Management of Weight Gain in Patients With Schizophrenia
Ralph Aquila, MD
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Of the roughly 55% of the United States population that is considered overweight, half meet the criteria
for obesity. Obesity is associated with serious health risks, but many clinicians graduate from medical school
without a clear understanding of the effects of the foods that they and their patients consume. Obesity is
more prevalent in people with mental illnesses, which poses an even greater challenge to clinicians. Antipsychotic
treatment can cause weight gain, and mentally ill patients generally lack an understanding of nutrition
as well as the ability to afford healthier foods. Therefore, clinicians must educate themselves about appropriate
measures for preventing weight gain before or immediately after initiating antipsychotic therapy. Strategies
for weight gain management that have proven effective in clinical trials include regular check-ups, lifestyle
and medication counseling, medication assessments, behavioral control programs, and pharmacologic
intervention. These approaches are necessary for clinicians to consider if efforts at reintegration of mentally
ill patients are to succeed.
J Clin Psychiatry 2002;63(suppl 4):33-36
© Copyright 2002 Physicians Postgraduate Press, Inc.
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