Leddy Meaghan A, Schulkin Jay, Power Michael L
American College of Obstetricians and Gynecologists, Washington, DC 20016, USA.
J Correct Health Care. 2009 Oct;15(4):318-27. doi: 10.1177/1078345809340426. Epub 2009 Jul 25.
Incarceration and obesity rates have both increased in the United States. An implication is that there will be more obese inmates, which likely will raise the prevalence of obesity-related diseases, affecting the cost and performance of correctional health care. Other issues include increased costs of transport, restraint, and housing. There is surprisingly little published information on inmate obesity prevalence. The few published research studies suggest obesity prevalence in prisons reflects that of their region. Cardiovascular-related prisoner deaths appear to be associated with state-level obesity, though other risk factors are likely involved. Weight gain while incarcerated is common, and the prevalence of diabetes is increasing. The data suggest that preventive care is not a priority in prisons. Evidence from Japan suggests restricted diets and enforced activity can improve inmate health.
在美国，监禁率和肥胖率都有所上升。这意味着肥胖囚犯将会增多，这可能会提高肥胖相关疾病的患病率，影响惩教医疗保健的成本和绩效。其他问题包括运输、约束和住房成本的增加。令人惊讶的是，关于囚犯肥胖患病率的公开信息很少。少数已发表的研究表明，监狱中的肥胖患病率反映了其所在地区的情况。与心血管相关的囚犯死亡似乎与州一级的肥胖有关，不过可能还涉及其他风险因素。在监禁期间体重增加很常见，糖尿病的患病率也在上升。数据表明，预防保健在监狱中并非优先事项。来自日本的证据表明，限制饮食和强制活动可以改善囚犯健康。
