Factors associated with overweight and obesity in Lebanese male patients with schizophrenia

Kassem, Maha; Haddad, Chadia; Daccache, Christelle; Hayek, Claire; Hallit, Souheil; Kazour, François

doi:10.1111/ppc.12697

Cited by 5 publications

(2 citation statements)

References 40 publications

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“…For example, Kassem et al found that in Lebanon, 59.1% of male people with schizophrenia were obese/overweight. Older age and higher negative and total positive and negative syndrome scores were significantly correlated with lower body mass index (BMI) levels [ 9 ]. Chouinard et al demonstrated that the prevalence of overweight and obesity in patients and outpatients with schizophrenia, schizoaffective disorder, and bipolar disorder in the United States were 29.4% and 33.2%, respectively, with an overall prevalence of 62.6% [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Overweight or Obesity among Chinese Han People with Schizophrenia: Demographic, Clinical and Cognitive Correlations

Huang,

Sun,

et al. 2023

Brain Sciences

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People with schizophrenia are more likely to be afflicted by obesity or overweight compared to the general population. This study aimed to explore the incidence of overweight and obesity, clinical features and cognitive performance of Chinese Han patients with chronic schizophrenia who had overweight or obesity. We obtained data from 985 schizophrenia inpatients about overweight and obesity through body mass index (BMI). All patients were evaluated with the positive and negative syndrome scale, the Mini-mental State Examination (MMSE) and the repeated battery for evaluation of the neuropsychological status (RBANS) scale. We collected demographic and clinical data using self-reported questionnaires. We divided patients into normal weight (BMI < 24 kg/m2), overweight (24 ≤ BMI < 28 kg/m2) and obese (≥28 kg/m2) groups according to the Working Group on Obesity in China (WGOC) criteria. We compared the clinical data between the three groups and then conducted binary logistic regression and linear regression to assess variables that were significantly associated with overweight and obesity and higher BMI. Of the sample, 324 (32.9%) and 191 (19.4%) patients had overweight and obesity, respectively. Patients who had overweight and obesity were younger, had less education, had higher waist and hip circumferences, higher rates of diabetes and a higher sumPANSP score (compared with patients in the normal group, p < 0.05). There were more female patients with obesity (compared with patients in the normal and overweight groups, p < 0.05). Logistic regression analysis indicated that overweight and obesity were associated with sumPANSP (OR = 1.03, 95%CI = 1–1.061, p = 0.049) and diabetes (OR = 1.891, 95%CI = 1.255–2.849, p = 0.002). Further linear regression showed that age (B = −0.004, t = −2.83, p = 0.005), educational level (B = −0.037, t = −2.261, p = 0.024), diabetes (B = 0.133, t = 2.721, p = 0.007) and sumPANSP (B = 0.008, t = 2.552, p = 0.011) were risk factors for higher BMI. We did not find cognitive performance differences between patients with or without overweight and obesity. Overweight and obesity were associated with some demographic and clinical factors in patients with persistent schizophrenia.

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Section: Introductionmentioning

confidence: 99%

Overweight or Obesity among Chinese Han People with Schizophrenia: Demographic, Clinical and Cognitive Correlations

Huang,

Sun,

et al. 2023

Brain Sciences

View full text Add to dashboard Cite

show abstract

“…In recent years, the relationship between schizophrenia and obesity has received extensive attention. Kassem et al [ 6 , 7 ] have found that the incidence of obesity among long-term hospitalized patients with schizophrenia is as high as 73.3%. Therefore, reducing obesity in schizophrenia patients is of great significance to the prognosis of patients [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Influencing factors of obesity in community patients with deficit schizophrenia: a cross-sectional study

Pan²,

Li³

et al. 2022

Eur J Med Res

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Background Obesity is very common in patients with schizophrenia. We aimed to evaluate the influencing factors of obesity in community patients with deficit schizophrenia, to provide implication for schizophrenia management in community. Methods We selected patients with deficit schizophrenia who lived in 10 communities in our city from March 1 to June 30, 2021. The characteristics of included schizophrenia patients were evaluated and analyzed. Pearson correlation analysis was conducted to evaluate the obesity and related characteristics. Logistic regression analyses were conducted to assess the risk factors of obesity in patients with schizophrenia. Results A total of 284 patients with schizophrenia were included, the incidence of obesity in patients with schizophrenia was 56.70%. gender (r = 0.619), waist circumference (r = 0.644), BMI (r = 0.891), diabetes (r = 0.698), FG (r = 0.582), triglyceride (r = 0.618), HDL-C (r = −0.644), LDL-C (r = 0.583), apolipoprotein B (r = 0.595), and PANSS score (r = 0.813) were all correlated with the obesity in patients with schizophrenia (all p < 0.05). Logistic regression analysis indicated that female (OR 2.129, 95% CI 1.615–3.022), waist circumference ≥ 90 cm (OR 3.814, 95% CI 2.778 ~ 4.312), diabetes (OR 2.856, 95% CI 1.905 ~ 3.448), FG ≥ 88 mg/dL (OR 1.551, 95% CI 1.284 ~ 2.183), triglyceride ≥ 160 mg/dL (OR 1.804, 95% CI 1.236–2.845), HDL-C ≤ 0.8 mmol/L (OR 2.032, 95% CI 1.614–3.079), LDL-C ≥ 2.0 mmol/L (OR 1.926, 95% CI 1.442–2.041) and apolipoprotein B ≥ 0.70 g/L (OR 2.119, 95% CI 1.658–2.873) were the risk factors of obesity in patients with schizophrenia (all p < 0.05). Conclusions The obesity rate of patients with deficit schizophrenia in the community is high, and there are many associated risk factors. Early intervention targeted on those risk factors are warranted to reduce the obesity in schizophrenia patients.

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The association of maternal pre-pregnancy Body Mass Index and gestational weight gain with pregnancy and neonatal outcomes

Rouhana,

Hallit,

Nicolas

2023

Ir J Med Sci

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Factors associated with overweight and obesity in Lebanese male patients with schizophrenia

Cited by 5 publications

References 40 publications

Overweight or Obesity among Chinese Han People with Schizophrenia: Demographic, Clinical and Cognitive Correlations

Overweight or Obesity among Chinese Han People with Schizophrenia: Demographic, Clinical and Cognitive Correlations

Influencing factors of obesity in community patients with deficit schizophrenia: a cross-sectional study

The association of maternal pre-pregnancy Body Mass Index and gestational weight gain with pregnancy and neonatal outcomes

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