title: Diet, smoking and cardiovascular risk in schizophrenia in high and low care supported housing.
abstract: BACKGROUND
  People suffering from schizophrenia have markedly increased physical morbidity and mortality. A poor diet and sedentary lifestyle make a significant contribution to this ill health. Healthcare professionals need to include assessments of diet and to promote a 'healthy living' lifestyle.
  
  
  OBJECTIVE
  To describe the dietary habits and cardiovascular risk factors of people with chronic schizophrenia living in supported accommodation and to audit the provision of cardiovascular health screening in this population.
  
  
  METHODS
  The dietary habits of 69 people with chronic schizophrenia living in community settings were assessed. Tobacco smoking, body mass indices and waist circumference were also measured. The dietary behaviour of patients living in high care settings with care staff present every day was compared with those in low care settings.
  
  
  RESULTS
  Residents in both levels of care made poor dietary choices. Patients in high care were consuming more fast food than those in low care. The dietary habits of men and women in both levels of care were worse than reported by surveys of the general population in England. All patients had seen their GP in the previous year though only 3 had received diabetes screening and fewer than half had lipid profiles.
  
  
  CONCLUSIONS
  People with schizophrenia do not improve their diet just by the provision of healthy food as was the case in high care settings. Secondary care services must address physical health monitoring as well as mental health if the increased mortality of patients with schizophrenia is to be addressed effectively. More effective interventions are necessary to improve and sustain a healthy diet.
authors.affiliation: South London and Maudsley NHS Foundation Trust, Croydon North Community Mental Health Team, Croydon, United Kingdom.
authors.forename: Avirup
authors.initials: A
authors.lastname: Gupta
authors.forename: Tom K J
authors.initials: TK
authors.lastname: Craig
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology; D003430:Cross-Sectional Studies; D004032:Diet; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011638:Public Housing; D012307:Risk Factors; D012559:Schizophrenia / Q000150:complications*; D012907:Smoking / Q000453:epidemiology*