scholarly journals Eating behavior of schizophrenic patients

2018 ◽  
Vol 31 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Ana Carolina AGUIAR-BLOEMER ◽  
Rosina Gabriela AGLIUSSI ◽  
Thiago Maehara Pereira PINHO ◽  
Erikson Felipe FURTADO ◽  
Rosa Wanda DIEZ-GARCIA
Keyword(s):  
Nutrition Education ◽  
Eating Behavior ◽  
Tertiary Hospital ◽  
Lifestyle Changes ◽  
Cross Sectional ◽  
Food Practices ◽  
Work Routines ◽  
High Prevalence ◽  
Dietary Records ◽  
Schizophrenic Patients

ABSTRACT Objective To assess the eating behavior, food practices, nutritional and metabolic profiles of patients with schizophrenia undergoing treatment. Methods Cross-sectional exploratory descriptive qualitative study used a semi-structured questionnaire on the eating behavior, food practices, and perception of changes after the initiation of drug therapy and a quantitative method using anthropometric and body composition measurements, metabolic parameters, and 5-day dietary records to analyze nutrient ingestion of patients with schizophrenia in an outpatient clinic at a tertiary hospital (n=33). The qualitative data were analyzed and coded by three researchers and quantitative data were analyzed using descriptive exploratory statistics. Results The results of this study showed that schizophrenic patients presented high prevalence of excess weight (71.0%), metabolic syndrome (42.0%), dyslipidemia (62.0%), changes in appetite (76.0%), and increase in energy intake (74.2%), associated with important irregularities in eating behavior and food practices (such as irregularity of meals, emotional intake, high carbohydrate and fat intake, and low energy expenditure) and lifestyle (changes in social and work routines). Conclusion This eating profile may interact synergistically with psychotropic drugs to contribute to weight gain and metabolic changes in schizophrenia. Nutrition education may prevent and monitor the risk of metabolic and nutrition problems, irrespective of the medications used.

scholarly journals Eating behavior among persons with type 2 diabetes mellitus in North Ethiopia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hagos Amare Gebreyesus ◽  
Girmatsion Fisseha Abreha ◽  
Sintayehu Degu Besherae ◽  
Merhawit Atsbha Abera ◽  
Abraha Hailu Weldegerima ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Eating Behavior ◽  
Healthy Eating ◽  
Food Selection ◽  
Cross Sectional Study ◽  
Three Dimensions ◽  
Cross Sectional ◽  
Healthy Eating Behavior ◽  
Meal Planning

Abstract Background Diet is central to the management of type 2 diabetes mellitus (T2DM). Depending on the stage of the disease at which the recommended diet is initiated, optimal adherence can reduce HbA1c by about 1 to 2%. However, evidence on eating behavior is generally scarce including in Ethiopia. The present study aimed to assess the eating behavior of adults with T2DM in North Ethiopia. Methods This cross-sectional study was conducted among 421 adults with T2DM from September to November 2019. Socio-demographic variables were collected using structured questionnaires; an asset-based wealth index was used to determine socioeconomic status. Three dimensions of eating behavior were assessed using Likert-type items: food selection, meal planning and calorie recognition. Raw Likert scores in each dimension were transformed to percent scales to maximum (%SM). Participants’ behavior in each dimension was categorized into healthy and unhealthy taking 66.7% SM score as a cutoff. Overall eating behavior was determined by aggregating ranks scored in the three dimensions. Correlates of overall eating behavior were identified using Chi-square test and multinomial logistic regression with statistical significance set at P-value < 0.05. Result Only 1% of the participants had overall healthy eating behavior. Yet, overall unhealthy eating was apparent in 54.4%. By dimensions, healthy eating behaviors in food selection, meal planning and calorie recognition were seen in 43.5, 7.4 and 2.9% participants, respectively. Factors that were positively associated with having healthy eating behavior in one dimension relative to unhealthy in all were: receiving nutrition education [AOR 1.73; CI 1.09, 2.74], female gender [AOR 1.78; CI 1.03, 3.08] & being in 26–44 age category [AOR 3.7; CI 1.56, 8.85]. But, being in the poor [AOR 0.42; CI 0.16, 1.32] or average [AOR 0.54; CI 0.19, 1.55] socioeconomic strata were negatively associated. However, only receiving nutrition education [AOR 3.65; CI 1.31, 10.18] was significantly associated with having healthy behavior in two eating dimensions over unhealthy in all. Conclusion In North Ethiopia, the overall eating behavior of adults with T2DM is extremely poor. Diverse and integrated approaches including nutrition education during consultation should be implemented to address the gap.

