P02-167 - “I am gaining weight- get me out of here.” what happens to body mass index (BMI) following admission to a medium secure unit? - 05/05/11
Résumé |
Introduction |
A diagnosis of mental illness has been associated with weight gain, particularly among patients suffering from schizophrenia1.
Aims & objectives |
This study aims to establish trends in weight gain among inpatients and the effects of several public health interventions between 2006 and 2009.
Methods |
A body mass index (BMI) was calculated on admission and one of the authors has routinely measured the BMI of all inpatients on an annual basis since 2005 as part of a regular audit cycle.
Results |
Admission BMIs are comparable to the male general population2. The vast majority of patients are prescribed antipsychotic medication, approximately 50% receiving clozapine or olanzapine at any given time. There is a wide range of weight change from admission to discharge (−8.5kg to +60kg) but the average BMI of each sample exceeds the general population such that a majority of patients in each sample are clinically obese (BMI ≥30).In response to the audit findings the unit promoted public health and individual care plans (2006–09) aimed at addressing the high rates of obesity. Despite these initiatives there was a substantial rise in mean BMI between July 2007 and February 2008.
Conclusions |
Admission to a medium secure unit results in substantial weight gain for the majority of patients. The causes of weight gain in a relatively closed institution are probably multi-factorial in origin.
Le texte complet de cet article est disponible en PDF.Vol 26 - N° S1
P. 763 - 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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