Obesity Rates and Psychotropic Medication Use: Differences between a Juvenile Detained and Committed Populations in an Urban Setting

This study sought to investigate differences in body mass index (BMI) across adolescent groups taking different classes of psychotropic medications in juvenile correctional settings. Results indicate significant (p < 0.05) differences in BMI for committed adolescents (mean BMI Z score = 0.95) versus detained (mean BMI Z score = 0.75) youth. Juveniles taking antipsychotic medications are at increased risk for elevated BMI (Cohen’s d = 0.72). There is no relationship to psychotropic medication classes and BMI, suggesting type versus total number of medications explains this relationship. Clinical implications are discussed, with specific emphasis on populations who may be at increased risk for obesity.