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[患有精神疾病的冰岛年轻人在8至12个月期间的饮食摄入量及体重变化]

[Dietary intake of young Icelanders with psychotic disorders and weight development over an 8-12 months period].

作者信息

Fridthjofsdottir Helga Gudrun, Geirsdottir Olof Gudny, Jonsdottir Halldora, Steingrimsdottir Laufey, Thorsdottir Inga, Thorgeirsdottir Holmfridur, Briem Nanna, Gunnarsdottir Ingibjorg

出版信息

Laeknabladid. 2017;103(6):281-286. doi: 10.17992/lbl.2017.06.141.

Abstract

INTRODUCTION

The prevalence of lifestyle related diseases is higher among people with psychotic disorders than the general population. The aim was to assess dietary intake of young people with psychotic disorders for the first time in Iceland.

MATERIAL AND METHODS

Subjects were young people (n=48, age 18-30y) with psychotic disorders. Dietary intake was assessed by a 24-hour recall in July-August 2016, and compared with official recommendations and intake of the general public (n=250, age 18-30y). Body weight in the past eight to 12 months, was retrieved from medical records.

RESULTS

Consumption of fruits, fish, dairy products, vegetable and fish oil was significantly lower among subjects when compared with the general public, while their soft drink and sweets consumption was higher (p<0.001). Furthermore, the contribution of added sugar was higher (15E% vs. 12E%) and protein intake lower (16E% vs. 18E%). Consumption of omega-3 fatty acids and vitamin D was lower among subjects than the general public and lower than recommended (0.04±0.3% omega-3 of total energy vs. 1.2±0.6%, p<0.001 and 3.1±4.2 µg vitamin D/day vs. 5.6±6.5 µg/day, p<0.001). Almost 40% of the subjects had gained >5% of their initial body weight in the past 8-2 months.

CONCLUSION

Diet of young people with psychotic disorders is not consistent with recommendations and is worse than the diet of their peers in the general population. It is important to find ways to improve the diet and thereby nutrient intake of the group. Key words: psychotic disorders, schizophrenia, recommended dietary allowances, fatty acids, omega-3, vitamin D. Correspondence: Ingibjorg Gunnarsdottir, ingigun@landspitali.is.

摘要

引言

与生活方式相关的疾病在精神障碍患者中的患病率高于普通人群。本研究旨在首次评估冰岛患有精神障碍的年轻人的饮食摄入量。

材料与方法

研究对象为患有精神障碍的年轻人(n = 48,年龄18 - 30岁)。通过2016年7 - 8月的24小时饮食回顾法评估饮食摄入量,并与官方建议以及普通公众(n = 250,年龄18 - 30岁)的摄入量进行比较。从医疗记录中获取过去8至12个月的体重。

结果

与普通公众相比,研究对象的水果、鱼类、乳制品、蔬菜和鱼油消费量显著较低,而软饮料和甜食消费量较高(p < 0.001)。此外,添加糖的贡献更高(15E%对12E%),蛋白质摄入量更低(16E%对18E%)。研究对象中ω-3脂肪酸和维生素D的摄入量低于普通公众且低于推荐量(总能量中ω-3占0.04±0.3%对1.2±0.6%,p < 0.001;维生素D为3.1±4.2μg/天对5.6±6.5μg/天,p < 0.001)。在过去8至12个月中,近40%的研究对象体重增加超过初始体重的5%。

结论

患有精神障碍的年轻人的饮食不符合建议,且比普通人群中同龄人更差。找到改善该群体饮食从而提高营养摄入量的方法很重要。关键词:精神障碍、精神分裂症、推荐膳食摄入量、脂肪酸、ω-3、维生素D。通信作者:英吉比约格·贡纳斯多蒂尔,ingigun@landspitali.is

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