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Is Obesity in Young People With Psychosis a Foregone Conclusion_Markedly Excessive Energy Intake Is Evident Soon After Antipsychotic Initiation172.57 kB
Published VersionCC BY V4.0, Open Access
Journal article
Is Obesity in Young People With Psychosis a Foregone Conclusion? Markedly Excessive Energy Intake Is Evident Soon After Antipsychotic Initiation
Frontiers in Psychiatry, Vol.9, pp.1-8
2018
PMID: 30618891
Abstract
Introduction: Antipsychotic medication (APM) initiation is associated with rapid and substantial weight-gain and high rates of obesity. Obesity leads to premature onset of cardiometabolic diseases and contributes to the 15–20 year shortfall in life expectancy in those experiencing severe mental illness. Dietary energy intake excess is critical to weight management but is yet to be quantified in youth with first episode psychosis (FEP) receiving APM. This study aimed to describe the degree of energy overconsumption and the food sources contributing to this in youth with FEP. Materials and Methods: People aged 15–30 years with FEP receiving APM completed diet histories through qualified dietitians to assess energy imbalance and food sources. Outcome measures were: (i) energy balance; and (ii) intake of core and discretionary foods. Results: Participants ( n = 93) were aged 15–29 years (mean = 21.4 ± 2.9 years) and exposed to APMs for a median for 8 months (Interquartile Range (IQR) 11 months). Energy balance was exceeded by 26%, by a median 1,837 kJ per day (IQR 5,365 kJ). APM polypharmacy and olanzapine were linked to larger excesses in dietary energy intake. The greatest contributors to energy intake were refined grain foods (33%) and discretionary foods (31%). Conclusion: Young people with FEP receiving APMs appear to have markedly excessive energy consumption, likely contributing to rapid weight-gain, and thereby seeding future poor physical health. Larger, prospective studies are needed to gain a greater understanding of dietary intake, and its effects on health, in people with FEP.
Details
- Title
- Is Obesity in Young People With Psychosis a Foregone Conclusion? Markedly Excessive Energy Intake Is Evident Soon After Antipsychotic Initiation
- Authors
- Scott B Teasdale (Author) - UNSW AustraliaPhilip B Ward (Author) - UNSW AustraliaRebecca Jarman (Author) - South Eastern Sydney Local Health DistrictTammy Wade (Author) - South Eastern Sydney Local Health DistrictElisa Rossimel (Author) - South Eastern Sydney Local Health DistrictJackie Curtis (Author) - UNSW AustraliaJulia Lappin (Author) - UNSW AustraliaAndrew Watkins (Author) - University of Technology SydneyKatherine Samaras (Author) - UNSW Australia
- Publication details
- Frontiers in Psychiatry, Vol.9, pp.1-8
- Publisher
- Frontiers Media S.A
- Date published
- 2018
- DOI
- 10.3389/fpsyt.2018.00725
- ISSN
- 1664-0640
- PMID
- 30618891
- Copyright note
- Copyright © 2018 Teasdale, Ward, Jarman, Wade, Rossimel, Curtis, Lappin, Watkins and Samaras. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
- Organisation Unit
- University of the Sunshine Coast, Queensland; Thompson Institute
- Language
- English
- Record Identifier
- 99472504502621
- Output Type
- Journal article
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- Psychiatry
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