High prevalence of underweight and undernutrition in Japanese inpatients with schizophrenia: a nationwide survey.
High prevalence of underweight and undernutrition in Japanese inpatients with schizophrenia: a nationwide survey.
复制标题
DOI：
10.1136/bmjopen-2015-008720
复制
发表时间：
2015-12-09
期刊：
影响因子：
2.9
通讯作者：
Someya T
中科院分区：
文献类型：
--
作者：
Sugai T;Suzuki Y;Yamazaki M;Shimoda K;Mori T;Ozeki Y;Matsuda H;Sugawara N;Yasui-Furukori N;Minami Y;Okamoto K;Sagae T;Someya T
阐明日本门诊和住院精神分裂症患者体重不足和超重/肥胖的患病率以及营养状况的实验室数据。横断面研究。在日本的住院和门诊设施中进行的问卷调查。日本精神分裂症成人患者人群（N = 23116）。 日本住院和门诊精神分裂症患者体重不足和营养不良的患病率我们在2012年1月至2013年7月期间，对日本精神病院协会的520家门诊机构和247家住院机构的体重不足和营养不良患病率进行了大规模调查。门诊7655例，住院15461例。 三个体重指数水平的分布在门诊和住院患者之间有显著性差异（P <0.001）。住院精神分裂症患者体重偏低的比例明显高于门诊患者（P <0.001）。特定年龄组分析显示，住院患者中≥ 40岁体重不足个体的比例高于门诊患者和一般日本人群。 住院精神分裂症患者低胆固醇血症的比例明显高于门诊患者（P <0.001）。门诊和住院精神分裂症患者体重不足的严重程度存在显著差异;住院患者体重严重不足的比例是门诊患者的两倍。日本住院精神分裂症患者体重不足和营养不良的患病率高于门诊患者和一般人群。因此，在临床实践中应认真考虑住院患者的身体风险。
To clarify the prevalence of underweight and overweight/obesity, and laboratory data for nutritional status in Japanese outpatients and inpatients with schizophrenia. Cross-sectional study. A questionnaire conducted in inpatient and outpatient facilities in Japan. The population of adult patients with schizophrenia in Japan (N=23 116). The prevalence of underweight and undernutrition in Japanese inpatients and outpatients with schizophrenia. We conducted a large-scale investigation of the prevalence of underweight and undernutrition in 520 outpatient facilities and 247 inpatient facilities belonging to the Japan Psychiatric Hospitals Association between January 2012 and July 2013. There were 7655 outpatients and 15 461 inpatients with schizophrenia. There was a significant difference in the distribution of three body mass index levels between outpatients and inpatients (p<0.001). The proportion of underweight inpatients with schizophrenia was significantly higher than that among outpatients (p<0.001). Age-specific analysis revealed that the proportion of underweight individuals aged ≥40 years was higher in inpatients than in outpatients and in the general Japanese population. The proportion of individuals with hypocholesterolaemia was significantly higher in inpatients with schizophrenia than in outpatients (p<0.001). There was a significant difference in the severity of underweight between outpatients and inpatients with schizophrenia; the proportion of severe underweight in inpatients was twofold higher than in outpatients. The prevalence of underweight and undernutrition in Japanese inpatients with schizophrenia was higher than in outpatients and the general population. Therefore, the physical risk of inpatients should be carefully considered in clinical practice.