Diet, smoking and cardiovascular risk in people with schizophrenia - Descriptive study
Diet, smoking and cardiovascular risk in people with schizophrenia - Descriptive study
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DOI：
10.1192/bjp.183.6.534
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发表时间：
2003-12-01
影响因子：
10.5
通讯作者：
McCreadie, RG
中科院分区：
文献类型：
--
作者：
McCreadie, RG
目的从饮食、吸烟习惯、体重、运动等方面描述精神分裂症患者的生活方式，报告罹患冠心病的风险。方法采用苏格兰健康调查问卷对102例社区精神分裂症患者的饮食习惯进行评估。同时评估吸烟习惯、体力活动、营养生化指标和未来患冠心病的风险。结果与一般人群相比，较少的男性达到可接受的水果、蔬菜、牛奶、土豆和豆类的消费水平。更少的女性达到了牛奶和土豆的摄入量。每周平均食用水果和蔬菜的数量为16份(标准差=14份)；71份(70%)为吸烟者；25份(86%)女性和50份(70%)男性超重或肥胖；59份(59%)认为自己经常运动；46份(53%)胆固醇：高密度脂蛋白比率升高；(74%)的α-生育酚：胆固醇比率较低。男性患CHD的10年平均风险为10.5%(S.D.=8)，女性为7%(S.D.=6)。结论精神分裂症患者的生活方式与CHID有关。二级护理服务的护理必须涉及身体和心理健康。由苏格兰行政长官首席科学家办公室资助的利益声明。
Background Physical health of people with schizophrenia is poor and they die early from cardiovascular disease.Aims To describe the lifestyle of people with schizophrenia through diet, smoking habits, weight and exercise, and to report risk of coronary heart disease (CHD).Method Dietary habits of 102 community-dwelling people with schizophrenia were assessed by the Scottish Health Survey Questionnaire. Also assessed were smoking habits, physical activity, biochemical indices of nutrition and future risk of CHD.Results Fewer males, compared with the general population, reached acceptable levels for consumption of fruit, vegetables, milk, potatoes and pulses. Fewer females reached the levels for consumption of milk and potatoes. Mean number of fruit and vegetable portions consumed per week was 16 (s.d.=14); 71 (70%) were smokers; 25 (86%) females and 50 (70%) males were overweight or obese; 59 (59%) considered themselves physically active; 46 (53%) had a raised cholesterol: high-density lipoprotein ratio, and 64 (74%) a low alpha-tocopherol: cholesterol ratio. Mean 10-year risk of CHD in males was 10.5% (s.d.=8) and in females 7% (s.d.=6).Conclusions The lifestyle of people with schizophrenia must give cause for concern in relation to CHID. Care from secondary care services must address physical as well as mental health.Declaration of interest Funded by Chief Scientist Office, Scottish Executive.