Mental health is a crucial part of our overall well-being, and a recent report highlights how lifestyle choices can significantly impact the physical health of those with mental illnesses. According to a study by the Lancet Psychiatry Commission, about 70% of deaths among people with severe mental health conditions are due to physical health issues.
Lifestyle Changes are Key
The report emphasizes that instead of relying solely on medication, we should focus on four main lifestyle pillars: physical activity, nutrition, smoking cessation, and sleep. P.S. Indu, an expert involved in the report, states that addressing these areas can help close the 13- to 15-year life expectancy gap for people with mental illnesses. This is especially vital in resource-limited settings where healthcare often overlooks these essential lifestyle factors.
Health Disparities
Historically, people with mental health issues have faced significant health disparities. A previous report in 2019 revealed that they are at a higher risk for conditions like obesity and diabetes. These health problems can cut their lifespan by up to 20 years. The recent recommendations build on this foundation, calling for systemic changes in how we approach mental health interventions.
Lifestyle factors also pose challenges for individuals dealing with mental health issues. Medication side effects can contribute to weight gain and metabolic syndrome, further complicating their mental health. By incorporating lifestyle changes alongside traditional treatments, we can provide a more holistic approach to care.
Recommendations for Change
The study reviewed numerous lifestyle intervention programs and found that proper monitoring of physical health, along with mental healthcare, is essential. Patients should undergo comprehensive medical check-ups before starting psychiatric medication. This ongoing monitoring helps ensure that their overall health is considered during treatment.
One key suggestion is to train healthcare providers in lifestyle interventions. Even in places like Kerala, where resources may be limited, it’s crucial to emphasize that mental well-being is closely tied to physical health. Existing healthcare personnel can be retrained to prioritize these lifestyle changes within mental health services.
Addressing Systemic Barriers
While the report highlights lifestyle changes, it also acknowledges that individual efforts are not enough. Structural factors such as poverty, education, and access to healthcare play significant roles in shaping health behaviors. To achieve real change, we must tackle these broader issues alongside promoting healthy lifestyles.
Conclusion
Improving the physical health of people with mental illnesses requires a shift in how we view mental health care. By integrating lifestyle interventions and addressing systemic barriers, we can help individuals lead healthier, longer lives.
For more information on lifestyle interventions for mental health, check the Lancet Psychiatry Commission report.

