The prevalence of overweight and obesity levels among forensic inpatients with learning disability

Accessible Summary: This study looked at how many people with learning disabilities in a forensic unit were overweight or obese, and whether people put on weight in the service. The study showed that lots of people put on weight while they were in the service. It might be due to people struggling to exercise and the food provided in hospitals. This research matters to people with learning disabilities because being overweight and obese can lead to other physical issues, such as heart disease and diabetes. Being overweight also affects how confident a person is and can lead to feeling depressed. We now need to look at ways we can support people with learning disabilities in all settings to stay healthy, enjoy exercise, and lose weight if they want to. Abstract: Background Inpatient mental health settings have been described as “obesogenic,” due to factors including psychotropic medication, high-calorie food provision, restricted physical activity and sedentary lifestyles. No research has investigated the prevalence of obesity among forensic inpatients with learning disability, despite this population's increased risk. Materials and Methods The weight and body mass index (BMI) data of 46 inpatients (15 women and 31 men) within a specialist learning disability forensic service was examined on, and during admission. Results Only 13% of inpatients were a normal weight at admission, whereas 87% were overweight or obese. During admission, 61% gained weight, and 2% maintained. However, 37% lost weight, although many of this group remained overweight/obese. Women gained more weight during their admission, but were also more successful in losing weight. There was no correlation between length of stay and weight. Conclusions The results highlight the need for effective, gender-sensitive weight management interventions within similar services nationally.