Munitz Hanan
Harefuah. 2010 Aug;149(8):508-11, 551.
The life expectancy of schizophrenic patients is shortened by about 20%. This alarming finding is mainly caused by an increased rate of the metabolic syndrome which is inherent in schizophrenic patients and is increased by the use of antipsychotic drugs, mainly second generation drugs. Another reason is a high rate of suicide and violent death. There is a controversy about the relationship of malignant disease and schizophrenia. Problems in the health behavior of patients should also be considered, mainly lack of exercise, high smoking rate, inappropriate diet and overweight. Psychiatrists and family physicians tend to be passive in dealing with this problem. This article proposes activism of the medical profession aimed at improving health behavior, early detection of physical problems and increased awareness of the medical profession, patients and their families.
精神分裂症患者的预期寿命缩短了约20%。这一惊人发现主要是由代谢综合征发生率增加所致，代谢综合征在精神分裂症患者中本就存在，且因使用抗精神病药物（主要是第二代药物）而加剧。另一个原因是自杀和暴力死亡的发生率较高。关于恶性疾病与精神分裂症的关系存在争议。患者健康行为方面的问题也应予以考虑，主要包括缺乏运动、吸烟率高、饮食不当和超重。精神科医生和家庭医生在处理这个问题时往往较为被动。本文提出医疗行业应积极行动起来，致力于改善健康行为、早期发现身体问题，并提高医疗行业、患者及其家属的意识。
