Obesity and nutrition behaviours in Western and Palestinian outpatients with severe mental illness

BMC Psychiatry

Research Article

Martin Driessen¹  David Jakabek²  Frances Quirk³ 

[1] Department of Psychiatry and Psychotherapy Bethel, Ev. Hospital Bielefeld, Bielefeld, Germany;Department of Psychology, James Cook University, 4811, Townsville, Australia;School of Medicine and Dentistry, James Cook University, 4811, Townsville, Australia;

关键词: Negative Emotion;    Eating Habit;    Healthy Food;    Severe Mental Illness;    Traditional Food;   

DOI  :  10.1186/1471-244X-11-159

 received in 2011-04-13, accepted in 2011-10-04,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundWhile 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.MethodA 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.ResultsMore 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).ConclusionPatients 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 Western nations and Palestine.

【 授权许可】

Unknown   
© Jakabek et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.