Síndrome metabólica e transtornos psiquiátricos: uma associação que não pode ser esquecida

Rocha, Felipe Filardi da; Bezerra, Bernardo de P.S.

doi:10.1590/s0004-27302006000600024

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…The presence of depression in diabetic patients has been associated with an amplification Note: T2D: Type 2 Diabetes; DM: Diabetes Mellitus. 18 Moreira et al 23 Castillo-Quan et al 24 Nascimento et al 25 Raval et al 26 Moreira et al 27 Nascimento et al 28 Eren et al 29 Péres et al 30 Papelbaum et al 31 Carrijo & Dela Coleta 32 Rocha & Bezerra 33 Teng et al 34 Marcelino & Carvalho 35 Katon et al 36 Ciechanowski et al 37 Martins et al 38 De Groot et al 39 Anderson et al 40 Lustman et al 41 Ricco et al 42…”

Section: Discussionmentioning

confidence: 99%

Relationship between depression and diabetes Mellitus

Dalzochio¹,

Bonho²,

Feksa³

et al. 2014

Rev. Ciênc. Méd.

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ObjectiveTo review studies examining the possible relationship between depression and diabetes Mellitus.MethodsArticles were searched in the following databases: the Latin-American and Caribbean Center on Health Sciences, the Scientific Library Online, Base in Nursing and Pubmed. The search was limited to articles published between January 2000 and October 2010. Search terms included: “diabetes”, “depression”, “chronic diseases” and “psychiatric disorders”.ResultsA total of 21 articles which examined the relationship between diabetes and depression were included in the present paper. There is a bidirectional relationship between these two chronic diseases. Diabetes could lead to depression due its effects on the quality life of patients, its complications and the difficulty in treatment adhesion. Depression could lead to diabetes on account of alterations in glucose transport function and increased immunoninflamatory activation, which could contribute to insulin resistance and beta islet cell dysfunction.ConclusionThere is a bidirectional relation between diabetes and depression and the nature of this relation is still unclear. However, this research contributes to the comprehension of this relation and possible mechanisms involved, since both diseases should be monitored and deserve attention from health professionals.Keywords: Chronic disease. Depression. Diabetes Mellitus.

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Section: Discussionmentioning

confidence: 99%

Relationship between depression and diabetes Mellitus

Dalzochio¹,

Bonho²,

Feksa³

et al. 2014

Rev. Ciênc. Méd.

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“…5 Furthermore, we would like to stress that there is also significant evidence of those patients being predisposed to develop the metabolic changes discussed in the article, independent of the use of drugs. 6 Schizophrenic patients have higher prevalence of overweight and obesity, with distribution of visceral fat up to 3.4 times higher, independent of any drug effect. It is clear that care should be taken when interpreting this information, since these patients present inadequate eating habits, higher rates of sedentary lifestyle and precarious primary clinical care.…”

mentioning

confidence: 98%

“…It is clear that care should be taken when interpreting this information, since these patients present inadequate eating habits, higher rates of sedentary lifestyle and precarious primary clinical care. 6,7 Another issue to be considered is the already known activation of the hypothalamuspituitary-adrenal axis in schizophrenic patients. Chronic increase in cortisol may lead to a pseudoCushing's syndrome, characterized by increased visceral fat, hyperinsulinemia, insulin resistance, dislipidemias and hypertension, all of them markers of the metabolic syndrome.…”

mentioning

confidence: 99%

“…Chronic increase in cortisol may lead to a pseudoCushing's syndrome, characterized by increased visceral fat, hyperinsulinemia, insulin resistance, dislipidemias and hypertension, all of them markers of the metabolic syndrome. 6,7 In a recent Canadian study, schizophrenic patients without pharmacological treatment, through examinations of glucose tolerance and dosage of adiponectin, presented higher rates of insulin resistance and tendency to type II diabetes. 8 Those data are extremely important, since, besides clarifying the possible causes of metabolic changes resulting from the use of those drugs, they show probable ways for a better understanding of schizophrenia pathophysiology, considering that many of these changes seem to be directly or at least indirectly connected to the disorder origin.…”

mentioning

confidence: 99%

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Alterações metabólicas pelo uso de antipsicóticos em pacientes esquizofrênicos: considerações moleculares e neuroendócrinas

Rocha

Sousa

2006

Rev. psiquiatr. Rio Gd. Sul

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Metabolic alterations due to the use of antipsychotics in schizophrenic patients: molecular and neuroendocrinological considerations Dear Editors, It was with great interest that we read the article "Metabolic side effects of antipsychotics and mood stabilizers," 1 in which extremely important aspects for clinical practice were discussed.We would like to contribute by citing points we consider relevant and that could not be analyzed in detail in the article.

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Significados da dieta e mudanças de hábitos para portadores de doenças metabólicas crônicas: uma revisão

Vieira

Cordeiro

Júnior

et al. 2011

Ciênc. saúde coletiva

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Significados da dieta e mudanças de hábitos para portadores de doenças metabólicas crônicas: uma revisãoThe significance of dietary and behavioral changes in patients with chronic metabolic disorders: a reviewResumo Comportamento alimentar e significados psicoculturais da alimentação para portadores de distúrbios metabólicos crônicos têm sido foco de interesse em virtude da dificuldade de adesão às mudanças de hábitos e à promoção do autocuidado. Revisão bibliográfica foi realizada a partir das bases de dados Lilacs e Medline® e no sistema de busca Pubmed, visando estudos qualitativos que analisam a visão dos pacientes sobre dieta e estilo de vida. Palavras chaves: metabolic syndrome, eating behavior, diet, obesity, psychological factors, qualitative study e dietary habits. Critérios de inclusão: idioma inglês, espanhol ou português; período 2000 a 2008; população adulta; contendo um ou mais descritores no título. A partir de 15 artigos analisados foi concluído que a adesão às mudanças de hábitos é um processo dinâmico, dependente de vários fatores individuais para seu estabelecimento e requer maior interação entre profissionais e pacientes na prática clí-nica. A promoção do autocuidado depende do respeito às decisões e aos sentimentos decorrentes da vivência pessoal. Palavras-chave Estilo de vida, Práticas alimentares, Síndrome metabólica, Dieta, Literatura de revisão, Estudos qualitativos Abstract Eating behavior and the psycho-cultural significance of food for patients with chronic metabolic disorders have been a focus of interest due to the difficulty in ensuring the compliance of these patients in terms of changing their habits and in fostering self-care. A review of the literature was condusted using the LILACS and MEDLINE databases and the PUBMED search engine to identify qualitative studies in which the opinion of patients with respect to diet and lifestyle was analyzed. Key words used were: metabolic syndrome; eating behavior; diet; obesity; psychological factors; qualitative study; and dietary habits. Inclusion criteria consisted of: articles in English, Spanish or Portuguese, published between 2000 and 2008; studies carried out in adult populations; containing one or more of the key words in the title. Based on the 15 papers analyzed, it was concluded that compliance with a change of habit is a dynamic process that depends on various individual factors and requires greater interaction between professionals and patients in clinical practice. Promoting self-care depends on respecting the decisions and feelings resulting from personal experience.

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Síndrome metabólica e transtornos psiquiátricos: uma associação que não pode ser esquecida

Cited by 3 publications

References 3 publications

Relationship between depression and diabetes Mellitus

Relationship between depression and diabetes Mellitus

Alterações metabólicas pelo uso de antipsicóticos em pacientes esquizofrênicos: considerações moleculares e neuroendócrinas

Significados da dieta e mudanças de hábitos para portadores de doenças metabólicas crônicas: uma revisão

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