TY - JOUR
KW - Comorbidity
KW - Diabetes Mellitus, Type 2/epidemiology/prevention & control
KW - Health Promotion/methods
KW - Humans
KW - Life Style
KW - Mental Disorders/epidemiology/therapy
KW - Metabolic Syndrome X/epidemiology/prevention & control
KW - Primary Health Care/methods
KW - Risk Factors
KW - Weight Gain
AU - M. Gibson
AU - P. J. Carek
AU - B. Sullivan
A1 - 
AB - In patients with mental illness the increased risk from cardiovascular disease appears to be related to the increased incidence of obesity, hypertension, and diabetes mellitus. Barriers to the medical care in this patient population include diminished adherence to treatment and preventative recommendations, lack of willingness to engage in self-care activities, decreased access to affordable medical care, underestimation of risk by physicians, and adverse effects of commonly prescribed psychiatric medications. When managing patients with mental illness it is necessary to estimate the patient's metabolic and cardiovascular risk, monitor BMI, waist circumference, fasting glucose, and lipid profile regularly, evaluate psychiatric medications metabolic risk, and choose less "metabolically threatening" drugs. The promotion of healthy lifestyle choices among persons with serious mental illness is essential not only as part of their recovery, but as an integral part of preventing metabolic changes and weight gain linked to their illness and medication side effects. In patients with mental illness and co-morbid diabetes, metabolic syndrome, and obesity, psychiatrist and primary care clinicians should collaborate to establish a plan for healthy lifestyle habits (diet and activity regimen), encourage weight loss, and follow-up regularly using multispecialty teams to improve management.
BT - International journal of psychiatry in medicine
C5 - General Literature
CP - 2
CY - United States
IS - 2
JF - International journal of psychiatry in medicine
N2 - In patients with mental illness the increased risk from cardiovascular disease appears to be related to the increased incidence of obesity, hypertension, and diabetes mellitus. Barriers to the medical care in this patient population include diminished adherence to treatment and preventative recommendations, lack of willingness to engage in self-care activities, decreased access to affordable medical care, underestimation of risk by physicians, and adverse effects of commonly prescribed psychiatric medications. When managing patients with mental illness it is necessary to estimate the patient's metabolic and cardiovascular risk, monitor BMI, waist circumference, fasting glucose, and lipid profile regularly, evaluate psychiatric medications metabolic risk, and choose less "metabolically threatening" drugs. The promotion of healthy lifestyle choices among persons with serious mental illness is essential not only as part of their recovery, but as an integral part of preventing metabolic changes and weight gain linked to their illness and medication side effects. In patients with mental illness and co-morbid diabetes, metabolic syndrome, and obesity, psychiatrist and primary care clinicians should collaborate to establish a plan for healthy lifestyle habits (diet and activity regimen), encourage weight loss, and follow-up regularly using multispecialty teams to improve management.
PP - United States
PY - 2011
SN - 0091-2174; 0091-2174
SP - 127
EP - 142
EP - 
T1 - Treatment of co-morbid mental illness in primary care: how to minimize weight gain, diabetes, and metabolic syndrome
T2 - International journal of psychiatry in medicine
TI - Treatment of co-morbid mental illness in primary care: how to minimize weight gain, diabetes, and metabolic syndrome
U1 - General Literature
U2 - 21675345
VL - 41
VO - 0091-2174; 0091-2174
Y1 - 2011
ER -