营养和生活方式对精神分裂症合并抑郁症患者骨骼健康的影响

Q4 Medicine Medicinski Casopis Pub Date : 2020-01-01 DOI:10.5937/mckg54-28437
B. Bajić, S. Ristić, Marija Palibrk, A. Arnaut, S. Curcic, K. Taušanović
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摘要

目标。本文旨在探讨营养和行为模式对精神健康障碍患者骨骼健康的影响。方法。在克拉古耶瓦茨临床中心的精神病学诊所和克拉古耶瓦茨保健中心专家咨询服务处的神经精神科进行了一项横断面研究。该调查包括46名患者,年龄在22岁至81岁之间,男女皆有,精神科医生诊断精神分裂症为精神障碍和抑郁症。用标准的生化方法对钙、镁、磷、钠、钾进行了定量检测。维生素D的测定采用高效液相色谱法,即高压液相色谱法。结果。在整个测试组中,58.7%的患者有身体活动,精神分裂症患者的身体活动较少(p = 0.026)。在总数中,67%的患者饮食不规律,这种习惯在精神分裂症患者中更为普遍(p = 0.003)。就某些营养素的存在而言,鱼类在抑郁症患者的营养中更具代表性。3例(6.5%)患者有骨质疏松病史,其中1例有自发性骨折。在调查中,有6.5%的患者表示他们的父母曾发生过自发性骨折。两组患者血清中25 (OH) D含量均较低。结论。不健康的生活方式、精神疾病患者体内维生素D含量低是导致骨量减少的危险因素。我们的研究结果表明,需要及时识别潜在的危险因素并改善预防措施,以提高人们对健康生活方式和行为改变重要性的认识。
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The influence of nutrition and lifestyles on bone health in patients with schizophrenia and depression
Objective. The aim of this paper is to investigate the influence of nutrition and pattern behaviors on bone health in people with mental health disorders. Methods. A cross-sectional study has been conducted at the Clinic for Psychiatry of the Clinical Center of Kragujevac and at the Department of Neuropsychiatry of the Specialist-Consultative Service of Health Care Center Kragujevac. The survey included 46 patients from the age of 22 to 81, both genders, with schizophrenia as a diagnosis for mental disorders and depression determined by a psychiatrist. Quantitative testing of calcium, magnesium, phosphorus, sodium and potassium has been performed by standard biochemical methods. Vitamin D has been determined by high performance/pressure liquid chromatography i.e. by a liquid chromatography under high pressure. Results. In the whole group of patients tested, 58.7% of patients were physically active and the patients with schizophrenia (p = 0.026) were less physically active. Out of the total number, 67% of patients eat irregularly and this habit is more present in patients with schizophrenia (p = 0.003). In terms of the presence of certain nutrients, fish is more represented in the nutrition of people suffering from depression. Three patients (6.5%) reported osteoporosis in their medical history, one of whom had a spontaneous fracture. In the anamneses (6.5%) of the patients stated that their parents had had spontaneous bone fractures. Low values of 25 (OH) D in the serum were present in both study groups. Conclusion. Unhealthy lifestyles, low level of Vitamin D found in people who have mental health disorders represent risk factors for the reduced bone mass. The results of our research indicate the need for timely identification of potential risk factors and improvement of prevention in order to raise awareness of the importance of healthy lifestyles and behavior modification.
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Medicinski Casopis
Medicinski Casopis Medicine-Medicine (all)
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