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Related Experiment Video

Updated: Apr 7, 2026

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
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Weight Gain and Its Correlates Among Forensic Inpatients.

N Zoe Hilton1, Elke Ham2, Carol Lang2

  • 1Associate Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario; Senior Research Scientist, Waypoint Research Institute, Penetanguishene, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|July 16, 2015
PubMed
Summary

Forensic patients experienced significant weight gain during hospitalization, independent of antipsychotic (AP) use. This highlights a need for better metabolic monitoring in this population.

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Area of Science:

  • Forensic Psychiatry
  • Metabolic Health
  • Clinical Psychology

Background:

  • Weight gain and metabolic syndrome are known risks associated with antipsychotic (AP) use in general psychiatric populations.
  • Limited data exists on metabolic changes in individuals within forensic psychiatric settings.

Purpose of the Study:

  • To investigate changes in weight, body mass index (BMI), and metabolic syndrome indicators in male forensic inpatients.
  • To determine factors contributing to weight gain during hospitalization.

Main Methods:

  • Retrospective analysis of medical records for 291 male forensic inpatients.
  • Data collected at admission and discharge (or 365 days later).
  • Recorded diagnoses, smoking status, psychotropic treatment, adherence, physical activity, and occupation.

Main Results:

  • 33% of patients were obese on admission; 22% met metabolic syndrome criteria.
  • Among those hospitalized for at least 30 days, 60% were re-weighed, but other metabolic measures were infrequent.
  • Forensic inpatients gained an average of 12% body weight, with 40% increasing BMI category, irrespective of AP treatment or other recorded factors.

Conclusions:

  • Weight gain occurred in forensic inpatients during hospitalization, independent of medication.
  • Further research with consistent metabolic syndrome indicator measurement is recommended for forensic populations.