Iraq and Afghanistan veterans with PTSD participate less in VA's weight loss program than those without PTSD

Journal of Affective Disorders
Shira MaguenDavid E Goodrich

Abstract

Three-quarters of Iraq and Afghanistan veterans enrolled in Veterans Health Administration (VHA) care are overweight or obese. The VHA MOVE!® weight management program can mitigate the risks of obesity-related morbidity. However, many Iraq and Afghanistan veterans experience barriers to VHA services, which may affect participation, especially among those with posttraumatic stress disorder (PTSD) and/or depression. Little is known about MOVE! engagement among recent veterans. We describe a retrospective evaluation of MOVE! participation among Iraq and Afghanistan veterans with and without mental health problems. As part of a national VHA mental health evaluation study, we accessed VHA patient care databases to identify Iraq and Afghanistan veterans receiving care from 2008-2013 who had ≥1 MOVE! visit(s) and ≥1 weight measurements (N=24,899). We used logistic regression to determine whether mental health conditions were associated with having 12 visits/year (desirable dose of care), adjusting for demographic, health, and utilization factors. Among Iraq and Afghanistan veterans enrolled in MOVE!, 4% had a desirable dose of participation. In adjusted models, desirable MOVE! participation was more likely among those without PTSD; th...Continue Reading

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Citations

Sep 22, 2018·Journal of the American Psychiatric Nurses Association·Caroline R McKinnon, Jane T Garvin
Apr 25, 2020·Military Medicine·Jacqueline F HayesJessica Y Breland
Aug 2, 2019·Current Diabetes Reports·Dora Lendvai WischikRobin Whittemore
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Jan 1, 2019·Chronic Stress·Jeffrey F Scherrer, Patrick J Lustman
Jun 3, 2021·Healthcare·Jose A BetancourtLawrence V Fulton

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