Research Article
Investigation of the relationship between eating attitude and body composition of patients with anxiety disorders
Abstract
Introduction: The aim of
this study was to evaluate the relationship between eating attitude, body
composition and disease severity in patients with anxiety disorders.
Methods: This is
a cross-sectional case-control study conducted between January-March 2018 in
Clinic of Psychiatry of Çanakkale Onsekiz Mart University Medical Faculty of
Hospital. Beck depression scale (BDI), beck anxiety scale (BAI) and eating
attitude test (EAT) were applied to patients diagnosed as anxiety disorder
according to DSM-5 criteria and to healthy controls. Body compositions of all participants
were measured by Bioimpedance Analysis (BIA).
Results: Twenty-five
patients with anxiety disorders and 25 healthy controls were included in the
study. The BDI and BAI scores of the participants measured the severity of
anxiety and depressive symptoms were statistically higher than the controls. (p
<0.001). There were statistically significant positive correlations between
BDI and BAI, EAT and BMI (p = 0.029, r = 0.436; p = 0.001, r =.630,
respectively). There was a statistically significant positive correlation
between EAT and BMI (p = 0.027, r = 0.441). There were no statistically
significant differences between two groups in terms of body fat ratios.
Conclusions: Our study shows that patients with anxiety disorders should be evaluated
for obesity and related factors and necessary recommendations should be made.
References
- 1. Buist-Bouwman MA, De Graaf R, Vollebergh WA, Alonso J, Bruffaerts R, Ormel J, et al. Functional disability of mental disorders and comparison with physical disorders: a study among the general population of six European countries. Acta Psychiatr Scand 2006;113(6):492-500. https://doi.org/10.1111/j.1600-0447.2005.00684.x
- 2. Altunkaynak BZ, Ozbek E. [Obesity: Causes and Treatment Options] (in Turkish). Van Med J 2006;13(4):138-42. https://www.journalagent.com/vtd/pdfs/VTD_13_4_138_142.pdf (Access Date: December 23, 2019)
- 3. Dalgic O. [The Psychosocial Risk Factors for the Cardiovascular Diseases Prevention] (in Turkish). Turkiye Klinikleri J of Cardiol Special Topics. 2017;10(4):251-9. https://www.turkiyeklinikleri.com/article/en-kardiyovaskuler-hastaliklardan-korunmada-psikososyal-risk-faktorleri-78993.html (Access Date: December 23, 2019)
- 4. Markowitz S, Friedman MA, Arent SM. Understanding the relation between obesity and depression: causal mechanisms and implications for treatment. Clin Psychol Sci Pract 2008;15(1);1-20. https://doi.org/10.1111/j.1468-2850.2008.00106.x
- 5. Kahl KG, Schweiger U, Correll C, Müller C, Busch ML, Bauer M, et al. Depression, anxiety disorders, and metabolic syndrome in a population at risk for type 2 diabetes mellitus. Brain and behav 2015;5(3):306. https://doi.org/10.1002/brb3.306
- 6. Guedes EP, Madeira E, Mafort TT, Madeira M, Moreira RO, Mendonca LM, et al. Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome. Diabetol Metab Syndr 2013; 5(1): 82. https://dx.doi.org/10.1186%2F1758-5996-5-82
- 7. Everson-Rose SA, Lewis TT, Karavolos K, Dugan SA, Wesley D, Powell LH. Depressive symptoms and increased visceral fat in middle-aged women. Psychosom Med 2009;71(4):410–6. https://doi.org/10.1097/PSY.0b013e3181a20c9c
- 8. Vogelzangs N, Kritchevsky SB, Beekman AT, Newman AB, Satterfield S, Simonsick EM, et al. Depressive symptoms and change in abdominal obesity in older persons. Arch Gen Psychiatry 2008;65(12):1386–93. https://doi.org/10.1001/archpsyc.65.12.1386
- 9. Celikel FC, Bingol TY, Yildirim D, Tel H, Erkorkmaz U. Eating attitudes in patients with obsessive compulsive disorder. Arch Neuropsychiatry 2009;46: 86-90. https://www.noropsikiyatriarsivi.com/sayilar/393/buyuk/86-90.pdf (Access Date: December 23, 2019)
- 10. Akturk Z, Dagdeviren N, Ture M, Tuglu C. [Reliability and validity analysis of the turkish versıon of beck depressıon inventory for primary care]. (in Turkish). Turk J Fam Med 2005; 9(3): 117-22. http://www.turkailehekderg.org/wp-content/uploads/2014/07/c09-s03-03.pdf (Access Date: December 23, 2019)
- 11. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother 1998;12(2):163–72. https://www.researchgate.net/publication/233792003 (Access Date: December 23, 2019)
- 12. Savasir I, Erol N. [Eating attitude test: anorexia nervosa symptoms index] (in Turkish). Psikol Derg 1989;7(23):19-25. https://toad.halileksi.net/sites/default/files/pdf/yeme-tutum-testi-anoreksiya-nervoza-belirtileri-indeksi-toad.pdf (Access Date: December 23, 2019)
- 13. Dogan O. [The Epidemiology of Anxiety Disorders] (in Turkish). Turkiye Klinikleri J of Psychiatry Spec Top 2010;3(4): 9-18. https://www.turkiyeklinikleri.com/article/tr-anksiyete-bozukluklarinin-epidemiyolojisi-59518.html. (Access Date: December 23, 2019)
- 14. Tukel R, Alki N T. [Anxiete Disorders] (in Turkish). 1st edi. Ankara: Turk Psychiatr Assoc Pub 2000, p551-552.
