原创力文档obesity and nutrition behaviours in western and palestinian outpatients with severe mental illness肥胖和营养行为在西方和巴勒斯坦门诊病人患有严重的精神疾病.pdfVIP
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obesity and nutrition behaviours in western and palestinian outpatients with severe mental illness肥胖和营养行为在西方和巴勒斯坦门诊病人患有严重的精神疾病
Jakabek et al. BMC Psychiatry 2011, 11:159
/1471-244X/11/159
RESEARCH ARTICLE Open Access
Obesity and nutrition behaviours in Western and
Palestinian outpatients with severe mental illness
1 2 3 4 5*
David Jakabek , Frances Quirk , Martin Driessen , Yousef Aljeesh and Bernhard T Baune
Abstract
Background: While people with severe mental illness have been found to be more overweight and obese in
Western nations, it is unknown to what extent this occurs in Middle Eastern nations and which eating behaviours
contribute to obesity in Middle Eastern nations.
Method: A total of 665 responses were obtained from patients with serious mental illness attending out-patient
clinics in Western developed countries (Germany, UK and Australia; n = 518) and Palestine (n = 147). Patients were
evaluated by ICD-10 clinical diagnosis, anthropometric measurements and completed a self-report measure of
frequencies of consuming different food items and reasons for eating. Nutritional habits were compared against a
Western normative group.
Results: More participants from Palestine were overweight or obese (62%) compared to Western countries (47%).
In the Western sample, obese patients reported consuming more low-fat products (OR 2.54, 95% CI 1.02-6.33) but
also greater eating due to negative emotions (OR 1.84, 95% CI 1.31-2.60) than patients with a healthy body-mass
index. In contrast, obese patients from Palestine reported increased consumption of unhealthy snacks (OR 3.73 95%
CI 1.16-12.00).
Conclusion: Patients with mental illness have poorer nutritional habits than the general population, particularly in
Western nations. Separate interventions to improve nutritional habits and reduce obesity are warranted between
W
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