Factors associated with overweight or obesity in community patients with schizophrenia in Shanghai
10.19428/j.cnki.sjpm.2023.22644
- VernacularTitle:上海市社区精神分裂症患者超重或肥胖的相关因素分析
- Author:
Yanli LIU
1
;
Weibo ZHANG
1
;
Siyuan HE
1
;
Weiyun XU
2
;
Qing ZHOU
3
;
Yihua JIANG
4
;
Yanping ZHANG
5
;
Jun CAI
1
Author Information
1. Shanghai Mental Health Center， Shanghai Jiao Tong University School of Medicine， Shanghai 200030， China
2. Mental Health Center of Hongkou District， Shanghai 200083， China
3. Mental Health Center of Xuhui District， Shanghai 200232， China
4. Mental Health Center of Minhang District， Shanghai 201112， China
5. MentaI HeaIth Center of Jinshan District， Shanghai 201515， China
- Publication Type:Journal Article
- Keywords:
schizophrenia;
overweight;
obesity;
body mass index;
related factor;
community
- From:
Shanghai Journal of Preventive Medicine
2023;35(5):426-432
- CountryChina
- Language:Chinese
-
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 condition， 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 ，and the prevalence of overweight and obesity was 36.75% and 17.19%， respectively. Multivariate logistic regression analysis indicated that age between 40 and 60 （OR=1.333， 95%CI： 1.030‒1.724）， intake of first-generation antipsychotics （OR=1.413， 95%CI： 1.112‒1.796）， intake of second-generation antipsychotics （OR=1.573， 95%CI： 1.288‒1.921）， high-normal blood pressure （OR=1.549， 95%CI： 1.245‒1.927）， high-abnormal blood pressure （OR=2.824， 95%CI： 2.204‒3.619）， elevated ALT （OR=1.874， 95%CI： 1.386‒2.535）， elevated FBG （OR=1.270， 95%CI： 1.066‒1.513）， and elevated TG （OR=1.652， 95%CI： 1.335‒2.044） 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 60， taking first-generation and second-generation antipsychotics， blood pressure higher than 120/80 mmHg， elevated ALT， elevated FBG， and elevated TG are associated with overweight or obesity in patients with schizophrenia. To provide personalized health guidance， 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.
