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Community Mental Health Journal
Published in: Community Mental Health Journal 1/2014

01-01-2014 | Brief Report

Reliability and Practicality of Measuring Waist Circumference to Monitor Cardiovascular Risk Among Community Mental Health Center Patients

Authors: Jessica Barber, Laura Palmese, Lydia A. Chwastiak, Joseph C. Ratliff, Erin L. Reutenauer, Michel Jean-Baptiste, Cenk Tek

Published in: Community Mental Health Journal | Issue 1/2014

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Abstract

The aim of this study was to evaluate the clinical utility of measuring waist circumference (WC) in obese individuals with severe psychiatric disabilities. Reliability of the measure and researchers’ comfort were assessed. Thirty outpatients with a diagnosis of schizophrenia or schizoaffective disorder were recruited from an urban community mental health center and WC was measured using two methods by three different raters. Inter- and intra-rater reliability was calculated. Raters reported on their comfort with obtaining WC. There was good inter-rater reliability and an acceptable rate of error independent of measurement location. Overall, raters were not comfortable with the WC measurement process for multiple reasons and reported difficulty with the measurement process. Our findings suggest that non-medical staff can reliably and validly measure WC within a typical outpatient mental health treatment setting, but discomfort with the procedure and difficulty with the measurement process may interfere with this practice as part of usual care.
Literature
Allison, D. B., Fontaine, K. R., Heo, M., Mentore, J. L., Cappelleri, J. C., Chandler, L. P., et al. (1999). The distribution of body mass index among individuals with and without schizophrenia. The Journal of Clinical Psychiatry, 60(4), 215–220.PubMedCrossRef
Allison, D. B., Mackall, J. A., & McDonnell, D. D. (2003). The impact of weight gain on quality of life among persons with schizophrenia. Psychiatric Services (Washington, D.C.), 54(4), 565–567.CrossRef
Consensus development conference on antipsychotic drugs and obesity and diabetes. (2004). The Journal of Clinical Psychiatry, 65(2), 267–272.
De Hert, M., Correll, C. U., Bobes, J., Cetkovich-Bakmas, M., Cohen, D., Asai, I., et al. (2011). Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry, 10(1), 52–77.
de Vegt, F., Dekker, J. M., Jager, A., Hienkens, E., Kostense, P. J., Stehouwer, C. D., et al. (2001). Relation of impaired fasting and postload glucose with incident type 2 diabetes in a Dutch population: The Hoorn Study. JAMA: The Journal of the American Medical Association, 285(16), 2109–2113.CrossRef
Druss, B. G. (2007). Improving medical care for persons with serious mental illness: Challenges and solutions. Journal of Clinical Psychiatry, 68, S40–S44.CrossRef
Druss, B. G., & Bornemann, T. H. (2010). Improving Health and Health Care for Persons With Serious Mental Illness. JAMA: The Journal of the American Medical Association, 303(19), 1972–1973. doi:10.​1001/​jama.​2010.​615.CrossRef
Dunkley, A. J., Stone, M. A., Patel, N., Davies, M. J., & Khunti, K. (2009). Waist circumference measurement: Knowledge, attitudes and barriers in patients and practitioners in a multi-ethnic population. Family Practice, 26(5), 365–371. doi:10.​1093/​fampra/​cmp048.PubMedCrossRef
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2007). Structured clinical interveiw for DSM-IV-TR axis I disorders, patient edition. (SCID-I/P). New York, NY: Biometrics Research, New York State Psychiatric Institute.
Geeta, A., Jamaiyah, H., Safiza, M. N., Khor, G. L., Kee, C. C., Ahmad, A. Z., et al. (2009). Reliability, technical error of measurements and validity of instruments for nutritional status assessment of adults in Malaysia. Singapore Medical Journal, 50(10), 1013–1018.PubMed
Goff, D. C., Cather, C., Evins, A. E., Henderson, D. C., Freudenreich, O., Copeland, P. M., et al. (2005). Medical morbidity and mortality in schizophrenia: Guidelines for psychiatrists. The Journal of Clinical Psychiatry, 66(2), 183–194; quiz 147, 273–274.