Characterization of Electroencephalographic Findings at an Electrodiagnostic Unit of a Tertiary Hospital, North-central Nigeria

2021 ◽  
Vol 2 (1) ◽  
pp. 49-55
Author(s):  
E U Iwuozo ◽  
J O Enyikwola ◽  
I O Obekpa ◽  
O O Ijachi ◽  
A A Godwin ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Seizure Disorder ◽  
Cross Sectional ◽  
North Central ◽  
Younger Age ◽  
High Prevalence ◽  
Diagnosis And Classification ◽  
Age Range

Electroencephalography (EEG) remains an important investigative tool in supporting the diagnosis and classification of various seizure types. We sought to examine and characterize the EEG findings from all patients referred for the procedure. This cross-sectional retrospective study was carried out at an EEG unit in Federal Medical Centre, Makurdi, Benue State, North Central Nigeria from May 2016 to December 2020. Relevant patients' information were extracted and analysed using SPSS version 21. A total of 484 patients were seen over the study period with age range of 1-87 years and median age of 23 years. They comprised of 254 (52.5%) male and 230 (47.5%) female. The psychiatrist and the Physicians/Neurologist referred most of them for EEG, 201 (41.5%) and 124 (25.6%) respectively. The most reported indication for EEG was clinical suspicion of seizure disorder 291 (60.1%), whilst some did not have a clear indication 111 (22.9%). About 417 (86.2%) of our patients had abnormal EEG finding out of which 414 (99.3%) were diagnostic of seizure disorder made up of generalized seizure in 255 (61.6%) and focal seizure in 159 (38.4%). About 237 (48.9%) of them were already on antiepileptic drugs (AEDs) at referral of which 190 (80.2%0 were taking carbamazepine. This study showed a high prevalence of abnormal EEG with most of them diagnostic of seizure disorder especially generalized seizure. They were mostly of younger age group with about half of them already on AEDs at referral, majority of who were sent by the Psychiatrist.

scholarly journals Perilaku makan sebelum dan selama pandemi covid-19 pada kelompok remaja dan dewasa di Indonesia

2021 ◽  
Vol 6 (2) ◽  
pp. 128
Author(s):  
Fillah Fithra Dieny ◽  
Firdananda Fikri Jauharany ◽  
A. Fahmy Arif Tsani ◽  
Choirun Nissa
Keyword(s):  
Eating Behavior ◽  
Vegetable Protein ◽  
Eating Habits ◽  
Cross Sectional Study ◽  
Lifestyle Changes ◽  
Bivariate Analysis ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Before And After ◽  
The Subject

The COVID-19 pandemic impacts lifestyle changes, one of which is the eating behavior of people. The research aims to examine changes in eating behavior before and during the COVID-19 pandemic among adolescents and adult groups in Indonesia. A cross-sectional study on 563 subjects, with the subject's inclusion criteria, namely living in Indonesia, aged 12-55 years, willing to participate in the research by filling in informed consent and filling out a questionnaire via an online google form. The data obtained were grouped based on variables before and after the pandemic, then tested the normality of the data. Bivariate analysis used the Wilcoxon text because the data were not normally distributed. As a result, there was an increase in the subject's breakfast habits and frequency of eating. Subjects experienced changes in eating habits, namely an increase in the frequency, variety, and portion of consumption of animal protein, vegetable protein, vegetables, and fruit between before and during the COVID-19 pandemic (p <0,001). In addition, the habit of consuming fluids, supplements, and spices also experienced a significant increase, while the pattern of snacking decreased between before and during the pandemic (p <0,001). In conclusion, there were differences in eating behavior: breakfast habits, dietary variations, consumption of animal and vegetable protein, vegetables, fruits, fluids, supplements, spices, and snacking patterns outside the home between before and during the pandemic in the subject

scholarly journals Nutritional Status Psychiatric Patients Attending OPD at a Selected Tertiary Hospital

1970 ◽  
Vol 22 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Gautam Sadhya ◽  
ABM Selimuzzaman ◽  
Rafiqul Islam
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Psychiatric Patients ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Bipolar Mood Disorder ◽  
Schizophrenic Patients ◽  
Male Patients

