Double burden of malnutrition amongst patients with first-episode schizophrenia in a psychiatric hospital: A 1-year follow-up study
South African Journal of Psychiatry
| Field | Value | |
| Title | Double burden of malnutrition amongst patients with first-episode schizophrenia in a psychiatric hospital: A 1-year follow-up study | |
| Creator | Onu, Justus U. Osuji, Portia N. | |
| Description | Background: Despite the burgeoning data on the double burden of malnutrition (DBM) in sub-Saharan Africa, longitudinal studies to examine malnutrition amongst first-episode schizophrenia are uncommon in the modern literature.Aim: To determine the extent of nutritional variations amongst persons with schizophrenia at intervals of 1-year treatment follow-up.Setting: This study was conducted at the Federal Neuropsychiatric Hospital, Enugu, Nigeria.Methods: Consecutive incident cases that fulfilled the criteria for schizophrenia were recruited into the study. After a baseline assessment, 206 incident cases of schizophrenia were followed up at 4th, 8th, 12th weeks, 6 months and 1 year for indicators of nutritional outcome. The body mass index (BMI) was used to measure the nutritional status amongst the study participants. Changes in the BMI across intervals of follow-up were examined using repeated measures analysis of variance, whereas the socio-demographic and clinical variables were evaluated as predictors of outcome using multiple regression analysis.Results: After 1 year of treatment with antipsychotics, the prevalence of underweight decreased from 19.9% (95% CI, 19.8% – 20.0%) at baseline to 16.0% (95% CI, 15.9% – 16.1%) at 1 year, but the prevalence of overweight/obesity increased from 29.1% (95% CI, 29.0% – 29.2%) at baseline to 43.2% (95% CI, 43.0% – 43.3%) at 1 year of follow-up. The predictors of BMI at 1 year were antipsychotic medication (32.7% variance), duration of vagrancy (24.0%) and age at onset (20.0%).Conclusion: The finding of coexistence of undernutrition and overnutrition across the intervals of treatment follow-up underscores the need for comprehensive interventions to address both extremes of malnutrition amongst patients with schizophrenia. | |
| Publisher | AOSIS | |
| Date | 2020-11-10 | |
| Identifier | 10.4102/sajpsychiatry.v26i0.1564 | |
| Source | South African Journal of Psychiatry; Vol 26 (2020); 6 pages 2078-6786 1608-9685 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/1564/1846
https://sajp.org.za/index.php/sajp/article/view/1564/1845
https://sajp.org.za/index.php/sajp/article/view/1564/1847
https://sajp.org.za/index.php/sajp/article/view/1564/1844
|
|
ADVERTISEMENT