- 15. Karamustafalioglu O, Yumrukcal H. [Depression and anxiety disorders] (in Turkish). SEEAH Med Bull 2011;45(2):65-74. https://www.journalagent.com/sislietfaltip/pdfs/SETB-14622-REVIEW_ARTICLE-KARAMUSTAFALIOGLU.pdf (Access Date: December 23, 2019)
- 16. Ocaktan ME, Ozdemir O, Akdur R. [Mental health services in the primary care] (in Turkish). J of Crisis 2004; 12(2):63-73. https://doi.org/10.1501/Kriz_0000000206
- 17. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol 2013;28(2):169-80. https://doi.org/10.1007/s10654-013-9771-5
- 18. Eren I, Erdi O. [The frequency of psychiatric disorders in obese patients] (in Turkish). J Clin Psychiatr 2003;6(3):152-7. https://www.journalagent.com/kpd/pdfs/KPD_6_3_152_157.pdf (Access Date: December 23, 2019)
- 19. Bulbul F, Eryigit AG, Erbagci AB, Selek S, Savas H. Alterations of lipid-lipoprotein and leptin in bipolar disorder associated with clinic process. Neuro Psychiatr Arch 2014;51(1):52-6. https://doi.org/10.4274/npa.y6668
- 20. Macit S, Karadag MG. Relationship between cognitive functioning impairment and nutrition in obesity: Current Perspective Clin Exp Health Sci 2014; 4(4): 241. https://doi.org/10.1155/2017/5923862.
- 21. Dipasquale S1, Pariante CM, Dazzan P, Aguglia E, McGuire P, et al. The dietary pattern of patients with schizophrenia: a systematic review. J Psychiatr Res 2013;47(2):197-207. https://doi.org/10.1016/j.jpsychires.2012.10.005
- 22. Cakmur H, Gunes UB. [Research the relationship between obesity and depression ın outpatient clinics] (in Turkish). Turk J Fam Med 2018;,22(2):58-65. http://www.turkailehekderg.org/wp-content/uploads/2018/07/TAHUD-18-Poliklinik-basvurularinda-obezite.pdf (Access Date: December 23, 2019)
- 23. Tas HI, Ertekin H, Yildizoglu CA, Ertekin YH. The relationship between eating behavior and body composition with the severity of depression in patients with major depressive disorder. Kafkas J Med Sci 2019;9(1):39–45. https://dx.doi.org/10.5505/kjms.2019.83798
- 24. Ozsoylar G, Sayın A, Candansayar S. [Comparison of patients with panic disorder and obsessive compulsive disorder with regard to eating attitudes] (in Turkish) Clin Psychiatr 2008;11(1):17-24. http://www.klinikpsikiyatri.org/en/jvi.aspx?pdir=kpd&plng=eng&un=KPD-24582 (Access Date: December 23, 2019)
Anksiyete bozukluğu olan hastaların yeme tutumu ile vücut kompozisyonu arasındaki ilişkinin incelenmesi
Abstract
Giriş: Bu
çalışmanın amacı anksiyete bozukluğu olan hastaların yeme tutumu, vücut kompozisyonu
ve hastalık şiddeti arasındaki ilişkiyi değerlendirmektir.
Yöntem: Ocak-Mart
2018 tarihleri arasında, Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi
Hastanesin Psikiyatri Kliniği’nde yapılmış kesitsel vaka-kontrol çalışmasıdır.