Gordon, C. C., & Bradtmiller, B. (1992). Interobserver error in a large scale anthropometric survey. American Journal of Human Biology, 4, 253–263.CrossRef
Jin, H., Meyer, J., Mudaliar, S., Henry, R., Khandrika, S., Glorioso, D. K., et al. (2010). Use of clinical markers to identify metabolic syndrome in antipsychotic-treated patients. The Journal of Clinical Psychiatry, 71(10), 1273–1278. doi:10.​4088/​JCP.​09m05414yel.PubMedCrossRef
Kiernan, M., & Winkleby, M. A. (2000). Identifying patients for weight-loss treatment: An empirical evaluation of the NHLBI obesity education initiative expert panel treatment recommendations. Archives of Internal Medicine, 160(14), 2169–2176.PubMedCrossRef
Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., et al. (2007). Waist circumference and cardiometabolic risk: A consensus statement from shaping America’s health: Association for Weight Management and Obesity Prevention; NAASO, the Obesity Society; the American Society for Nutrition; and the American Diabetes Association. Obesity, 15(5), 1061–1067. doi:10.​1038/​oby.​2007.​632.PubMedCrossRef
Lambert, T., Velakoulis, D., & Pantelis, C. (2003). Medical comorbidity in schizophrenia. The Medical Journal of Australia, 178, S67–S70.PubMed
Nádas, J., Putz, Z., Kolev, G., Nagy, S., & Jermendy, G. (2008). Intraobserver and interobserver variability of measuring waist circumference. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 14(1), CR15–CR18.
National Association of State Mental Health Program Directors (NASMHPD). (2006). Morbidity and mortality in people with serious mental illness (technical report no. 13). Alexandria, VA.
National Association of State Mental Health Program Directors (NASMHPD) Medical Directors Council, J. (2005). Integrating behavioral health and primary care services: Opportunities and challenges for state mental health authorities (technical report). Alexandria, VA.
National Institutes of Health; National Heart, Lung, and Blood Institute; North American Association for the Study of Obesity. (2000). The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults (no. publication 00-4084). Rockville, MD: National Institutes of Health NIH.
Nordhamn, K., Södergren, E., Olsson, E., Karlström, B., Vessby, B., & Berglund, L. (2000). Reliability of anthropometric measurements in overweight and lean subjects: Consequences for correlations between anthropometric and other variables. International Journal of Obesity and Related Metabolic Disorders: Journal of the International Association for the Study of Obesity, 24(5), 652–657.CrossRef
Norton, K., & Olds, T. (2000). Antropometrica. Argentina: Biosystem.
Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. (2000). World Health Organization technical report series, 894, i–xii, 1–253.
Perini, A. P., de Oliveira, G. L., dos Santos Ornellas, J., & de Oliveira, F. P. (2005). Technical error of measurement in anthropometry. Revista Brasileira de Medicina do Esporte, 11, 86–90.CrossRef
Sernyak, M. J. (2007). Implementation of monitoring and management guidelines for second-generation antipsychotics. The Journal of Clinical Psychiatry, 68(Suppl 4), 14–18.PubMed
Ulijaszek, S. J., & Kerr, D. A. (1999). Anthropometric measurement error and the assessment of nutritional status. The British Journal of Nutrition, 82(3), 165–177.PubMedCrossRef
Wang, J., Thornton, J. C., Bari, S., Williamson, B., Gallagher, D., Heymsfield, S. B., et al. (2003). Comparisons of waist circumferences measured at 4 sites. The American Journal of Clinical Nutrition, 77(2), 379–384.PubMed
Metadata
Title
Reliability and Practicality of Measuring Waist Circumference to Monitor Cardiovascular Risk Among Community Mental Health Center Patients
Authors
Jessica Barber
Laura Palmese
Lydia A. Chwastiak
Joseph C. Ratliff
Erin L. Reutenauer
Michel Jean-Baptiste
Cenk Tek
Publication date
01-01-2014
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 1/2014
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-012-9590-2

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