Reducing the Risk of Cardiovascular Diseases in Non-selected Outpatients With Schizophrenia: A 30-Month Program Conducted in a Real-life Setting

Peter Hjorth*, Anette Juel, Mette Vinther Hansen, Nikolaj Juul Madsen, Anne Grethe Viuff, Povl Munk-Jørgensen

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstrakt

Background: The most common cause of premature death in people with schizophrenia is cardiovascular disease, partially explained by an unhealthy lifestyle, smoking, poor diet and sedentary behavior. We aimed to reduce cardiovascular risk factors. Method: Naturalistic follow-up study with 54 long-term-treated non-selected outpatients with schizophrenia. The 30-month program consisted of individual guidance, group sessions and normal treatment and care offered in our clinic. Results: On average, the participating women reduced their waist circumference by 11.4. cm (P = 0.037), whereas the participating men increased their waist circumference by 3.3. cm (P = 0.590). Patients' consumption of fast food was reduced from 1.2 to 0.8 times/week (P = 0.016), just as their consumption of soft drinks was reduced from 0.7 to 0.1. l/day (P = 0.006). Their consumption of coffee increased from 1.6 to 2.5 cups/day (P = 0.086). The time women spent on light physical activity increased from 134 to 469. min/week (P = 0.055). The number of daily cigarettes smoked was reduced by 25.7% for all smokers. Conclusions: Our program showed that it is possible for women but not for men to reduce their risk factors for developing cardiovascular disease. The program is manageable in most outpatient clinics and can be performed by nursing staff interested in physical health with support from and in cooperation with medical doctors, psychiatrist and leaders/managers.

OriginalsprogEngelsk
TidsskriftArchives of Psychiatric Nursing
Vol/bind31
Udgave nummer6
Sider (fra-til)602-609
ISSN0883-9417
DOI
StatusUdgivet - 2017

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