DSM-5 tanı ölçütlerine göre anksiyete bozukluğu tanısı almış hastalar ve
sağlıklı kontrollere beck depresyon ölçeği (BDÖ), beck anksiyete ölçeği (BAÖ)
ve yeme tutumu testi (YTT) uygulandı. Tüm katılımcıların vücut kompozisyonu
ölçümü Bioimpedans Analizi (BIA) ile yapıldı.
Bulgular: Çalışmamıza DSM-5’e
göre anksiyete bozukluğu olan 25 hasta ve 25 sağlıklı kontrol alındı.
Katılımcıların anksiyete ve depresif belirtilerinin şiddetini ölçen BDÖ ve BAÖ
puanları kontrollerden istatistiksel olarak anlamlı yüksekti (p<0,001), YTT
bakımından ise her iki grup arasında anlamlı fark saptanmadı. BDÖ ile BAÖ, YTT
ve vücut kitle indeksi (VKİ) arasında istatistiksel olarak anlamlı pozitif
korelasyonlar saptandı (sırasıyla p=0,029, r=0,436; p=0,001, r=0,630) . YTT ile
VKİ arasında istatistiksel olarak anlamlı pozitif korelasyon saptandı (p=0,027,
r=0,441). İki grup arasında vücut yağ oranları bakımından istatistiksel olarak
anlamlı fark saptanmadı.
Sonuç: Çalışmamız
anksiyete bozukluğu olan hastaların obezite ve ilişkili konularda
değerlendirilmesi ve gerekli önerilerde bulunulması gerektiğini göstermektedir.
References
- 1. Buist-Bouwman MA, De Graaf R, Vollebergh WA, Alonso J, Bruffaerts R, Ormel J, et al. Functional disability of mental disorders and comparison with physical disorders: a study among the general population of six European countries. Acta Psychiatr Scand 2006;113(6):492-500. https://doi.org/10.1111/j.1600-0447.2005.00684.x
- 2. Altunkaynak BZ, Ozbek E. [Obesity: Causes and Treatment Options] (in Turkish). Van Med J 2006;13(4):138-42. https://www.journalagent.com/vtd/pdfs/VTD_13_4_138_142.pdf (Access Date: December 23, 2019)
- 3. Dalgic O. [The Psychosocial Risk Factors for the Cardiovascular Diseases Prevention] (in Turkish). Turkiye Klinikleri J of Cardiol Special Topics. 2017;10(4):251-9. https://www.turkiyeklinikleri.com/article/en-kardiyovaskuler-hastaliklardan-korunmada-psikososyal-risk-faktorleri-78993.html (Access Date: December 23, 2019)
- 4. Markowitz S, Friedman MA, Arent SM. Understanding the relation between obesity and depression: causal mechanisms and implications for treatment. Clin Psychol Sci Pract 2008;15(1);1-20. https://doi.org/10.1111/j.1468-2850.2008.00106.x
- 5. Kahl KG, Schweiger U, Correll C, Müller C, Busch ML, Bauer M, et al. Depression, anxiety disorders, and metabolic syndrome in a population at risk for type 2 diabetes mellitus. Brain and behav 2015;5(3):306. https://doi.org/10.1002/brb3.306
- 6. Guedes EP, Madeira E, Mafort TT, Madeira M, Moreira RO, Mendonca LM, et al. Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome. Diabetol Metab Syndr 2013; 5(1): 82. https://dx.doi.org/10.1186%2F1758-5996-5-82
- 7. Everson-Rose SA, Lewis TT, Karavolos K, Dugan SA, Wesley D, Powell LH. Depressive symptoms and increased visceral fat in middle-aged women. Psychosom Med 2009;71(4):410–6. https://doi.org/10.1097/PSY.0b013e3181a20c9c
- 8. Vogelzangs N, Kritchevsky SB, Beekman AT, Newman AB, Satterfield S, Simonsick EM, et al. Depressive symptoms and change in abdominal obesity in older persons. Arch Gen Psychiatry 2008;65(12):1386–93. https://doi.org/10.1001/archpsyc.65.12.1386
- 9. Celikel FC, Bingol TY, Yildirim D, Tel H, Erkorkmaz U. Eating attitudes in patients with obsessive compulsive disorder. Arch Neuropsychiatry 2009;46: 86-90. https://www.noropsikiyatriarsivi.com/sayilar/393/buyuk/86-90.pdf (Access Date: December 23, 2019)
