Le défi de l’obésité dans les maladies psychiatriques

IF 0.5 4区医学 Q4 ENDOCRINOLOGY & METABOLISM Nutrition Clinique et Metabolisme Pub Date : 2023-12-01 DOI:10.1016/S0985-0562(24)00016-5

Sébastien Guillaume , Patrick Ritz

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引用次数: 0

Abstract

Overweight and obesity are common in severe and chronic psychiatric disorders. Up to 50% of patients suffering from schizophrenia or bipolar disorder are obese. The mortality rate is 4.5 times higher than in the general population, mainly due to metabolic and cardiovascular disorders. Numerous factors, interconnected by vicious circles of mutually reinforcing adverse physiological adaptations, contribute to this association. Close collaboration between mental health and somatic health specialists is essential for coordinated, individualized care. This will involve an integrative assessment to understand the factors behind the genesis of obesity, the consequences in terms of co-morbidity, and the possibilities of therapeutic options, including the ability to access treatment. Treatment paths should also include early detection of subjects at risk of weight gain, close monitoring of the metabolic effects of psychotropic drugs, hygienic-dietary measures and non-drug interventions. In addition, the role of bariatric surgery and obesity drugs requires more detailed investigations in these patients.

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来源期刊

Nutrition Clinique et Metabolisme 医学-内分泌学与代谢

CiteScore

0.80

自引率

16.70%

发文量

216

审稿时长

78 days

期刊介绍： Nutrition Clinique et Métabolisme is the journal of the French-speaking Society of Enteral and Parenteral Nutrition. Associating clinicians, biologists, pharmacists, and fundamentalists, the articles presented in the journal concern man and animals, and deal with organs and cells. The goal is a better understanding of the effects of artificial nutrition and human metabolism. Original articles, general reviews, update articles, technical notes and communications are published, as well as editorials and case reports.