The Health Improvement Profile: a Manual to Promote Physical Wellbeing in People with Severe Mental Illness by Hardy Sheila;Gray Richard;White Jacqueline;

Author:Hardy, Sheila;Gray, Richard;White, Jacqueline;
Language: eng
Format: epub
Publisher: M & K Update Limited

Recommended action

Offer recommendations on sensible daily alcohol intake (Drinkaware 2018):

•Adult women should not regularly drink > 2–3 units of alcohol a day.

•Adult men should not regularly drink > 3–4 units of alcohol a day.

•Women who regularly drink > 6 units a day (or > 35 units a week) and men who regularly drink > 8 units a day (or > 50 units a week) are at highest risk of alcohol-related harm.

Refer to the local alcohol support service.

Rationale

In a survey of the dietary habits of 102 people with SMI by McCreadie (2003), the average fruit and vegetable intake for these people was 16 portions a week, compared with the recommended intake of 35 per week (NHS Choices 2015b). The physical health consequences of a poor diet include CVD, diabetes, obesity and some cancers. Studies of people with SMI repeatedly show that saturated fats from dietary intake of meat and dairy products are associated with worse outcomes in schizophrenia (Peet 2004). There is a particularly strong association between sugar consumption and poorer outcome in schizophrenia, whereas consumption of fish and seafood, particularly omega 3 fatty acids, has been associated with better outcomes (Peet 2004).

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