Psychiatric Burden in the Morbidly Obese in Multidisciplinary Bariatric Clinic in South India

Jiwanmall, Stephen Amarjeet; Kattula, Dheeraj; Nandyal, Munaf Babajan; Shanmugasundaram, Devika; Kapoor, Nitin; Joseph, Mary; Paravathareddy, Sandhiya; Shetty, Sahana; Paul, Thomas; Rajaratnam, Simon; Nicolaï, Thomas; Abraham, Vijay; Samarasam, Inian

doi:10.4103/ijpsym.ijpsym_187_17

Cited by 12 publications

(12 citation statements)

References 25 publications

(43 reference statements)

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“…In our study, the most prevalent associated diseases were hypertension, type 2 diabetes mellitus and psychiatric diseases, in agreement with the literature (21,23,25) . This comorbidity profile, commonly seen in obese patients, confers a greater risk of complications when there is a diagnosis of COVID-19.…”

Section: Discussionsupporting

confidence: 93%

Quality of life and eating habits of patients with obesity during the COVID-19 pandemic

Foppa

Mota

Morais

2021

Rev. Latino-Am. Enfermagem

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Objective: to verify the quality of life and eating habits of patients with obesity during the COVID-19 pandemic. Method: cross-sectional study with 68 outpatients, candidates for bariatric surgery, at university hospital in the Southern Brazil. Data collection was carried out by telephone, with questions about the profile of the participants and social distancing; questionnaires on quality of life and eating habits were also used. The data analysis, the logistic regression model, Spearman correlation, Mann-Whitney U and Student t-tests were used for independent samples. Results: the general quality of life was 57.03 points and the eating habit with the highest score was cognitive restraint (61.11 points). Most patients (72.1%) were socially distancing themselves and 27.9% had not changed their routine. The chance of isolation was 3.16 times greater for patients who were married. There is a positive correlation between the domains of the Quality of Life questionnaire and cognitive restraint from the questionnaire about eating habits. Conclusion: we found that the participants tended to have a better quality of life as cognitive restraint increased.

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Section: Discussionsupporting

confidence: 93%

Quality of life and eating habits of patients with obesity during the COVID-19 pandemic

Foppa

Mota

Morais

2021

Rev. Latino-Am. Enfermagem

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“…A study from Southern India on morbidly obese individuals suggested that about 30% of individuals attending an obesity clinic had psychological problems. 72 Recommendations for Counselling MNT and lifestyle interventions are likely to fail if patients are not kept sufficiently motivated throughout life. Hence, it is very important for physicians to understand their patients well and keep them motivated.…”

Section: Need For Counselling and Motivationmentioning

confidence: 99%

Consensus on Medical Nutrition Therapy for Diabesity (CoMeND) in Adults: A South Asian Perspective

Kapoor

Sahay

Kalra

et al. 2021

DMSO

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Diabetes and obesity are both increasing at a fast pace and giving rise to a new epidemic called diabesity. Lifestyle interventions including diet play a major role in the treatment of diabetes, obesity and diabesity. There are many guidelines on dietary management of diabetes or obesity globally and also from South Asia. However, there are no global or South Asian guidelines on the non-pharmacological management of diabesity. South Asia differs from the rest of the world as South Asians have different phenotype, cooking practices, food resources and exposure, medical nutrition therapy (MNT) practices, and availability of trained specialists. Therefore, South Asia needs its own guidelines for nonpharmacological management of diabesity in adults. The aim of the Consensus on Medical Nutrition Therapy for Diabesity (CoMeND) in Adults: A South Asian Perspective is to recommend therapeutic and preventive MNT in the South-Asians with diabesity.

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“…The health-related quality of life in severe obesity is worse in comparison to non-obese counterparts[ 264 ]. The psychiatric comorbidities in these patients are also high[ 265 ]. A formal psychological evaluation is suggested in the current guidelines[ 33 , 136 , 266 ].…”

Section: Psychological Assessmentmentioning

confidence: 99%

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

Bhattacharya¹,

Kalra²,

Kapoor³

et al. 2021

WJD

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Diabetes mellitus (DM) and obesity are interrelated in a complex manner, and their coexistence predisposes patients to a plethora of medical problems. Metabolic surgery has evolved as a promising therapeutic option for both conditions. It is recommended that patients, particularly those of Asian origin, maintain a lower body mass index threshold in the presence of uncontrolled DM. However, several comorbidities often accompany these chronic diseases and need to be addressed for successful surgical outcome. Laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic sleeve gastrectomy (LSG) are the most commonly used bariatric procedures worldwide. The bariatric benefits of RYGB and LSG are similar, but emerging evidence indicates that RYGB is more effective than LSG in improving glycemic control and induces higher rates of long-term DM remission. Several scoring systems have been formulated that are utilized to predict the chances of remission. A glycemic target of glycated hemoglobin < 7% is a reasonable goal before surgery. Cardiovascular, pulmonary, gastrointestinal, hepatic, renal, endocrine, nutritional, and psychological optimization of surgical candidates improves perioperative and long-term outcomes. Various guidelines for preoperative care of individuals with obesity have been formulated, but very few specifically focus on the concerns arising from the presence of concomitant DM. It is hoped that this statement will lead to the standardization of presurgical management of individuals with DM undergoing metabolic surgery.

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Psychiatric Burden in the Morbidly Obese in Multidisciplinary Bariatric Clinic in South India

Cited by 12 publications

References 25 publications

Quality of life and eating habits of patients with obesity during the COVID-19 pandemic

Quality of life and eating habits of patients with obesity during the COVID-19 pandemic

Consensus on Medical Nutrition Therapy for Diabesity (CoMeND) in Adults: A South Asian Perspective

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

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