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Obesity in individuals with schizophrenia: a case controlled study in Scotland

Published online by Cambridge University Press:  02 January 2018

Isobel M. Cameron ,
Ross J. Hamilton ,
Gordon Fernie  and
Stephen A. MacGillivray
Isobel M. Cameron
Affiliation:
University of Aberdeen, Aberdeen, UK
Ross J. Hamilton
Affiliation:
NHS Grampian, UK
Gordon Fernie
Affiliation:
University of Aberdeen, Aberdeen, UK
Stephen A. MacGillivray*
Affiliation:
University of Dundee, Dundee, UK
*
Dr Steve MacGillivray, Senior Lecturer in Evidence Synthesis, Group Lead Evidence Synthesis Training and Research Group (STAR Group), School of Nursing and Health Sciences, Dundee Centre for Health and Related Research, University of Dundee, Dundee DD1 4HN, UK. Email: s.a.macgillivray@dundee.ac.uk
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Abstract

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Background

Despite extensive clinical concern about rates of obesity in patients with schizophrenia, there is little evidence of the extent of this problem at a population level.

Aims

To estimate levels of obesity in a national population sample by comparing patients with schizophrenia with matched controls.

Method

We calculated levels of obesity for each patient with schizophrenia from the national Primary Care Clinical Informatics Unit database (n=4658) matched with age, gender and neighbourhood controls.

Results

We demonstrated a significant increased obesity hazard for the schizophrenia group using Cox regression analysis, with odds ratio (OR) of 1.94 (95% CI 1.81–2.10) (under the assumption of missing body mass index (BMI) indicating non-obesity) and OR=1.68 (95% CI 1.55–1.81) where no assumptions were made for missing BMI data.

Conclusions

People with schizophrenia are at increased risk of being obese compared with controls matched by age, gender and practice attended. Priority should be given to research which aims to reduce weight and increase activity in those with schizophrenia.

Type
Short report
Information
BJPsych Open , Volume 3 , Issue 5 , September 2017 , pp. 254 - 256
Copyright
Copyright © The Royal College of Psychiatrists 2017

Footnotes

Declaration of interest

None.

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