患有严重精神疾病的儿童和青少年超重的风险。
The risk of overweight in children and adolescents with major mental illness.
作者信息
Hasnain Mehrul, Vieweg W Victor R, Hettema John M, Colton David, Fernandez Antony, Pandurangi Anand K
机构信息
Department of Psychiatry, Western Regional Integrated Health Authority, Sir Thomas Roddick Hospital, Newfoundland, Canada.
出版信息
South Med J. 2008 Apr;101(4):367-72. doi: 10.1097/SMJ.0b013e3181683f8e.
OBJECTIVES
To survey the charts of youths with major mental illness who may constitute a high-risk group (HRG) for overweight.
METHODS
We reviewed the charts of youths admitted to a public sector psychiatric hospital. For the 795 cases of patients 6 to 18 years old identified as the study cohort, we derived body mass index percentiles using the Centers for Disease Control Epi Info software. We defined a HRG as those youths who were "overweight" and "at risk for overweight" and compared them with national measurements. We also determined the frequency of psychiatric diagnoses and psychotropic drugs use.
RESULTS
A total of 51.8% were in the HRG compared with the national average of 35.2% for the 6 to 19 years age group of the latest available National Health and Nutrition Examination Survey. We noted an increase in the prevalence of mood disorders and psychosis with increasing age. Many (45.3%) were discharged on medications that can potentially cause moderate-to-severe weight gain.
CONCLUSIONS
Youths with major psychiatric illnesses constitute a HRG for overweight.
目的
调查可能构成超重高危人群（HRG）的患有严重精神疾病的青少年的病历。
方法
我们查阅了一家公立精神病医院收治的青少年病历。对于确定为研究队列的795例6至18岁患者，我们使用疾病控制中心的Epi Info软件得出体重指数百分位数。我们将HRG定义为那些“超重”和“有超重风险”的青少年，并将他们与全国测量数据进行比较。我们还确定了精神疾病诊断和精神药物使用的频率。
结果
与最新的全国健康和营养检查调查中6至19岁年龄组35.2%的全国平均水平相比，共有51.8%的人属于HRG。我们注意到情绪障碍和精神病的患病率随年龄增长而增加。许多人（45.3%）出院时使用的药物可能会导致中度至重度体重增加。
结论
患有严重精神疾病的青少年构成超重的高危人群。
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