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Diet, smoking and cardiovascular risk in people with schizophrenia: Descriptive study

  • R. G. McCreadie (a1) and Scottish Schizophrenia Lifestyle Group
Abstract
Background

Physical health of people with schizophrenia is poor and they die early from cardiovascular disease.

Aims

To describe the lifestyle of people with schizophrenia through diet, smoking habits, weight and exercise, and to report risk of coronary heart disease (CHD).

Method

Dietary habits of 102 community-dwelling people with schizophrenia were assessed by the Scottish Health Survey Questionnaire. Also assessed were smoking habits, physical activity biochemical indices of nutrition and future risk of CHD.

Results

Fewer males, compared with the general population, reached acceptable levels for consumption of fruit, vegetables, milk, potatoes and pulses. Fewer females reached the levels for consumption of milk and potatoes. Mean number of fruit and vegetable portions consumed per week was 16 (s.d.=14); 71 (70%) were smokers; 25 (86%) females and 50 (70%) males were overweight or obese; 59 (59%) considered themselves physically active; 46 (53%) had a raised cholesterol: high-density lipoprotein ratio, and 64 (74%) a low α-tocopherol: cholesterol ratio. Mean 10-year risk of CHD in males was 10.5% (s.d.=8) and in females 7% (s.d.=6).

Conclusions

The lifestyle of people with schizophrenia must give cause for concern in relation to CHD Care from secondary care services must address physical as well as mental health.

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References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM – IV). Washington, DC: APA.
Billson, H., Pryer, J. A. & Nichols, R. (1999) Variation in fruit and vegetable consumption among adults in Britain. Analysis from the dietary and nutritional survey of British adults. European Journal of Clinical Nutrition, 53, 946952.
Brown, S., Birtwistle, J., Roe, L., et al (1999) The unhealthy lifestyle of people with schizophrenia. Psychological Medicine, 29, 697701.
Burtis, C. A. & Ashwood, E. R. (1999) Tietz Textbook of Clinical Chemistry (3rd edn). Philadelphia, PA: Saunders.
Calle, E. E., Thun, M. J., Petrelli, J. M., et al (1999) Body mass index and mortality in a prospective cohort of US adults. New England Journal of Medicine, 341, 10971105.
Dixon, L., Weiden, P., Delahunty, J., et al (2000) Prevalence and correlates of diabetesin natural schizophrenia samples. Schizophrenia Bulletin, 26, 903912.
Gillman, M. W. (1996) Enjoy your fruits and vegetables. BMJ, 313, 765766.
Heimendinger, J. & Van Duyn, M. A. S. (1995) Dietary behaviour change: the challenge of recasting the role of fruit and vegetables in the American diet. American Journal of Clinical Nutrition, 61, 1397S1401S.
Hense, H. W., Stender, M., Bors, W., et al (1993) Lack of an association between serum vitamin E and myocardial infarction in a population with high vitamin E levels. Atherosclerosis, 103, 2128.
Hingorami, A. D. & Vallance, P. (1999) A simple computer programme for guiding management of cardiovascular risk factors and prescribing. BMJ, 318, 101105.
John, J. H., Ziebland, S., Yudkin, P., et al (2002) Effects of fruit and vegetable consumption on plasma antioxidant concentrations of blood pressure: a randomised controlled trial. Lancet, 359, 1969–1674.
Kay, S. R., Fiszbein, A. & Opler, L. A. (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261276.
Kelly, C. & McCreadie, R. G. (1999) Smoking habits, current symptoms and premorbid characteristics of Nithsdale schizophrenic patients. American Journal of Psychiatry, 156, 17511757.
Lavin, M. R., Siris, S. G. & Mason, S. E. (1996) What is the clinical importance of cigarette smoking in schizophrenia? American Journal of Addiction, 5, 189208.
Lowther, M. P., Mutrie, N., Loughlan, C., et al (1999) Development of a Scottish physical activity questionnaire: a tool for use in physical activity interventions. British Journal of Sports Medicine, 33, 244249.
Lowther, M. P., Mutrie, N. & Scott, E. M. (2002) Promoting physical activity in a socially and economically deprived community: a 12 month randomised controlled trial of fitness assessment and exercise consultation. Sport Science, 20, 577588.
Manson, J. E., Colditz, G. A., Stampfer, M. J., et al (1990) A prospective study of obesity and risk of coronary heart disease in women. New England Journal of Medicine, 323, 882889.
McCreadie, R. G., Macdonald, E., Blacklock, C., et al (1998) Dietary intake of schizophrenic patients in Nithsdale, Scotland: case–controlstudy. BMJ, 317, 784785.
Meyer, J. M. (2001) Novel antipsychotics and severe hyperlipidemia. Journal of Clinical Psychopharmacology, 21, 369374.
Mortensen, P. B. & Juel, K. (1993) Mortality and causes of death in first admitted schizophrenic patients. British Journal of Psychiatry, 163, 183189.
NHS Executive (1999) Health Service Circular 1999/107. London: NHSE.
Newcomer, J. W., Haupt, D. W., Fucetola, R., et al (2002) Abnormalities in glucose regulation during antipsychotic treatment of schizophrenia. Archives of General Psychiatry, 59, 337345.
Osler, M., Tjonneland, A., Suntum, M., et al (2002) Does the association between smoking status and selected healthy foods depend on gender? A population-based study of 54417 middle-aged Danes. European Journal of Clinical Nutrition, 56, 5763.
Panel on Dietary Reference Values of the Committee on Medical Aspects of Food Policy (1991) Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Department of Health Report on Health and Social Subjects. London: HMSO.
Phelan, M., Stradins, L. & Morrison, S. (2001) Physical health of people with severe mental illness. BMJ, 322, 443444.
Scottish Executive Health Department (1998) The Scottish Health Survey, vols I and II. Edinburgh: Scottish Executive Health Department.
Scottish Office Department of Health (1996) Eating for Health: a Diet Action Plan for Scotland. Edinburgh: Scottish Office Department of Health.
Scottish Office Department of Health (1999) Towards a Healthier Scotland. White Paper on Health. Edinburgh: Stationery Office.
Smith, R. (1985) ‘Gissa job’. The experience of unemployment. BMJ, 291, 12631266.
Waldron, G., Chalmers, J., Bone, A., et al (1995) Health and Lifestyles in Dumfries and Galloway in 1995. Dumfries: Dumfries and Galloway. Health Board.
Wood, D., Durrington, P., Poulter, N., et al (1998) Joint British recommendations on prevention of coronary heart disease in clinical practice. Heart, 80 (suppl. 2), S1S29.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
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Diet, smoking and cardiovascular risk in people with schizophrenia: Descriptive study

  • R. G. McCreadie (a1) and Scottish Schizophrenia Lifestyle Group
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