisher","DOI":"10.1038\/s41537-023-00426-0"},{"key":"S0924933824017668_r126","doi-asserted-by":"publisher","DOI":"10.1016\/j.npbr.2019.05.007"},{"key":"S0924933824017668_r60","doi-asserted-by":"publisher","DOI":"10.1177\/13591053241227384"},{"key":"S0924933824017668_r101","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2022-106282"},{"key":"S0924933824017668_r122","doi-asserted-by":"publisher","DOI":"10.12740\/PP\/140053"},{"key":"S0924933824017668_r61","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114522003403"},{"key":"S0924933824017668_r32","unstructured":"[32] WHO. Management of physical health conditions in adults with severe mental disorders [Internet] 2018 [Available from: https:\/\/www.who.int\/publications\/i\/item\/9789241550383"},{"key":"S0924933824017668_r19","doi-asserted-by":"publisher","DOI":"10.1038\/s41386-019-0514-5"},{"key":"S0924933824017668_r117","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2023.12.030"},{"key":"S0924933824017668_r99","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.20r02722"},{"key":"S0924933824017668_r138","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.05.041"},{"key":"S0924933824017668_r73","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.042853"},{"key":"S0924933824017668_r67","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-8-28"},{"key":"S0924933824017668_r57","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0168549"},{"key":"S0924933824017668_r14","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-023-02109-9"},{"key":"S0924933824017668_r129","article-title":"Interventions for the management of obesity in people with bipolar disorder","author":"Tully","year":"2020","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S0924933824017668_r44","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2013.11.002"},{"key":"S0924933824017668_r46","unstructured":"[46] (SIGN) SIGN. Available from: https:\/\/www.sign.ac.uk\/what-we-do\/methodology\/checklists\/"},{"key":"S0924933824017668_r92","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115081"},{"key":"S0924933824017668_r148","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2015.1001938"},{"key":"S0924933824017668_r33","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.14m09552"},{"key":"S0924933824017668_r91","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2023.2207855"},{"key":"S0924933824017668_r142","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2016.09.021"},{"key":"S0924933824017668_r3","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-020-00437-9"},{"key":"S0924933824017668_r110","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.807140"},{"key":"S0924933824017668_r42","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9781615379156"},{"key":"S0924933824017668_r135","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-022-01770-w"},{"key":"S0924933824017668_r131","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.12.002"},{"key":"S0924933824017668_r28","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.13m08795"},{"key":"S0924933824017668_r6","unstructured":"[6] (NIMH) NIoMH. Available from: https:\/\/www.nimh.nih.gov\/health\/statistics\/mental-illness"},{"key":"S0924933824017668_r48","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2015.02.001"},{"key":"S0924933824017668_r63","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-2-116"},{"key":"S0924933824017668_r36","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.20r02722"},{"key":"S0924933824017668_r77","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2017-003943"},{"key":"S0924933824017668_r90","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-101242"},{"key":"S0924933824017668_r95","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbae015"},{"key":"S0924933824017668_r47","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-7-10"},{"key":"S0924933824017668_r16","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2021.21010031"},{"key":"S0924933824017668_r21","first-page":"150","article-title":"Sedentary behaviour associations with health outcomes in people with severe mental illness: a systematic review","volume":"30","author":"Bort-Roig","year":"2020","journal-title":"Eur J Public Health."},{"key":"S0924933824017668_r105","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2022.114656"},{"key":"S0924933824017668_r108","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2022.2108551"},{"key":"S0924933824017668_r23","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2018.4175"},{"key":"S0924933824017668_r62","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2022.100497"},{"key":"S0924933824017668_r88","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2018.06.058"},{"key":"S0924933824017668_r104","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijchp.2024.100447"},{"key":"S0924933824017668_r74","first-page":"Cd005148","article-title":"Interventions to reduce weight gain in schizophrenia","author":"Faulkner","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"S0924933824017668_r141","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2020-102955"},{"key":"S0924933824017668_r51","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.03.017"},{"key":"S0924933824017668_r49","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2018.033415"},{"key":"S0924933824017668_r133","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.11.008"},{"key":"S0924933824017668_r130","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009547.pub2"},{"key":"S0924933824017668_r109","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2022.114560"},{"key":"S0924933824017668_r84","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00566"},{"key":"S0924933824017668_r20","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20458"},{"key":"S0924933824017668_r140","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-023-02003-4"},{"key":"S0924933824017668_r98","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16050826"},{"key":"S0924933824017668_r106","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11102719"},{"key":"S0924933824017668_r107","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.03.012"},{"key":"S0924933824017668_r13","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20994"},{"key":"S0924933824017668_r59","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13355"},{"key":"S0924933824017668_r89","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112601"},{"key":"S0924933824017668_r45","unstructured":"[45] Health NCCfM, Health NIf, Excellence C, Society BP, Psychiatrists RCo. Alcohol use disorders: The NICE guideline on the diagnosis, assessment and management of harmful drinking and alcohol dependence. 2011."},{"key":"S0924933824017668_r79","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51693"},{"key":"S0924933824017668_r5","unstructured":"[5] WHO. WHO guidelines on physical activity and sedentary behaviour 2020. Available from: https:\/\/iris.who.int\/bitstream\/handle\/10665\/336656\/9789240015128-eng.pdf?isAllowed=y&sequence=1"},{"key":"S0924933824017668_r144","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nutr.20.1.21"},{"key":"S0924933824017668_r127","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.01.094"},{"key":"S0924933824017668_r80","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2003.00218.x"},{"key":"S0924933824017668_r128","doi-asserted-by":"publisher","DOI":"10.3390\/ijms242115551"},{"key":"S0924933824017668_r41","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2011.08.003"},{"key":"S0924933824017668_r114","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2024.103959"},{"key":"S0924933824017668_r22","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20571"}],"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933824017668","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T09:13:37Z","timestamp":1733822017000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933824017668\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":151,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024]]}},"alternative-id":["S0924933824017668"],"URL":"https:\/\/doi.org\/10.1192\/j.eurpsy.2024.1766","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"value":"0924-9338","type":"print"},{"value":"1778-3585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e80"}}