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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 article

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.

  • Engelke C Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße 2, 40629, Düsseldorf, Germany.
  • Lange-Asschenfeldt C Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße 2, 40629, Düsseldorf, Germany. Electronic address: christian.lange-asschenfeldt@lvr.de.
  • Peter S Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße 2, 40629, Düsseldorf, Germany. Electronic address: Stephanie-C-M.Peter@t-online.de.
  • Kahl KG Hospital for Psychiatry, Social Psychiatry and Psychotherapy, Centre for Mental Health, Medical University Hannover (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Germany. Electronic address: Kahl.Kai@mh-hannover.de.
  • Frasch K District Hospital Donauwörth, Clinic for Psychiatry, Psychotherapy and Psychosomatics in the Donau-Ries Hospital, Neudegger Allee 6, 86609, Donauwörth, Germany. Electronic address: karel.frasch@bkh-donauwoerth.de.
  • Larsen JI Aalborg Psychiatric Hospital, Aalborg University Hospital, Aalborg, Denmark. Electronic address: jil@dcm.aau.dk.
  • Bickel GG Cantonal Hospital, Marsens/Fribourg, Switzerland. Electronic address: G.Giacometti@theBickels.com.
  • Bork B Psychiatric Hospital, Augustenborg/Tønder, Denmark. Electronic address: Bernhard.bork@rsyd.dk.
  • Jacobsen BA Aalborg Hospital, Aalborg University Hospital, Aalborg, Denmark. Electronic address: beaj@rn.dk.
  • Wallenstein-Jensen SO Laboratory of Cellular Protein Science, Department of Molecular and Structural Biology, Aarhus University, Gustav Wieds vej 10C, DK-8000, Aarhus C, Denmark. Electronic address: siowj@rn.dk.
  • Lauber C Services psychiatriques, Jura bernois - Bienne-Seeland, Switzerland. Electronic address: ch.lauber@zfpp.ch.
  • Mogensen B Psychiatric Hospital Slagelse, Slagelse, Denmark. Electronic address: bmmo@regionsjaelland.dk.
  • Nielsen JA Aarhus University Hospital, Risskov, Denmark.
  • Rössler W Psychiatric University Hospital, Zurich, Switzerland. Electronic address: wulf.roessler@uzh.ch.
  • Tsuchiya KJ Research Center for Child Mental Development, Hamamatsu School of Medicine, Hamamatsu, Japan. Electronic address: tsuchiya@hama-med.ac.jp.
  • Toftegaard KL Department of Organic Psychiatric Disorder and Emergency Ward, Aarhus University Hospital, Risskov, Denmark. Electronic address: kristian.toftegaard@gmail.com.
  • Andersen UA Odense University Hospital, Odense, Denmark. Electronic address: Ulla.Agerskov.Andersen@rsyd.dk.
  • Uwakwe R Faculty of Medicine, Nnamdi Azikiwe University, Nnewi, Nigeria. Electronic address: Ruwakwe2001@yahoo.com.
  • Munk-Jørgensen P Psychiatric Department, Odense University Hospital, Odense, Denmark and Southern University Denmark, Odense, Denmark. Electronic address: d115975@dadlnet.dk.
  • Cordes J Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Bergische Landstraße 2, 40629, Düsseldorf, Germany. Electronic address: joachim.cordes@lvr.de.
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  • 2018-01-15
Published in:
  • European psychiatry : the journal of the Association of European Psychiatrists. - 2018
Diagnosis
Psychopharmacology
Public mental health
Social and cross-cultural psychiatry
Weight gain
Adolescent
Adult
Aged
Aged, 80 and over
Body Mass Index
Child
Denmark
Europe
Female
Germany
Hospitalization
Humans
Inpatients
Japan
Male
Mental Disorders
Mentally Ill Persons
Middle Aged
Nigeria
Switzerland
Weight Gain
Young Adult
English 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.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/47565
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