Obesity and weight-related medical problems of incarcerated persons with and without mental disorders

This study examined weight and weight-related medical conditions of soon-to-be released inmates with and without a mental disorder. The sample included 4,204 males and females aged 18 or older residing in 11 state prisons. Three quarters or more of the inmates were overweight or obese. Mental health status was not found to be a significant factor in the presence or absence of overweight or obesity. Male inmates with mental disorders had higher rates of breathing, walking, and intense pain problems compared to those without mental disorders. Obese male inmates with schizophrenia or bipolar were more likely than those without a mental disorder to report medication treatment for diabetes, cardiovascular problems, arthritis, and intense pain. Evidence-based interventions are needed to monitor weight and obesity during incarceration and to teach weight management skills as part of an integrated psychiatric and medical program.