Nutrition and exercise behavior among patients with bipolar disorder.

Nutrition and exercise behavior among patients with bipolar disorder. Research Abstract Details 

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Nutrition and exercise behavior among patients with bipolar disorder. Abstract Text:

Amy M Kilbourne,Dana L Rofey,John F McCarthy,Edward P Post,Deborah Welsh,Frederic C Blow,

OBJECTIVES: There have been few comprehensive studies of nutrition and exercise behaviors among patients with bipolar disorder (BPD). Based on a national sample of patients receiving care in the Veterans Affairs (VA) health care system, we compared nutrition and exercise behaviors among individuals diagnosed with BPD, others diagnosed with schizophrenia, and others who did not receive diagnoses of serious mental illness (SMI). METHODS: We conducted a cross-sectional study of patients who completed the VA's Large Health Survey of Veteran Enrollees section on health and nutrition in fiscal year (FY) 1999 and who either received a diagnosis of BPD (n = 2,032) or schizophrenia (n = 1,895), or were included in a random sample of non-SMI VA patients (n = 3,065). We compared nutrition and exercise behaviors using multivariable logistic regression, controlling for patient socio-economic and clinical factors, and adjusting for patients clustered by site using generalized estimating equations. RESULTS: Patients with BPD were more likely to report poor exercise habits, including infrequent walking (odds ratio, OR = 1.33, p < 0.001) or strength exercises (OR = 1.28, p < 0.001) than those with no SMI. They were also more likely to self-report suboptimal eating behaviors, including having fewer than two daily meals (OR = 1.32, p < 0.001) and having difficulty obtaining or cooking food (OR = 1.48, p < 0.001). Patients with BPD were also more likely to report having gained >or=10 pounds in the past 6 months (OR = 1.59, p < 0.001) and were the least likely to report that their health care provider discussed their eating habits (OR = 0.84, p < 0.05) or physical activity (OR = 0.81, p < 0.01). CONCLUSIONS: Greater efforts are needed to reduce the risk of poor nutrition and exercise habits among patients diagnosed with BPD.

Nutrition and exercise behavior among patients with bipolar disorder. Publishing Authors By Initials

AM Kilbourne,DL Rofey,JF McCarthy,EP Post,D Welsh,FC Blow,

For similar mental disorders: schizophrenia and disorders with psychotic features: schizophrenia research abstracts see: mental disorders: schizophrenia and disorders with psychotic features: schizophrenia research

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Nutrition and exercise behavior among patients with bipolar disorder. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Bipolar disorders

VOLUME: 9

Page Numbers: 443-52

Journal Abbreviation: Bipolar Disord

ISSN: 1398-5647

DAY: 3

MONTH: Aug

YEAR: 2007

Nutrition and exercise behavior among patients with bipolar disorder. Information

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LANGUAGE: eng

NlmUniqueID: 100883596

Nutrition and exercise behavior among patients with bipolar disorder. Keywords Mesh Terms:

KEYWORDS: Schizophrenia

MESH TERMS: epidemiology

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Grant and Affiliation Information for Nutrition and exercise behavior among patients with bipolar disorder.

AFFILIATION: Veterans Affairs Pittsburgh Center for Health Equity Research and Promotion, PA, USA. amykilbo@med.umich.edu

Country: Denmark

AGENCY: United States NIMH

GRANT: K23 MH001879

ACRONYM: MH

MEDLINETA: Bipolar Disord

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