The prevalence of obesity in a sample of Egyptian psychiatric patients

Kamel, Ahmed; Abuhegazy, Hesham; Ismail, A. I. M.; Sherra, Khalid S; Ramadan, Mohamed; Mekky, Abdullah Ahmed Abdullah; Nabawy, Ali Al

doi:10.4103/1110-1105.195546

Cited by 6 publications

(8 citation statements)

References 46 publications

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“…This could be due to patients who had to follow-up may get nutrition-related counseling or intervention or weight loss treatment. This finding is in line with a cross-sectional study conducted in Egypt at Al-Hussein University Hospital that had shown that the prevalence of obesity was high in new outpatients with mental disorders and was 47.2% in all patients [27]. It is also supported by the study findings from Burdur State Hospital, Turkey, and Iran that patients with abnormal nutritional status were found to have significant longer disease history [28,29].…”

Section: Psychiatry Journalsupporting

confidence: 89%

Nutritional Status and Associated Factors among Adult Psychiatric Patients in Dessie Referral Hospital, Northeast Ethiopia

et al. 2020

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Background. Psychiatric illnesses involve alterations in the brain or nervous system function and result in altered perception, responses to the environment, and daily functioning, which ultimately diminish the capacity to cope with the regular demands of life, including nutritional intake. Little is known about nutritional status in psychiatric patients in our setup, particularly in northeast Ethiopia. Thus, this study is aimed at assessing the nutritional status and associated factors among adult psychiatric patients in Dessie referral hospital, northeast Ethiopia. Methods. A facility-based cross-sectional study was employed among 530 psychiatric patients using an interviewer-administered structured questionnaire, and anthropometric measurements were taken from April 10 to June 20, 2018. Multinomial logistic regression analysis was used to identify the associated factors with the nutritional status of adult psychiatric patients. Results. The study revealed that the proportion of undernutrition and overnutrition was 20.0% (95% CI: 16.80-23.60) and 23.4% (95% CI: 19.80-27.00), respectively. Being male (AOR: 2.39, 95% CI: 1.28-4.47), private employed (AOR: 0.08, 95% CI: 0.02-0.31), and not consuming alcohol (AOR: 0.20, 95% CI: 0.56-0.74) were factors associated with undernutrition. Whereas not involved in physical activity (AOR: 2.98, 95% CI: 1.37-6.49), being newly diagnosed patient (AOR: 1.86, 95% CI: 1.01-3.42), and not chewing Khat (AOR: 3.92, 95% CI: 1.63-9.42) were factors associated with overnutrition of adult psychiatric patients. Conclusion. The proportion of both undernutrition and overnutrition was above the national average. Notably, nutrition significantly affects the production and use of neurotransmitters, and this may result in significant effects on physical, mental, or emotional processes. This undoubtedly affects the stabilization processes of neuropsychiatric patients. Therefore, healthcare managers, supervisors, and policymakers identify those vulnerable groups early and thereby design effective nutritional strategies to intervene in malnutrition among adult patients with a psychiatric disorder.

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Section: Psychiatry Journalsupporting

confidence: 89%

Nutritional Status and Associated Factors among Adult Psychiatric Patients in Dessie Referral Hospital, Northeast Ethiopia

et al. 2020

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“…There are other factors that contribute to contracting obesity like dire physical health, lack of physical exercise, deficient social support, low level of education, and financial burdens [8]. An Egyptian study found that 22.31% of mentally ill patients suffered from obesity, with the highest prevalence among patients with bipolar disorder (41.38%), (37.93%) among patients with depression, schizophrenia (10.34%), anxiety disorder (6.9%), and substance abuse disorder (3.45%) [9]. Another systematic review study revealed an evident bidirectional association between depression and obesity and vice versa especially among females, but considering anxiety and obesity it found a moderate link [10].…”

Section: Introductionmentioning

confidence: 99%

Psychiatric morbidities of female obesity before and after dieting: an Egyptian sample

Shalaby

Sadik

Mahmoud

2020

Middle East Curr Psychiatry

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Background The rate of occurrence of psychiatric morbidities like anxiety, depression, perceived stress, and the overall quality of life are very high among female patients with obesity; therefore, our study investigates such variables before and after weight loss in female patients on diet restriction; this can help obesity-multidisciplinary teams target these psychiatric correlates to reach a more satisfactory outcome. Results Anxiety, depression, and perceived stress scores decreased significantly in parallel to the weight loss reported (p < 0.0001). Except for social functioning, all other domains of quality of life improved significantly after weight loss. Those with higher education level showed significantly lower stress, anxiety, and depression scores before weight loss compared to married and highly educated ones respectively. After weight loss, highly educated participants showed lower perceived stress and depression scores than those with middle education. Conclusions Anxiety, depression, and perceived stress factors are significantly decreased after weight reduction with an improved quality of life as well compared to their scores prior.

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“…Our results showed that the most common physical comorbidity was obesity followed by CVD and liver dysfunctions. Similarly, previous studies have reported higher prevalence rates of obesity and suggested that treatment with psychotropic medications may worsen obesity . In turn, weight gain, excess weight, obesity, and metabolic disorders may increase the risk of cardiovascular disease in manic patients .…”

Section: Discussionmentioning

confidence: 66%

“…Similarly, previous studies have reported higher prevalence rates of obesity and suggested that treatment with psychotropic medications may worsen obesity. [39][40][41] In turn, weight gain, excess weight, obesity, and metabolic disorders may increase the risk of cardiovascular disease Note: Numbers in bold indicate significant P (P < .05). Example: males significantly had a higher mean of readmission rate compared to females.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of comorbidities and correlates of hospital readmission rate in patients with acute mania: A one‐year retrospective data from a tertiary care

Haddad¹,

Sacre²,

Hallit

et al. 2019

Perspect Psychiatr Care

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Objective: To assess the prevalence of medical comorbidities in acute manic patients over a period of 1 year, and to evaluate correlates of the readmission rate. Design/Methods: A retrospective observational study was conducted on 158 acute manic patients from 2016 to 2017. Results: The most common physical comorbidity was obesity (36.1%) followed by cardiovascular disorders (15.2%) and liver dysfunctions (9.3%). Male gender was associated with higher readmission rate (Beta = −0.260), while taking anticholinergic drugs (Beta = −0.338) and having a family history of psychiatric disorders (Beta = −0.222) were associated with lower readmission rate. Practical implications: The study results may help physicians and other clinicians understand the burden of illness recurrence in bipolar disorder type I patients and adopt effective strategies to prevent relapse, taking into account all comorbidities.

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The prevalence of obesity in a sample of Egyptian psychiatric patients

Cited by 6 publications

References 46 publications

Nutritional Status and Associated Factors among Adult Psychiatric Patients in Dessie Referral Hospital, Northeast Ethiopia

Nutritional Status and Associated Factors among Adult Psychiatric Patients in Dessie Referral Hospital, Northeast Ethiopia

Psychiatric morbidities of female obesity before and after dieting: an Egyptian sample

Prevalence of comorbidities and correlates of hospital readmission rate in patients with acute mania: A one‐year retrospective data from a tertiary care

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