Prevalence and Correlates of Obesity among Chronic Psychiatric Patients

慢性精神病患肥胖盛行率及其相關因素探討

10.29478/TJP.200906.0005

黃美玲(Mei-Ling Huang)；李芸湘(Hun-Hsiang Lee)；歐麗玲(Li-Ling Ou)；吳碧雲(Pi-Yu Wu)；何佩駪(Pei-Shen Ho)；賴宜宏(Yi-Huang Lai)；邱飄逸(Piao-Yi Chiou)

盛行率 ； 相關因素 ； 肥胖 ； 慢性精神病患 ； prevalence ； correlates ； obesity ； chronic psychiatric patients

台灣精神醫學

23卷2期（2009 / 06 / 01）

126 - 134

英文

目的：調查台灣某精神專科醫院慢性住院病患之肥胖盛行率及其共發事件。方法：以橫斷式研究法，針對長期住院之慢性精神病患，測量身高、體重與腹圍以計算其BMI，以結構式問卷及病歷收集人口學基本資料與病史等資料。共有288位病患接受調查。結果：肥胖(BMI≧27 kg/平方公里)盛行率為31.3%，體重越高者，其腹圍也越長，有內科病史、雙極性疾病者，其BMI顯著較高。結論：肥胖盛行率較其他研究低，本研究發現許多變項與BMI有關，結果應可應用於加強體重監測的計畫，並作為預防肥胖介入措施的重要參考。

Objective: The rate of obesity for people with chronic psychiatric diseases has been increased. In Taiwan, there is no such research to discuss obesity and correlates. This study was focused on understanding the prevalence and correlates of obesity in a chronic psychiatric hospital. Methods: This was cross-sectional study using physical assessment to explore the prevalence of obesity and to examine the relationship among some variables, obesity and BMI. After acquiring the informed consents, we recruited 288 inpatients from a chronic psychiatric hospital. Results: The most common psychiatric disorder was schizophrenia (n=270, 93.8%) in this study. The prevalence of obesity (BMI ≧ 27kg/m^2) was 31.3%. Participants who gained weight also had higher waist circumference (r=0.78, p＜.001). Participants who had no medical diseases had lower weight than those who had medical disease (t=-2.95, p＜.001). In addition, ANOVA result showed that participants who were diagnosed as bipolar disorder had higher weight than those who had schizophrenia (F=2.94, p＜.05). Conclusion: The prevalence of obesity in a chronic psychiatric hospital is lower in Taiwan than that in other countries. Some significant difference between BMI and some variables had been found. The results could be used to enhance the body weight monitoring program and to start the interventions to prevent the obesity.

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