Metabolic syndrome in bipolar disorder and schizophrenia: dietary and lifestyle factors compared to the general population

Objective Since a poor diet is often cited as a contributor to metabolic syndrome for subjects diagnosed with bipolar disorder and schizophrenia, we sought to examine dietary intake, cigarette smoking, and physical activity in these populations and compare them with those for the general population....

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Published in:Bipolar disorders 2014-05, Vol.16 (3), p.277-288
Main Authors: Bly, Michael J, Taylor, Stephan F, Dalack, Gregory, Pop-Busui, Rodica, Burghardt, Kyle J, Evans, Simon J, McInnis, Melvin I, Grove, Tyler B, Brook, Robert D, Zöllner, Sebastian K, Ellingrod, Vicki L
Format: Article
Language:English
Subjects:
Adult
Analysis of Variance
atypical antipsychotics
bipolar disorder
Bipolar Disorder - complications
Case-Control Studies
Community Health Planning
Diet
dietary intake
Female
Humans
Life Style
Male
Metabolic Diseases - diagnosis
Metabolic Diseases - etiology
metabolic syndrome
Middle Aged
Nutrition Surveys
Risk Factors
schizophrenia
Schizophrenia - complications
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Summary:Objective Since a poor diet is often cited as a contributor to metabolic syndrome for subjects diagnosed with bipolar disorder and schizophrenia, we sought to examine dietary intake, cigarette smoking, and physical activity in these populations and compare them with those for the general population. Methods Individuals diagnosed with bipolar disorder (n = 116) and schizophrenia (n = 143) were assessed for dietary intake, lifestyle habits, and metabolic syndrome and compared to age‐, gender‐, and race‐matched subjects from the National Health and Nutrition Examination Survey (NHANES) 1999–2000. Additionally, matched subgroups within the patient populations were compared to elicit any differences. Results As expected, the metabolic syndrome rate was higher in the samples with bipolar disorder (33%) and schizophrenia (47%) compared to matched NHANES controls (17% and 11%, respectively), and not different between the patient groups. Surprisingly, both subjects with bipolar disorder and those with schizophrenia consumed fewer total calories, carbohydrates and fats, as well as more fiber (p 
ISSN:1398-5647
1399-5618
DOI:10.1111/bdi.12160