Brown S, Birtwistle J, Roe L, Thompson C
Department of Psychiatry, University of Southampton.
Psychol Med. 1999 May;29(3):697-701. doi: 10.1017/s0033291798008186.
Schizophrenia has a high natural mortality of a largely environmental aetiology. There is, however, little research about possible risk factors. This study measured the diet, cigarette and alcohol use, exercise and obesity of a cohort of people with schizophrenia and compared results to general population rates.
Semi-structured interview using validated research instruments on 102 middle-aged subjects with a diagnosis of schizophrenia, living in the community. Results were compared to general population norms using standard statistical tests.
The subjects ate a diet higher in fat and lower in fibre than the general population. They look little exercise but were not significantly more obese. They smoked heavily but drank less alcohol. Most differences remained significant after controlling for social class.
People with schizophrenia have an unhealthy lifestyle, which probably contributes to the excess mortality of the disease. They are therefore an appropriate target group for health promotion interventions.
精神分裂症具有较高的自然死亡率,其病因很大程度上与环境因素有关。然而,关于可能的风险因素的研究却很少。本研究对一组精神分裂症患者的饮食、吸烟和饮酒情况、运动及肥胖状况进行了测量,并将结果与普通人群的比率进行了比较。
使用经过验证的研究工具,对102名居住在社区的、被诊断为精神分裂症的中年受试者进行半结构化访谈。使用标准统计测试将结果与普通人群的标准进行比较。
与普通人群相比,这些受试者的饮食中脂肪含量较高,纤维含量较低。他们很少运动,但肥胖程度并没有显著更高。他们吸烟严重,但饮酒较少。在控制社会阶层后,大多数差异仍然显著。
精神分裂症患者的生活方式不健康,这可能导致了该疾病的超额死亡率。因此,他们是健康促进干预措施的合适目标群体。