A cross-continental analysis of weight gain, psychiatric diagnoses and medication use during inpatient psychiatric treatment. The international study on physical illness in mentally ill.
Journal: European psychiatry : the journal of the Association of European Psychiatrists
Volume: 48
Issue:
Year of Publication: 2018
Affiliated Institutions:
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße , , Düsseldorf, Germany.
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße , , Düsseldorf, Germany. Electronic address: christian.lange-asschenfeldt@lvr.de.
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße , , Düsseldorf, Germany. Electronic address: Stephanie-C-M.Peter@t-online.de.
Hospital for Psychiatry, Social Psychiatry and Psychotherapy, Centre for Mental Health, Medical University Hannover (MHH), Carl-Neuberg-Str. , , Hannover, Germany. Electronic address: Kahl.Kai@mh-hannover.de.
District Hospital Donauwörth, Clinic for Psychiatry, Psychotherapy and Psychosomatics in the Donau-Ries Hospital, Neudegger Allee , , Donauwörth, Germany. Electronic address: karel.frasch@bkh-donauwoerth.de.
Aalborg Psychiatric Hospital, Aalborg University Hospital, Aalborg, Denmark. Electronic address: jil@dcm.aau.dk.
Cantonal Hospital, Marsens/Fribourg, Switzerland. Electronic address: G.Giacometti@theBickels.com.
Psychiatric Hospital, Augustenborg/Tønder, Denmark. Electronic address: Bernhard.bork@rsyd.dk.
Aalborg Hospital, Aalborg University Hospital, Aalborg, Denmark. Electronic address: beaj@rn.dk.
Laboratory of Cellular Protein Science, Department of Molecular and Structural Biology, Aarhus University, Gustav Wieds vej C, DK-, Aarhus C, Denmark. Electronic address: siowj@rn.dk.
Services psychiatriques, Jura bernois - Bienne-Seeland, Switzerland. Electronic address: ch.lauber@zfpp.ch.
Psychiatric Hospital Slagelse, Slagelse, Denmark. Electronic address: bmmo@regionsjaelland.dk.
Aarhus University Hospital, Risskov, Denmark.
Psychiatric University Hospital, Zurich, Switzerland. Electronic address: wulf.roessler@uzh.ch.
Research Center for Child Mental Development, Hamamatsu School of Medicine, Hamamatsu, Japan. Electronic address: tsuchiya@hama-med.ac.jp.
Department of Organic Psychiatric Disorder and Emergency Ward, Aarhus University Hospital, Risskov, Denmark. Electronic address: kristian.toftegaard@gmail.com.
Odense University Hospital, Odense, Denmark. Electronic address: Ulla.Agerskov.Andersen@rsyd.dk.
Faculty of Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria. Electronic address: Ruwakwe@yahoo.com.
Psychiatric Department, Odense University Hospital, Odense, Denmark and Southern University Denmark, Odense, Denmark. Electronic address: d@dadlnet.dk.
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße , , Düsseldorf, Germany. Electronic address: joachim.cordes@lvr.de.
Abstract summary
Weight gain among psychiatric inpatients is a widespread phenomenon. This change in body mass index (BMI) can be caused by several factors. Based on recent research, we assume the following factors are related to weight gain during psychiatric inpatient treatment: psychiatric medication, psychiatric diagnosis, sex, age, weight on admission and geographic region of treatment. 876 of originally recruited 2328 patients met the criteria for our analysis. Patients were recruited and examined in mental health care centres in Nigeria (N = 265), Japan (N = 145) and Western-Europe (Denmark, Germany and Switzerland; N = 466). There was a significant effect of psychiatric medication, psychiatric diagnoses and geographic region, but not age and sex, on BMI changes. Geographic region had a significant effect on BMI change, with Nigerian patients gaining significantly more weight than Japanese and Western European patients. Moreover, geographic region influenced the type of psychiatric medication prescribed and the psychiatric diagnoses. The diagnoses and psychiatric medication prescribed had a significant effect on BMI change. In conclusion, we consider weight gain as a multifactorial phenomenon that is influenced by several factors. One can discuss a number of explanations for our findings, such as different clinical practices in the geographical regions (prescribing or admission strategies and access-to-care aspects), as well as socio-economic and cultural differences.
Authors & Co-authors:
Engelke Christina C
Lange-Asschenfeldt Christian C
Peter Stephanie S
Kahl Kai G KG
Frasch Karel K
Larsen Jens I JI
Bickel Graziella G GG
Bork Bernhard B
Jacobsen Bent A BA
Wallenstein-Jensen Signe O SO
Lauber Christoph C
Mogensen Birthe B
Nielsen Jørgen A JA
Rössler Wulf W
Tsuchiya Kenji J KJ
Toftegaard Kristian L KL
Andersen Ulla A UA
Uwakwe Richard R
Munk-Jørgensen Povl P
Cordes Joachim J
Study Outcome
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