Prevalence of underweight in patients with schizophrenia: A meta-analysis
Although the relationship between body mass index and all-cause mortality is U-shaped, underweight has received comparatively less attention than obesity. There is only limited evidence to date regarding underweight among patients with schizophrenia. This is the first meta-analysis to address the pr...
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| Published in | Schizophrenia research Vol. 195; pp. 67 - 73 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.05.2018
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| Online Access | Get full text |
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| Abstract | Although the relationship between body mass index and all-cause mortality is U-shaped, underweight has received comparatively less attention than obesity. There is only limited evidence to date regarding underweight among patients with schizophrenia. This is the first meta-analysis to address the prevalence of underweight in these patients.
We conducted database searches (PubMed, PsycINFO) to identify studies examining underweight in patients with schizophrenia. In total, 17 studies (18 groups) with 45,474 patients were included; data were extracted independently by two authors. A meta-analysis was performed to calculate the pooled prevalence of underweight in patients.
The pooled prevalence of underweight was 6.2% (95% CI=4.5–8.6) for the 18 groups, which included 45,474 patients with schizophrenia. The heterogeneity was I2=98.9% (95% Cl=98.7–99.1%). Four studies with 4 groups, consisting of 30,014 individuals, focused on Japanese inpatients with schizophrenia. The pooled prevalence of underweight among inpatients in these 4 groups was 17.6% (95% CI=15.5–20.0). Fourteen studies were conducted with non-Japanese inpatients and included 14 groups of 15,460 patients with schizophrenia. The pooled prevalence of underweight in non-Japanese inpatients was 4.6% (95% CI=3.9–5.4). The proportion of underweight in the 18 groups significantly varied between Japanese inpatients and other patients.
The results indicated that Japanese inpatients with schizophrenia have a high proportion of underweight. Future research should focus on evaluating interventions that target underweight. |
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| AbstractList | Although the relationship between body mass index and all-cause mortality is U-shaped, underweight has received comparatively less attention than obesity. There is only limited evidence to date regarding underweight among patients with schizophrenia. This is the first meta-analysis to address the prevalence of underweight in these patients.
We conducted database searches (PubMed, PsycINFO) to identify studies examining underweight in patients with schizophrenia. In total, 17 studies (18 groups) with 45,474 patients were included; data were extracted independently by two authors. A meta-analysis was performed to calculate the pooled prevalence of underweight in patients.
The pooled prevalence of underweight was 6.2% (95% CI=4.5-8.6) for the 18 groups, which included 45,474 patients with schizophrenia. The heterogeneity was I
=98.9% (95% Cl=98.7-99.1%). Four studies with 4 groups, consisting of 30,014 individuals, focused on Japanese inpatients with schizophrenia. The pooled prevalence of underweight among inpatients in these 4 groups was 17.6% (95% CI=15.5-20.0). Fourteen studies were conducted with non-Japanese inpatients and included 14 groups of 15,460 patients with schizophrenia. The pooled prevalence of underweight in non-Japanese inpatients was 4.6% (95% CI=3.9-5.4). The proportion of underweight in the 18 groups significantly varied between Japanese inpatients and other patients.
The results indicated that Japanese inpatients with schizophrenia have a high proportion of underweight. Future research should focus on evaluating interventions that target underweight. Although the relationship between body mass index and all-cause mortality is U-shaped, underweight has received comparatively less attention than obesity. There is only limited evidence to date regarding underweight among patients with schizophrenia. This is the first meta-analysis to address the prevalence of underweight in these patients. We conducted database searches (PubMed, PsycINFO) to identify studies examining underweight in patients with schizophrenia. In total, 17 studies (18 groups) with 45,474 patients were included; data were extracted independently by two authors. A meta-analysis was performed to calculate the pooled prevalence of underweight in patients. The pooled prevalence of underweight was 6.2% (95% CI=4.5–8.6) for the 18 groups, which included 45,474 patients with schizophrenia. The heterogeneity was I2=98.9% (95% Cl=98.7–99.1%). Four studies with 4 groups, consisting of 30,014 individuals, focused on Japanese inpatients with schizophrenia. The pooled prevalence of underweight among inpatients in these 4 groups was 17.6% (95% CI=15.5–20.0). Fourteen studies were conducted with non-Japanese inpatients and included 14 groups of 15,460 patients with schizophrenia. The pooled prevalence of underweight in non-Japanese inpatients was 4.6% (95% CI=3.9–5.4). The proportion of underweight in the 18 groups significantly varied between Japanese inpatients and other patients. The results indicated that Japanese inpatients with schizophrenia have a high proportion of underweight. Future research should focus on evaluating interventions that target underweight. AIMSAlthough the relationship between body mass index and all-cause mortality is U-shaped, underweight has received comparatively less attention than obesity. There is only limited evidence to date regarding underweight among patients with schizophrenia. This is the first meta-analysis to address the prevalence of underweight in these patients.METHODSWe conducted database searches (PubMed, PsycINFO) to identify studies examining underweight in patients with schizophrenia. In total, 17 studies (18 groups) with 45,474 patients were included; data were extracted independently by two authors. A meta-analysis was performed to calculate the pooled prevalence of underweight in patients.RESULTSThe pooled prevalence of underweight was 6.2% (95% CI=4.5-8.6) for the 18 groups, which included 45,474 patients with schizophrenia. The heterogeneity was I2=98.9% (95% Cl=98.7-99.1%). Four studies with 4 groups, consisting of 30,014 individuals, focused on Japanese inpatients with schizophrenia. The pooled prevalence of underweight among inpatients in these 4 groups was 17.6% (95% CI=15.5-20.0). Fourteen studies were conducted with non-Japanese inpatients and included 14 groups of 15,460 patients with schizophrenia. The pooled prevalence of underweight in non-Japanese inpatients was 4.6% (95% CI=3.9-5.4). The proportion of underweight in the 18 groups significantly varied between Japanese inpatients and other patients.CONCLUSIONSThe results indicated that Japanese inpatients with schizophrenia have a high proportion of underweight. Future research should focus on evaluating interventions that target underweight. |
| Author | Maruo, Kazushi Yasui-Furukori, Norio Sugai, Takuro Ozeki, Yuji Someya, Toshiyuki Suzuki, Yutaro Sugawara, Norio Shimoda, Kazutaka |
| Author_xml | – sequence: 1 givenname: Norio surname: Sugawara fullname: Sugawara, Norio email: nsuga3@yahoo.co.jp, nsuga@ncnp.go.jp organization: Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira, Japan – sequence: 2 givenname: Kazushi orcidid: 0000-0002-3093-0386 surname: Maruo fullname: Maruo, Kazushi organization: Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira, Japan – sequence: 3 givenname: Takuro surname: Sugai fullname: Sugai, Takuro organization: Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan – sequence: 4 givenname: Yutaro surname: Suzuki fullname: Suzuki, Yutaro organization: Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan – sequence: 5 givenname: Yuji surname: Ozeki fullname: Ozeki, Yuji organization: Department of Psychiatry, Dokkyo Medical University School of Medicine, Mibu, Japan – sequence: 6 givenname: Kazutaka surname: Shimoda fullname: Shimoda, Kazutaka organization: Department of Psychiatry, Dokkyo Medical University School of Medicine, Mibu, Japan – sequence: 7 givenname: Toshiyuki surname: Someya fullname: Someya, Toshiyuki organization: Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan – sequence: 8 givenname: Norio surname: Yasui-Furukori fullname: Yasui-Furukori, Norio organization: Department of Neuropsychiatry, Hirosaki University School of Medicine, Hirosaki, Japan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29054486$$D View this record in MEDLINE/PubMed |
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