This descriptive type of cross sectional study was conducted among the psychiatric patients who had attended at the out patient department of psychiatry in Mitford Hospital Dhaka, with the objective of assessing the nutritional status of psychiatric patients. Mean age of the patients were 34.87 ±12.63 years. Of the total 150 patients, 56% were male and 44% were female. Among the study subjects, 54% were married, 30% unmarried, 10% divorced and 5% were widow. Regarding occupation, 12% of the patients were in service, 8.7% were students and 24.7% were unemployed. Among the psychiatric patients, 42% had schizophrenia, 36.7% were bipolar mood disorder and 21.3% had other type of disorders. BMI of 66.7% patients were normal, 22% below normal and 11.3% were above normal. Among all the patients 71.4% male and 60.6% female were normal by BMI, whereas 11.3% patients were over weight. Among the over weight patients, 6% were male and 18.2% were female. In the present study 22% patients were under weight, where 22.6% were male and 21.2% were female. Nutritional assessment showed 61.9% male patients and 63.64% of female patients had normal MAC. Maximum of patients (72%) were anemic clinically. Again according to marital status 74.1% married and 58% of unmarried patients were found normal by BMI. In the study, 66.7% schizophrenic patients and 65.5% BMD patients were found in normal BMI. DOI: 10.3329/taj.v22i1.5022 TAJ 2009; 22(1): 82-87

scholarly journals Somatic Implications in Hospitalized Patients with Chronic Schizophrenia

2021 ◽  
Vol 26 (3) ◽  
pp. 37-41
Author(s):  
Andreea Sălcudean ◽  
Bianca-Eugenia Ősz ◽  
Elena-Gabriela Strete ◽  
Monica Kiss ◽  
Maria-Dorina Paşca ◽  
...  
Keyword(s):  
General Population ◽  
Life Expectancy ◽  
Chronic Schizophrenia ◽  
Descriptive Study ◽  
Lifestyle Changes ◽  
Hospitalized Patients ◽  
Medical Assistance ◽  
High Prevalence ◽  
Somatic Comorbidities ◽  
Schizophrenic Patients

Abstract Schizophrenic patients have a life expectancy shorter than that of the general population. The multisystemic implication of the psychotic disease is evidenced by the high prevalence of somatic comorbidities associated with the illness. Patients with schizophrenia have a higher risk to develop somatic comorbidities due to their lifestyle changes, medication intake and poor medical assistance. We conducted a retrospective descriptive study in order to determine the prevalence of certain somatic conditions associated with schizophrenia as well as the characteristics of this particular group of patients.

scholarly journals Prevalence of polymorphisms in the ANKK1, DRD2, DRD3 genes and metabolic syndrome in refractory schizophrenia

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Jeizziani Aparecida Ferreira Pinto ◽  
Pedro Henrique Batista de Freitas ◽  
Fernanda Daniela Dorneles Nunes ◽  
Paulo Afonso Granjeiro ◽  
Luciana Lara dos Santos ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Homozygous Genotype ◽  
Significant Difference ◽  
High Prevalence ◽  
Low Hdl ◽  
Schizophrenic Patients

ABSTRACT Objective: to estimate the prevalence of TaqIA, -141C and rs6280 polymorphisms of the ANKK1, DRD2 and DRD3 genes and evaluate their association with the occurrence of metabolic syndrome in patients with refractory schizophrenia. Method: cross-sectional study conducted in the Extended Western Region of Minas Gerais, with refractory schizophrenic patients using the antipsychotic clozapine. Sociodemographic, clinical, anthropometric, biochemical and genetic data were collected. Univariate analysis of the data was performed. Results: seventy-two patients participated in the study and the occurrence of Metabolic Syndrome was observed in 47.2% of them. There was no association between Metabolic Syndrome and the studied polymorphisms. There was a statistically significant difference in the low HDL parameter with homozygous genotype for the C allele of the -141C polymorphism of the DRD2 gene. Conclusion: a high prevalence of MS was evidenced. The -141C polymorphism was associated with low HDL. Genetic analysis and identification of metabolic alterations in this group of patients can guide drug treatment and provide a better quality of life.

scholarly journals Profile of patients with Fournier’s gangrene and their clinical evolution

2018 ◽  
Vol 45 (1) ◽  
Author(s):  
DJONEY RAFAEL DOS-SANTOS ◽  
ULISSES LUIZ TASCA ROMAN ◽  
ANDRÉ PEREIRA WESTPHALEN ◽  
KELI LOVISON ◽  
FERNANDO ANTONIO C. SPENCER NETO
Keyword(s):  
Clinical Signs ◽  
Perianal Abscess ◽  
Tertiary Hospital ◽  
Fournier’S Gangrene ◽  
Initial Symptom ◽  
Fournier's Gangrene ◽  
Cross Sectional ◽  
High Prevalence ◽  
The Mean

