Predictors of Weight Gain and Metabolic Indexes among Men Admitted to Forensic Psychiatric Hospital

IF 1.3 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
N. Hilton, E. Ham, S. Hill, Talia Emmanuel, Barna Konkolÿ Thege
{"title":"Predictors of Weight Gain and Metabolic Indexes among Men Admitted to Forensic Psychiatric Hospital","authors":"N. Hilton, E. Ham, S. Hill, Talia Emmanuel, Barna Konkolÿ Thege","doi":"10.1080/14999013.2021.1952356","DOIUrl":null,"url":null,"abstract":"Abstract People with mental health disorders face elevated risk of metabolic syndrome (MetS), which increases the risk of serious health problems and premature mortality. Obesity is prevalent among those hospitalized in forensic psychiatric units, and substantial weight gains during hospitalization have been reported. We examined International Diabetes Federation (IDF) criteria and proxy MetS indexes (body mass index [BMI], blood pressure, and waist circumference) in the medical records of 527 men admitted to a forensic hospital, and tested predictors of weight gain during their first year or less in hospital. IDF indexes were documented for 22% of men whereas proxy indexes were documented for 46%. Both suggested similar MetS prevalence: 16% IDF, 17% proxy. Weight gain averaged 1.72 kg per month; BMI, being a smoker, and length of stay were independent predictors. Interventions focusing on these risk factors are advisable in order to support both mental and physical health among individuals admitted to forensic psychiatric services. The proxy MetS indexes offer a rapid screening measure and a promising tool for research studies and clinical practice in the absence of blood test results.","PeriodicalId":14052,"journal":{"name":"International Journal of Forensic Mental Health","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14999013.2021.1952356","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Forensic Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14999013.2021.1952356","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CRIMINOLOGY & PENOLOGY","Score":null,"Total":0}
引用次数: 4

Abstract

Abstract People with mental health disorders face elevated risk of metabolic syndrome (MetS), which increases the risk of serious health problems and premature mortality. Obesity is prevalent among those hospitalized in forensic psychiatric units, and substantial weight gains during hospitalization have been reported. We examined International Diabetes Federation (IDF) criteria and proxy MetS indexes (body mass index [BMI], blood pressure, and waist circumference) in the medical records of 527 men admitted to a forensic hospital, and tested predictors of weight gain during their first year or less in hospital. IDF indexes were documented for 22% of men whereas proxy indexes were documented for 46%. Both suggested similar MetS prevalence: 16% IDF, 17% proxy. Weight gain averaged 1.72 kg per month; BMI, being a smoker, and length of stay were independent predictors. Interventions focusing on these risk factors are advisable in order to support both mental and physical health among individuals admitted to forensic psychiatric services. The proxy MetS indexes offer a rapid screening measure and a promising tool for research studies and clinical practice in the absence of blood test results.
法医精神病院男性住院患者体重增加和代谢指标的预测因素
摘要患有精神健康障碍的人面临代谢综合征(MetS)的风险增加,这增加了严重健康问题和过早死亡的风险。肥胖在法医精神科住院患者中很普遍,据报道,住院期间体重大幅增加。我们在527名入住法医医院的男性的医疗记录中检查了国际糖尿病联合会(IDF)的标准和代理MetS指数(体重指数[BMI]、血压和腰围),并测试了他们住院第一年或更短时间内体重增加的预测因素。22%的男性记录了IDF指数,而46%记录了代理指数。两者都表明MetS的患病率相似:IDF为16%,代理为17%。平均体重增加1.72 千克/月;BMI、吸烟者和住院时间是独立的预测因素。以这些风险因素为重点的干预措施是可取的,以支持接受法医精神病服务的个人的心理和身体健康。在没有血液检测结果的情况下,MetS代理指数为研究和临床实践提供了一种快速筛查手段和一种很有前途的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.80
自引率
7.10%
发文量
24
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信