Tuesday, November 4, 2008

The mentally ill are more obese

Mental factors in their most experts believe that mental illness caused by obesity has its own factors: ① there is some kind of mental illness associated with diabetes have the phenomenon of endocrine disorders and neurotransmitter imbalance. ② closely related to both genetic and, in particular the multi-gene genetic type 2 diabetes, schizophrenia and genetic similar to the way. ③ emotional instability, to patients with endocrine disorders. ④ patients lose initiative does not think of movement, lazy, childish behavior, regardless of the consequences greedy, but not beautiful, and so on.

The role of antipsychotic drugs currently used antipsychotics, there are varying degrees of weight gain in patients so that the side effects. ① such as the direct effect of the drug, blocking 5 - HT, and other neurotransmitters, resulting in patients with bulimia, do not want activities. ② drug indirect role in the suppression of the central nervous system, the patient fell all day and lifeless, more than the normal physiological need for sleep, as well as energy consumption is too small, too fat to form savings. ③ drugs on cholinergic receptor, patients often makes sense to drink water and dry mouth, or drink sugary drinks and fruit and easy to have a sense of hunger, appetite and hyperactivity.

Correct anti-fat treatment

Mental patients in the clinical treatment must be integrated treatment approach in order to obtain anti-fat treatment correct, and achieved satisfactory results.

① science and clinical medicine research, antipsychotic drugs on patients with body weight differences, with an average weight gain from weak to strong order are: perphenazine, haloperidol (F piperidyl alcohol), chlorpromazine, S Lee pyridazine (methionine pyridazine), clozapine. In the election-time to take into account all factors, weighing the pros and cons. ② use of scientific method: the type of medication at least, the lowest dose, the onset of the fastest, the best control of symptoms, side effects at least, the shortest time, and the lowest rate of relapse. To achieve this, the core of the problem is that the dose of medication and treatment time.

① reasonable diet diet should have "three more than 1 limit." That is, restrictions on sugar (especially sweet) food, limit fat intake, energy intake restriction (and other staple food refers to the amount of non-staple food); eating more low-energy food (such as low-sugar fruits, leafy vegetables and fiber food). ② when guiding patients dine slowly, focusing on a sense of full belly, a sense of this as soon as they stop eating. Please doctors calculate the best nutrition in patients with the necessary nutrition, converted into quantitative food supply.

Brisk walking each day to strengthen temper 45 to 60 minutes per week for at least 5 days away, to increase energy expenditure, suppress appetite, maintain a healthy weight and increase a sense. Practice has proved that training for men than women, and overweight women are more suitable weight training.

Surgical treatment of surgery, including vertical-linked stomach and the formation of gastric bypass surgery. This type of surgery in general can lose weight 40% to 70%. But for the mentally ill, the surgery has some risk. At present, for a variety of weight loss drugs, I do not recommend for good. Slimming products because, to some extent to worsen the symptoms of patients with mental illness.

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