Factors associated with overweight or obesity in community patients with schizophrenia in Shanghai
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 5
Abstract
ObjectiveTo investigate the prevalence of overweight or obesity in community patients with schizophrenia in Shanghai and to explore the related factors.MethodsStratified cluster sampling method was used and the general conditionï¼ physical examination and laboratory examination data of patients with schizophrenia who voluntarily participated in 2020 free health examination of National Basic Public Health Service were analyzed.ResultsA total of 3 200 patients were included into the study ï¼and the prevalence of overweight and obesity was 36.75% and 17.19%ï¼ respectively. Multivariate logistic regression analysis indicated that age between 40 and 60 ï¼OR=1.333ï¼ 95%CIï¼ 1.030â1.724ï¼ï¼ intake of first-generation antipsychotics ï¼OR=1.413ï¼ 95%CIï¼ 1.112â1.796ï¼ï¼ intake of second-generation antipsychotics ï¼OR=1.573ï¼ 95%CIï¼ 1.288â1.921ï¼ï¼ high-normal blood pressure ï¼OR=1.549ï¼ 95%CIï¼ 1.245â1.927ï¼ï¼ high-abnormal blood pressure ï¼OR=2.824ï¼ 95%CIï¼ 2.204â3.619ï¼ï¼ elevated ALT ï¼OR=1.874ï¼ 95%CIï¼ 1.386â2.535ï¼ï¼ elevated FBG ï¼OR=1.270ï¼ 95%CIï¼ 1.066â1.513ï¼ï¼ and elevated TG ï¼OR=1.652ï¼ 95%CIï¼ 1.335â2.044ï¼ were the related factors that associated overweight or obesity in patients with schizophrenia.ConclusionOverweight and obesity are highly prevalent among community patients with schizophrenia in Shanghai. Age between 40 and 60ï¼ taking first-generation and second-generation antipsychoticsï¼ blood pressure higher than 120/80 mmHgï¼ elevated ALTï¼ elevated FBGï¼ and elevated TG are associated with overweight or obesity in patients with schizophrenia. To provide personalized health guidanceï¼ medical staff in primary health care institutions should pay more attention to high-risk groups of overweight and obesity in schizophrenia patients at annual physical examination.
Authors and Affiliations
LIU Yanli,ZHANG Weibo,HE Siyuan,XU Weiyun,ZHOU Qing,JIANG Yihua,ZHANG Yanping,CAI Jun,
Keywords
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