Traviss-Turner Gemma D, Lee Ellen, Pratt Peter, Hill Andrew J, Peckham Emily
Leeds Institute of Health Sciences, University of Leeds, Clarendon Way, Leeds LS2 9JT, UK.
School of Medicine and Public Health, University of Sheffield, Regent Court, 30 Regent St., Sheffield S1 4DA, UK.
Nutrients. 2025 Apr 23;17(9):1423. doi: 10.3390/nu17091423.
: Individuals with severe mental illness (SMI) have a reduced life expectancy of 15-25 years. This is due to a number of modifiable and non-modifiable risk factors. Levels of overweight and obesity in this group are 1.8 times higher than in the general population and diet quality is poor. Excess weight is linked to a range of serious long-term physical and mental health conditions. This paper presents the findings of a large cross-sectional survey of adults living with SMI. The survey aimed to understand the current weight, weight gain and diet quality of this group and secondly, to explore the association between weight change, diet quality, antipsychotic medication and weight management. : Five hundred and twenty-nine participants (58% male, mean age 49.3) living with SMI completed the survey. : Results showed 42% of the sample were living with obesity and almost half reported having gained 6 kg or more at least once in their adult life. Overall, 6% of the sample reported eating no fruit or vegetables and the same proportion had the highest consumption of carbonated drinks. There was no difference by weight category. Those taking antipsychotic medication and currently managing their weight were more likely to experience weight gain or fluctuation. : These results suggest that excess weight and poor diet quality are a major problem in adults with SMI and that current weight management provision is ineffective in addressing the specific needs of people living with SMI.
患有严重精神疾病（SMI）的个体预期寿命缩短15至25年。这是由一些可改变和不可改变的风险因素导致的。该群体中超重和肥胖的比例比普通人群高1.8倍，饮食质量较差。超重与一系列严重的长期身心健康状况相关。本文呈现了一项针对患有严重精神疾病的成年人的大型横断面调查结果。该调查旨在了解该群体当前的体重、体重增加情况和饮食质量，其次，探讨体重变化、饮食质量、抗精神病药物与体重管理之间的关联。529名患有严重精神疾病的参与者（58%为男性，平均年龄49.3岁）完成了调查。结果显示，42%的样本患有肥胖症，近一半的人报告在成年后至少有一次体重增加了6千克或更多。总体而言，6%的样本报告不吃水果或蔬菜，相同比例的人碳酸饮料摄入量最高。不同体重类别之间没有差异。服用抗精神病药物且目前正在管理体重的人更有可能出现体重增加或波动。这些结果表明，超重和不良饮食质量是患有严重精神疾病的成年人中的一个主要问题，并且目前的体重管理措施在满足患有严重精神疾病的人的特定需求方面是无效的。
