有意识的饮食可以成为双相情感障碍中肥胖的心理标志物吗?
Murat Urhan1, Cengiz Cengisiz2, Melek Türk2
1Department of Nutriton and Dietetics. Faculty of Health Science. Ege University. Department of Nutriton and Dietetics.
Nutricion hospitalaria
|July 22, 2024
概括
肥胖在患有双相情感障碍 (BD) 的人群中明显更为普遍. 较低的正念饮食分数和某些药物增加了BD患者的肥胖风险,突出了针对性干预的需要.
科学领域:
- 精神病学是一个精神病学.
- 代谢健康 代谢健康
- 行为科学 行为科学
背景情况:
- 肥胖是被诊断患有双相情感障碍 (BD) 的个体的显著并发症.
- 了解导致BD肥胖的因素对于有效管理至关重要.
- 饮食行为,冲动和正念饮食是这群人肥胖的潜在原因.
研究的目的:
- 为了确定患有双相情感障碍的人群中肥胖的患病率.
- 评估正念饮食,冲动和饮食障碍对BD肥胖症发展的影响.
- 在BD人口中识别与肥胖相关的风险因素.
主要方法:
- 一项横截面研究将109名患有BD (euthymic state) 的个人与109名匹配的健康对照进行了比较.
- 使用的验证问卷:正念饮食问卷 (MEQ-30),三因素饮食问卷 (TFEQ-21),巴拉特冲动性量表 (BIS-11-SF) 和饮食态度测试 (EAT-26).
- 收集了人类测量数据,并分析了饮食行为因素,冲动性和正念饮食水平.
主要成果:
- 肥胖患病率在BD组为50.4%,对照组为24.8%.
- 患有BD的人在抑制,情绪饮食和正念方面得分明显较低.
- 与对照组相比,BD患者的肥胖风险是5.19倍高,低意识饮食 (OR=2.76) 和抗精神病药物/情绪稳定剂使用 (OR=4.29) 是显著的风险因素.
结论:
- 肥胖症在患有双相情感障碍的人群中非常普遍.
- 注意饮食和药物使用是影响BD肥胖风险的重要因素.
- 建议以正念和健康饮食为重点的教育计划来解决BD中的肥胖问题.
相关概念视频
01:23Binge Eating Disorders
60
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
60
01:30Bulimia Nervosa
62
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
62
01:24Obesity
422
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
422
01:28Anorexia Nervosa
57
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
57
01:30Bipolar Disorder
62
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
62
01:30Regulation of Food Intake
213
Short-term regulation of food intake primarily involves neural signals from the gastrointestinal (GI) tract, blood nutrient levels, and GI tract hormones. Communication between the gut and brain via vagal nerve fibers plays a significant role in evaluating the contents of the gut. Clinical studies have shown that protein ingestion produces a more prolonged response in these nerve fibers compared to an equivalent amount of glucose. Additionally, the activation of stretch receptors caused by GI...
213