Double burden of malnutrition amongst patients with first-episode schizophrenia in a psychiatric hospital: A 1-year follow-up study

Onu, Justus Uchenna; Osuji, Portia N.

doi:10.4102/sajpsychiatry.v26i0.1564

Cited by 3 publications

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“…Onu JU, Osuji PN(Onu, Osuji, 2020) [40] Double burden of malnutrition amongst patients with first-episode schizophrenia in a psychiatric hospital: A 1-year follow-up study 2020…”

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confidence: 99%

"Addressing the Dual Burden of Malnutrition: A Review of Double Duty Actions and Multifaceted Approaches"

Tyagi

2023

BJSTR

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The dual burden of malnutrition (DBM) is a serious public health issue affecting billions all over the globe resulting in disability-adjusted life years (DALYs), productivity losses, and economic burden. The primary fuel to the rising global disease burden is the poor-quality diet and lifestyle responsible for multiple forms of malnutrition. This review paper discusses the present challenges, interventions, and approaches to target the root of DBM problems, as healthcare treatment is unaffordable and inaccessible to all, especially for those at the bottom of the pyramid. Also, this review focuses majorly on the double duty actions targeting both undernutrition and overweight and obesity simultaneously that can help in taking appropriate measures to control the prevalence of the disease burden. The outcome of this study provides an overview of double-duty actions for an integrated DBM management system as a preventive measure that could be helpful in policymaking, strategy development, and program planning to put less burden on the healthcare system.

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“…Onu JU, Osuji PN(Onu, Osuji, 2020) [40] Double burden of malnutrition amongst patients with first-episode schizophrenia in a psychiatric hospital: A 1-year follow-up study 2020…”

mentioning

confidence: 99%

"Addressing the Dual Burden of Malnutrition: A Review of Double Duty Actions and Multifaceted Approaches"

Tyagi

2023

BJSTR

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“…Распространенность дефицита массы тела у пациентов с шизофренией, по оценке ряда авторов, составляет 4,6-19,9% [17,18]. J. Firth и соавт.…”

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Malnutrition and perspectives of nutritional therapy for mental disorders

Романов

Dmitrenko

2021

RJTAO

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Gayet–Wernicke encephalopathy: a complication not to be overlooked in patients with catatonic schizophrenia

Messedi

Turki

Rihab

et al. 2023

Egypt J Neurol Psychiatry Neurosurg

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Background Gayet–Wernicke's encephalopathy (GWE) is a life-threatening neurological emergency caused by vitamin B1 deficiency. This is a rare complication, which may be reversible if managed promptly. However, any diagnostic or therapeutic delay exposes to the risk of serious sequelae. Although this pathology frequently occurs in chronic alcohol users, it can also occur in any situation of severe undernutrition. In this context, we report a case of GWE occurring after severe undernutrition complicating prolonged catatonia in a patient suffering from schizophrenia. Case presentation He was a 47-year-old patient, suffering from esophageal stenosis, and followed in psychiatry for schizophrenia, who was hospitalized for a catatonic relapse. He was put on benzodiazepine with parenteral rehydration. Faced with the persistence of food refusal, and the appearance of signs of undernutrition, a parenteral diet was introduced. The evolution was marked by the deterioration of his general and neurological condition, with the appearance of mental confusion. The examination showed a central vestibular syndrome, and brain magnetic resonance imaging showed a hyperintense signaling in the periaqueductal area, in mammillary bodies, and in medial thalamic nuclei on T2-FLAIR sequences. GWE was suspected and parental vitamin B1 therapy was initiated. Laboratory testing confirmed the diagnosis, showing a low thiamine blood level of 32 nmol/l [normal range: 78 to 185 nmol/l]. Regression of neurological symptoms was observed within 2 weeks of treatment. Conclusion Through this illustration, we draw the attention of the psychiatrist, who must think about preventing this complication, by supplementing any patient at risk of developing GWE with vitamin B1.

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Double burden of malnutrition amongst patients with first-episode schizophrenia in a psychiatric hospital: A 1-year follow-up study

Cited by 3 publications

References 25 publications

"Addressing the Dual Burden of Malnutrition: A Review of Double Duty Actions and Multifaceted Approaches"

"Addressing the Dual Burden of Malnutrition: A Review of Double Duty Actions and Multifaceted Approaches"

Malnutrition and perspectives of nutritional therapy for mental disorders

Gayet–Wernicke encephalopathy: a complication not to be overlooked in patients with catatonic schizophrenia

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