Diabetes and antipsychotic medication,09 pw50,type 2 diabetes treatment algorithm ada - You Shoud Know

Regular readers will recall the importance of mental health problems in the context of obesity.
This is particularly true for individuals with schizophrenia, who are particularly vulnerable to poverty, substance abuse, metabolic syndrome, diabetes, cardiovascular disease, and obesity. So how much do we know about the physical problems including obesity in individuals with schizophrenia here in Canada? This question was now addressed by Debora Nitkin and Denise Gastaldo from the University of Toronto in a paper just published in the Canadian Journal of Nursing Research.
In their systematic review, the researchers were able to identify all of 9 original research articles and 6 literature reviews, clearly demonstrating a dearth of studies in this area in Canada. Not surprisingly, these studies confirmed that in Canada too, schizophrenia is associated with a markedly increased risk for coronary heart disease, diabetes, dysglycemia, weight gain in long-term patients, and high rates of substance abuse.
On the issue of obesity, a 2001 study from Manitoba reported that the prevalence of obesity in a series of almost 200 patients with schizophrenia was about 42%, or 3.5 times the Canadian average at the time (12%). Similarly, a 2007 study from Ontario likewise found significantly higher rates of increased adiposity in patients with schizophrenia, which resulted in limited physical functioning among patients and restricted everyday activities due to physical health problems. The authors conclude that, although limited, these Canadian studies clearly show that Canadian professionals are inadequately prepared to address co-morbidities and that health-care practices that neglect physical disease as well as the organization of health-care systems further disadvantages this vulnerable population.

They recommend that more studies be conducted to better understand and help prevent and treat these physical problems including weight gain and obesity in patients with schizophrenia. Given we already know morbidly obese are have extremely low levels of vitamin D and magnesium, and that further studies have shown simply giving multivitamins to patients can decrease obesity, it seems logical that the two are highly correlated. As a dietitian working in mental health, the fact that resources and research in this area are so limited and the need is so great is very discouraging. While it is nice that you have expressed concern about the plight of those with mental health concerns and particularly schizophrenia where there is comorbid obesity, I’m sure you can imagine that it is not all that satisfying to suggest that solutions lie in better front-line preparation (consisting of ??? For me personally, this is an amazingly interesting area of study; that atypical antipsychotics typically encourage rapid weight gain expresses the idea that the motivation to eat palatable food indicates that appetite is not necessarily a stable trait, and it is something that can be manipulated.
To comment further on resources, programs such as community walking groups with healthy eating education and cooking components have shown success in reducing or preventing weight gain. The antipsychotic medications often cause people to feel increased hunger, a decreased sense of feeling full, and to have increased food cravings.
DonationIf you have benefitted from the information on this site, please take a minute to donate to its maintenance. Not only can mental health problems (and often their treatments) promote weight gain but they can also pose significant barriers to weight management.

In addition these individuals often face significant barriers to accessing health care and when they do, many antipsychotic medications can actually markedly promote weight gain. Addressing physical health problems experienced by people with schizophrenia in Canada: a critical literature review. If obesity falls to a lack of nutrients that leads to an inability to metabolise fat, isn’t it perfectly feasible that the same lack of nutrients lead to the chemical inbalances in the brain that trigger schizophrenia?
In the meantime, I am not really sure how professionals who work with clients with mental illness can help to encourage appetite control (particularly in the initial stages of these treatments), but articles and awareness certainly helps. In this sample women with schizophrenia appeared more prone to develop obesity than men with schizophrenia.

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