ABSTRACT Objective: to analyze the profile of patients with Fournier’s gangrene treated in a public tertiary hospital in western Paraná State. Methods: we conducted a cross-sectional, retrospective and descriptive study of patients with Fournier’s gangrene treated between January 2012 and November 2016. Results: there were 40 patients with Fournier’s gangrene treated in the period, 29 (72.5%) men and 11 (27.5%) women. The mean age was 51.7±16.3 years. The mean time of disease progression, from the initial symptom to hospitalization, was 10.5±1.2 days. All patients had clinical signs such as pain, bulging, erythema, among others, and 38 (95%) had associated comorbidities, the most common being type 2 diabetes mellitus and systemic arterial hypertension. The majority (30 patients - 75%) had perianal abscess as the probable etiology. All patients were submitted to antibiotic therapy and surgical treatment, with a mean of 1.8±1.1 surgeries per patient. Nine (22.5%) patients died. There was a strong correlation between the presence of sepsis on admission and mortality. Conclusion: Fournier’s gangrene patients in this series had a long disease duration and a high prevalence of comorbidities, with a high mortality rate.

scholarly journals Erectile Dysfunction among Diabetic Patients in a Tertiary Hospital of Southwest Ethiopia

2020 ◽  
Vol 13 (1) ◽  
pp. 240-245
Author(s):  
Abdisa D. Hurisa ◽  
Getandale Z. Negera
Keyword(s):  
Erectile Dysfunction ◽  
Medical Center ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
High Prevalence ◽  
Almost All ◽  
Study Participants

Background: Erectile Dysfunction (ED) is defined as the persistent inability to achieve and/or maintain penile erection sufficient for satisfactory sexual performance. Few studies have examined the prevalence of ED among men diabetic patients in Ethiopia. The aim of this study was to determine the prevalence and predictors of ED among diabetic patients in a tertiary hospital of Southwest Ethiopia. Methods: A hospital-based cross-sectional study was conducted on male diabetic patients on follow-up at the diabetic clinic of Jimma Medical Center (JMC), Southwest Ethiopia. Results: 350 male diabetic patients were enrolled in the study. The mean (+SD) age of the study participants was 47.9 (+12.2) years. The majority, 212 (60.4%) of the diabetic patients had varying degrees of ED and almost all, 207 (97.6%) of the patients were not treated for ED. Independent predictors of ED were older age (AOR: 4.6; 95%CI: [2.84, 7.55]; p<0.001) and longer duration of diabetes (AOR: 3.5; 95%CI: [2.12, 5.70]; p<0.001). Conclusion: This study confirmed a high prevalence of ED in diabetic male patients in Jimma Medical Center (JMC). Periodic assessment and management of ED should be a routine part of the diabetic care, particularly for those aged above 40 years and living with diabetes mellitus for many years.

scholarly journals Depression, anxiety and stress among COVID positive pregnant women

2021 ◽  
Vol 10 (3) ◽  
pp. 1057
Author(s):  
Simi Kurian ◽  
Ajith S. ◽  
Malini Raghavan
Keyword(s):  
Pregnant Women ◽  
Psychological Symptoms ◽  
Tertiary Hospital ◽  
Psychological Resilience ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
High Prevalence ◽  
Prevalence Of Depression ◽  
Obstetric Factors ◽  
Study Participants

Background: Impact of the news that patient is covid positive may increase the risk of depression and anxiety among the vulnerable population such as pregnant women. Aims of the study were to estimate the prevalence of depression, anxiety and stress among covid positive pregnant women. To evaluate the demographic and obstetric factors contributing to the psychological manifestations in covid positive pregnant women.Methods: A cross sectional descriptive study was conducted at a tertiary hospital of North Kerala from July to August 2020. The demographic and factors were recorded and DASS 21 self-reported questionnaire was used to assess depression, anxiety and stress.Results: We found that using the DASS 21 scoring system, 37.5% out of the 120 study subjects were having psychological symptoms either of depression, anxiety or stress. Depression was seen in 32 (26.7%), anxiety in 29 (24.2%) and stress in 14 (11.7%) of the study participants. The psychological symptoms of depression and anxiety were more pronounced in those with low education, unemployed and in the first and third trimester of pregnancy.Conclusions: The current study shows that COVID-19 positive pregnant women have a high prevalence of depression and anxiety. Our findings can be used to formulate psychological interventions to improve mental health and psychological resilience during the COVID-19 pandemic.

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