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慢性精神疾病住院患者健康相关行为评估——一项来自封闭式精神科病房的病例对照研究

Assessment of Health-Related Behaviors in Patients Hospitalized with Chronic Psychiatric Disorders-A Case-Control Study from a Closed Psychiatric Ward.

作者信息

Domański Maciej, Domańska Anna, Chęcińska-Maciejewska Zuzanna, Lachowicz-Wiśniewska Sabina, Żukiewicz-Sobczak Wioletta

机构信息

Department of Nutrition and Food, The Faculty of Medicine and Health Science, University of Kalisz, plac Wociecha Bogusławskiego 2, 62-800 Kalisz, Poland.

Department of Biological Bases of Food and Feed Technologies, University of Life Science in Lublin, 13 Akademicka Street, 20-950 Lublin, Poland.

出版信息

Nutrients. 2025 Jul 14;17(14):2315. doi: 10.3390/nu17142315.

DOI:10.3390/nu17142315
PMID:40732940
Abstract

BACKGROUND

Severe psychiatric disorders are frequently associated with disruptions in health-related behaviors, including diet and lifestyle. This cross-sectional study aimed to assess and compare selected dietary and lifestyle behaviors among long-term psychiatric inpatients diagnosed with unspecified dementia (F03) or organic delusional disorder (F06.2) and a control group of mentally healthy individuals.

METHODS

A 50-item validated questionnaire was administered to 28 hospitalized patients and 10 control participants. Analyses included nutritional habits, physical activity, stimulant use, and hydration, using non-parametric tests and effect size indicators (Cramér's V).

RESULTS

Significant differences were observed in meal regularity, frequency of meals, types of beverages consumed, and physical activity. Strong associations were found for meal types (V = 0.590) and stress-induced eating (V = 0.525).

CONCLUSIONS

The observed behavioral differences may reflect disease-related effects, demographic variation, or a combination of both. Despite these limitations, the findings suggest key areas for further investigation and support the need for targeted dietary and lifestyle interventions in psychiatric settings.

摘要

背景

严重精神疾病常与饮食和生活方式等健康相关行为的紊乱有关。这项横断面研究旨在评估和比较被诊断为未特定的痴呆症(F03)或器质性妄想障碍(F06.2)的长期精神科住院患者以及心理健康个体对照组之间特定的饮食和生活方式行为。

方法

对28名住院患者和10名对照参与者进行了一项经过验证的包含50个条目的问卷调查。分析包括营养习惯、身体活动、兴奋剂使用和水合作用,采用非参数检验和效应大小指标(克莱默V系数)。

结果

在进餐规律、进餐频率、饮用饮料类型和身体活动方面观察到显著差异。发现进餐类型(V = 0.590)和应激性进食(V = 0.525)之间存在强关联。

结论

观察到的行为差异可能反映了疾病相关影响、人口统计学差异或两者的结合。尽管存在这些局限性,但研究结果表明了进一步调查的关键领域,并支持在精神科环境中进行有针对性的饮食和生活方式干预的必要性。

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Assessment of Health-Related Behaviors in Patients Hospitalized with Chronic Psychiatric Disorders-A Case-Control Study from a Closed Psychiatric Ward.慢性精神疾病住院患者健康相关行为评估——一项来自封闭式精神科病房的病例对照研究
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本文引用的文献

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Hematological Correlations as Predictors of Disease Manifestations in Psychiatric Inpatients.血液学相关性作为精神科住院患者疾病表现的预测指标
Nutrients. 2025 Mar 10;17(6):959. doi: 10.3390/nu17060959.
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Dietary Intake, Mediterranean and Nordic Diet Adherence in Alzheimer's Disease and Dementia: A Systematic Review.饮食摄入、地中海饮食和北欧饮食与阿尔茨海默病和痴呆症的依从性:一项系统综述。
Nutrients. 2025 Jan 17;17(2):336. doi: 10.3390/nu17020336.
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The Gut Microbiome-Brain Crosstalk in Neurodegenerative Diseases.神经退行性疾病中的肠道微生物群-脑串扰
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Therapeutic Potential of the Purinergic System in Major Depressive Disorder Associated with COVID-19.嘌呤能系统在 COVID-19 相关重度抑郁症中的治疗潜力。
Cell Mol Neurobiol. 2023 Mar;43(2):621-637. doi: 10.1007/s10571-022-01215-6. Epub 2022 Mar 28.
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Effects of nutrition and gestational alcohol consumption on fetal growth and development.营养和妊娠期饮酒对胎儿生长发育的影响。
Nutr Rev. 2022 May 9;80(6):1568-1579. doi: 10.1093/nutrit/nuab119.
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Polish Psychiatric Association consensus statement on non-pharmacological methods in the treatment of negative symptoms of schizophrenia.波兰精神病学协会关于精神分裂症阴性症状的非药物治疗方法的共识声明。
Psychiatr Pol. 2021 Aug 31;55(4):719-742. doi: 10.12740/PP/OnlineFirst/135527.
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Adipokines as Immune Cell Modulators in Multiple Sclerosis.脂肪细胞因子作为多发性硬化症中的免疫细胞调节剂。
Int J Mol Sci. 2021 Oct 7;22(19):10845. doi: 10.3390/ijms221910845.
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Gut Microbiota-Induced Changes in β-Hydroxybutyrate Metabolism Are Linked to Altered Sociability and Depression in Alcohol Use Disorder.肠道微生物群诱导的β-羟丁酸代谢变化与酒精使用障碍中的社交能力改变和抑郁有关。
Cell Rep. 2020 Oct 13;33(2):108238. doi: 10.1016/j.celrep.2020.108238.
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Nutrition and behavioral health disorders: depression and anxiety.营养与行为健康障碍:抑郁与焦虑。
Nutr Rev. 2021 Feb 11;79(3):247-260. doi: 10.1093/nutrit/nuaa025.