- 10. Akturk Z, Dagdeviren N, Ture M, Tuglu C. [Reliability and validity analysis of the turkish versıon of beck depressıon inventory for primary care]. (in Turkish). Turk J Fam Med 2005; 9(3): 117-22. http://www.turkailehekderg.org/wp-content/uploads/2014/07/c09-s03-03.pdf (Access Date: December 23, 2019)
- 11. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother 1998;12(2):163–72. https://www.researchgate.net/publication/233792003 (Access Date: December 23, 2019)
- 12. Savasir I, Erol N. [Eating attitude test: anorexia nervosa symptoms index] (in Turkish). Psikol Derg 1989;7(23):19-25. https://toad.halileksi.net/sites/default/files/pdf/yeme-tutum-testi-anoreksiya-nervoza-belirtileri-indeksi-toad.pdf (Access Date: December 23, 2019)
- 13. Dogan O. [The Epidemiology of Anxiety Disorders] (in Turkish). Turkiye Klinikleri J of Psychiatry Spec Top 2010;3(4): 9-18. https://www.turkiyeklinikleri.com/article/tr-anksiyete-bozukluklarinin-epidemiyolojisi-59518.html. (Access Date: December 23, 2019)
- 14. Tukel R, Alki N T. [Anxiete Disorders] (in Turkish). 1st edi. Ankara: Turk Psychiatr Assoc Pub 2000, p551-552.
- 15. Karamustafalioglu O, Yumrukcal H. [Depression and anxiety disorders] (in Turkish). SEEAH Med Bull 2011;45(2):65-74. https://www.journalagent.com/sislietfaltip/pdfs/SETB-14622-REVIEW_ARTICLE-KARAMUSTAFALIOGLU.pdf (Access Date: December 23, 2019)
- 16. Ocaktan ME, Ozdemir O, Akdur R. [Mental health services in the primary care] (in Turkish). J of Crisis 2004; 12(2):63-73. https://doi.org/10.1501/Kriz_0000000206
- 17. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol 2013;28(2):169-80. https://doi.org/10.1007/s10654-013-9771-5
- 18. Eren I, Erdi O. [The frequency of psychiatric disorders in obese patients] (in Turkish). J Clin Psychiatr 2003;6(3):152-7. https://www.journalagent.com/kpd/pdfs/KPD_6_3_152_157.pdf (Access Date: December 23, 2019)
- 19. Bulbul F, Eryigit AG, Erbagci AB, Selek S, Savas H. Alterations of lipid-lipoprotein and leptin in bipolar disorder associated with clinic process. Neuro Psychiatr Arch 2014;51(1):52-6. https://doi.org/10.4274/npa.y6668
- 20. Macit S, Karadag MG. Relationship between cognitive functioning impairment and nutrition in obesity: Current Perspective Clin Exp Health Sci 2014; 4(4): 241. https://doi.org/10.1155/2017/5923862.
- 21. Dipasquale S1, Pariante CM, Dazzan P, Aguglia E, McGuire P, et al. The dietary pattern of patients with schizophrenia: a systematic review. J Psychiatr Res 2013;47(2):197-207. https://doi.org/10.1016/j.jpsychires.2012.10.005
- 22. Cakmur H, Gunes UB. [Research the relationship between obesity and depression ın outpatient clinics] (in Turkish). Turk J Fam Med 2018;,22(2):58-65. http://www.turkailehekderg.org/wp-content/uploads/2018/07/TAHUD-18-Poliklinik-basvurularinda-obezite.pdf (Access Date: December 23, 2019)
- 23. Tas HI, Ertekin H, Yildizoglu CA, Ertekin YH. The relationship between eating behavior and body composition with the severity of depression in patients with major depressive disorder. Kafkas J Med Sci 2019;9(1):39–45. https://dx.doi.org/10.5505/kjms.2019.83798
- 24. Ozsoylar G, Sayın A, Candansayar S. [Comparison of patients with panic disorder and obsessive compulsive disorder with regard to eating attitudes] (in Turkish) Clin Psychiatr 2008;11(1):17-24. http://www.klinikpsikiyatri.org/en/jvi.aspx?pdir=kpd&plng=eng&un=KPD-24582 (Access Date: December 23, 2019)
There are 24 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Psychiatry |
| Journal Section | Original Research |
| Authors | |
| Publication Date | December 31, 2019 |
| Submission Date | December 11, 2019 |
| Acceptance Date | December 27, 2019 |
| Published in Issue | Year 2019Volume: 4 Issue: 3 |