Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans.
Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans.
复制标题
DOI：
10.1016/j.psym.2010.12.009
复制
发表时间：
2011-05
期刊：
影响因子：
3.4
通讯作者：
Kazis, Lewis E.
中科院分区：
文献类型：
--
作者：
Chwastiak, Lydia A.;Rosenheck, Robert A.;Kazis, Lewis E.
据报道，多种慢性精神病患者的心血管发病率和死亡率增加。降低心血管风险的干预措施集中在单个健康行为上。
评估多种不良健康行为的同时出现，这些行为增加了具有精神诊断的退伍军人的心血管风险。
使用1999年对退伍军人的大型健康调查（n = 501,161）的数据，使用多元逻辑回归来评估当前吸烟，无定期运动和与六个轴I诊断的每一个之间的关联。
除了药物使用障碍外，肥胖，当前的烟草使用，当前的烟草使用以及在退伍军人之间没有定期运动的几率上增加了统计学上的几率（与使用药物疾病不同（与1种没有显着差异）。赔率最高的是精神分裂症，PTSD和双相情感障碍的退伍军人[OR（95％CI）为1.37（1.29，1.45）； 1.26（1.20，1.32）;和1.19（1.11，1.25）]。调整医疗合并症后，抑郁症的OR并不显着。
患有精神病的退伍军人，特别是患有精神分裂症，PTSD和双相情感障碍的退伍军人，更有可能患有多种健康行为，以增加其心血管风险。降低患有严重精神疾病的退伍军人心血管风险的干预措施需要针对多种健康行为。
Increased cardiovascular morbidity and mortality has been reported across a number of chronic psychiatric illnesses. Interventions to decrease cardiovascular risk have focused on single health behaviors. To evaluate the co-occurrence of multiple poor health behaviors which increase cardiovascular risk among veterans with psychiatric diagnoses. Using data from the 1999 Large Health Survey of Veterans (n=501,161), multivariate logistic regression was used to evaluate the associations between current smoking, no regular exercise, and obesity with each of six Axis I diagnoses. There were statistically increased odds of co-occurrence of obesity, current tobacco use and no regular exercise among veterans with each of the psychiatric diagnoses, with the exception of drug use disorders (which was not significantly different from 1). The highest odds were among veterans with schizophrenia, PTSD, and bipolar disorder [OR (95% CI) of 1.37 (1.29, 1.45); 1.26 (1.20, 1.32); and 1.19 (1.11, 1.25), respectively]. The OR for depression was not significant after adjustment for medical co-morbidity. Veterans with psychiatric illnesses, and particularly those with schizophrenia, PTSD, and bipolar disorder, are much more likely to have multiple poor health behaviors that increase their cardiovascular risk. Interventions to decrease cardiovascular risk among veterans with serious mental illness need to target multiple health behaviors.
登录
查看更多内容
影响因子：
120.7
作者：
Flegal, Katherine M.;Carroll, Margaret D.;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
影响因子：
16.2
作者：
Isomaa, B;Almgren, P;Groop, L
通讯作者：
Groop, L
影响因子：
10.5
作者：
McCreadie, RG
通讯作者：
McCreadie, RG
影响因子：
3.4
作者：
Dolder, CR;Furtek, K;Jeste, DV
通讯作者：
Jeste, DV
影响因子：
1.9
作者：
Enger, C;Weatherby, L;Walker, AM
通讯作者：
Walker, AM