Are females at special risk of obesity if they become psychotic? The longitudinal Northern Finland 1966 Birth Cohort Study.
Obesity is a serious health problem, especially in patients with long-term mental disorders. We explored the socio-demographic, psychiatric, and clinical factors that increase the risk of changing from under- or normal weight in adolescence to overweight/obese in adulthood. We found a 3.6-fold risk of weight gain in females with psychotic disorder. Other significant correlates of weight gain in males were physical inactivity, unhealthy diet, high alcohol consumption, and being single; and in females, chronic diseases, physical inactivity, high alcohol consumption, and having at least three children. These findings emphasize the importance of regular weight monitoring in clinical practice, especially in females with psychotic disorders.
Hakko
Helinä
H
Oulu University Hospital, Department of Psychiatry, P.O. Box 26, 90029 Oulu University Hospital, Finland. helina.hakko@oulu.fi
Komulainen
M Tuomas
MT
Koponen
Hannu
H
Saari
Kaisa
K
Laitinen
Jaana
J
Järvelin
Marjo-Riitta
MR
Lindeman
Sari
S
D000005:Abdomen; D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology; D000886:Anthropometry; D015992:Body Mass Index; D002391:Catchment Area, Health; D015331:Cohort Studies; D003710:Demography; D005247:Feeding Behavior; D005260:Female; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D015994:Incidence; D008297:Male; D009043:Motor Activity; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology*; D012307:Risk Factors; D012559:Schizophrenia / Q000453:epidemiology; D012907:Smoking / Q000453:epidemiology; D015430:Weight Gain