Obesity among individuals with serious mental illness

Faith Dickerson · Clayton H. Brown · Julie A. Kreyenbuhl · Richard W. Goldberg · Karen A. Wohlheiter · Lisa B. Dixon

200 citations0/0 files storedActa Psychiatrica Scandinavica

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Eating Disorders and Behaviors Schizophrenia research and treatment Obesity, Physical Activity, Diet

Abstract

OBJECTIVE: To study the distribution and correlates of body mass index (BMI) among individuals with serious mental illness. METHOD: A total of 169 participants were recruited from randomly selected out-patients receiving community-based psychiatric care and were interviewed with items from the National Health and Nutrition Examination Survey (NHANES) III. Their BMI was compared with that of 2404 matched individuals from the NHANES data set. RESULTS: The distribution of BMI in the psychiatric sample significantly differed from that of the comparison group; 50% of women and 41% of men were obese compared with 27% and 20% in the comparison group. Within the psychiatric sample, higher BMI was associated with current hypertension and diabetes, a wish to weigh less, and reduced health-related functioning. CONCLUSION: Obesity is more prevalent among individuals with serious mental illness than in demographically matched individuals from the US general population. Among persons with mental illness, obesity is associated with co-occurring health problems.

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References

1996A 12-Item Short-Form Health Survey 1998Excess mortality of mental disorder 2003Prospective association between obesity and depression: evidence from the Alameda County Study 2004Comorbidity of Medical Illnesses Among Adults With Serious Mental Illness Who Are Receiving Community Psychiatric Services 1995Handbook of assessment methods for eating behaviors and weight-related problems : measures, theory, and research

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2009Obesity and Mental Health 2012Beyond Pharmacotherapy: Understanding the Links between Obesity and Chronic Mental Illness 2006Long‐term maintenance of weight loss in patients with severe mental illness through a behavioural treatment programme in the UK 2015Practice Guidelines for the Psychiatric Evaluation of Adults, Third Edition

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