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首页> 外文期刊>The journal of clinical psychiatry >Weight gain and antipsychotic medication.
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Weight gain and antipsychotic medication.

机译：体重增加和抗精神病药。

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Antipsychotic-treated patients, who tend to take combinations of psychotropic agents that may cause weight gain, are at special risk for the problems associated with being overweight or obese. Medical and psychiatric examinations should include periodic monitoring for weight change and an obesity assessment for weight-related medical illness. The assessment should involve evaluation of body mass index and waist circumference as well as medical history. Preventative strategies should be undertaken for patients who gain 5 lb (2.3 kg) or more within a 3-year period. A change in antipsychotics may be necessary for overweight patients who are unwilling or unable to lose weight. A treatment plan for overweight or obese patients should include periodic monitoring and recommendations for changes in diet and physical activity. Support groups and adjunct medication may also be helpful. The patient should be reminded of the benefits of even modest weight loss.
机译：抗精神病药物治疗的患者倾向于服用可能导致体重增加的精神药物组合，因此与超重或肥胖有关的问题特别危险。医学和精神科检查应包括定期监测体重变化和对与体重有关的医学疾病进行肥胖评估。评估应包括对体重指数和腰围以及病史的评估。对于在3年内体重增加5磅（2.3千克）或更多的患者，应采取预防策略。对于不愿或无法减肥的超重患者，可能需要更换抗精神病药。超重或肥胖患者的治疗计划应包括定期监测和饮食和身体活动变化的建议。支持小组和辅助药物治疗也可能会有所帮助。应该提醒患者即使适度的减肥也有好处。

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