The Life Style Associated with Body Weight and Blood Pressure of Chronically Mentally Ill Inpatients

Autor: Yu-li Lan, 藍毓莉
Rok vydání: 2006
Druh dokumentu: 學位論文 ; thesis
Popis: 94
Objective: This study investigated the prevalence of hypertension and overweight, defined as BMI≧24kg/m2, and their associated life styles in chronic mentally ill inpatients. Methods: This cross-sectional study included 1,086 inpatients in a psychiatric hospital in eastern Taiwan. Data were collected from medical records, questionnaire, and measurement of participants’ blood pressure, height and weight. Social demographic data, disease history, use of atypical anti-psychotics, diet, smoking, regular exercise, BMI and BP were analyzed. Results: 1. The hypertension and high normal blood pressure prevalence rates were 35.1% and 20% respectively. 2. The prevalence rate of overweight was 66%. 3. The variables of sex, age, race, ward category, social function, disease history, use of medication to reduce blood pressure, diet category, beverage category, smoking behavior, length of smoking history, and smoking frequency were significantly different among patients with hypertension, high normal blood pressure, and optimal blood pressure. 4. The intake of food quantity and the beverage category beyond regular food and drinks supplied by the hospital were negatively associated with Systolic Blood Pressure (SBP). The length of smoking history and BMI were positively associated with SBP. The intake of food quantity beyond the regular food supplied by the hospital was negatively associated with Diastolic Blood Pressure (DBP). The variable of BMI was positive associated with DBP. 5. The variables of races, diet category, exercise duration, and exercise intensity were significantly associated with Patients’ BMI. 6. The significant predictors of the BMI≧24kg/m2 by logistic regression were diet category, diet quantity, exercise frequency, exercise duration, and exercise intensity. 7. The smoking quantity and BMI were significant predictors of SBP when the variables of social demographic variables, disease history, and the use of medication were under control. In the same statistic analysis model, this study showed that BMI was a significant predictor of DBP. Conclusion: This study showed that the prevalence of hypertension, high normal blood pressure and overweight in chronic mentally ill inpatients were much higher than in the general population in Taiwan. The life styles of study participants were significantly associated with their BMI and blood pressure. The findings of this study suggest the necessity of further researches to identify the impacts of healthy life style on the BMI and blood pressure in chronic mentally ill inpatients.
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