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Is a vegetarian diet beneficial for bipolar disorder? Relationship between dietary patterns, exercise and pharmacological treatments with metabolic syndrome and course of disease in bipolar disorder.

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Title: Is a vegetarian diet beneficial for bipolar disorder? Relationship between dietary patterns, exercise and pharmacological treatments with metabolic syndrome and course of disease in bipolar disorder.
Authors: Gomes‐da‐Costa, Susana (AUTHOR), Fernandéz‐Pérez, Isabel (AUTHOR), Borras, Roger (AUTHOR), Lopez, Noelia (AUTHOR), Rivas, Yudith (AUTHOR), Ruiz, Victoria (AUTHOR), Pons‐Cabrera, Maria Teresa (AUTHOR), Giménez‐Palomo, Anna (AUTHOR), Anmella, Gerard (AUTHOR), Valentí, Marc (AUTHOR), Berk, Michael (AUTHOR), Vieta, Eduard (AUTHOR), Pacchiarotti, Isabella (AUTHOR)
Source: Acta Psychiatrica Scandinavica. Oct2024, Vol. 150 Issue 4, p209-222. 14p.
Subjects: Dietary patterns, Diastolic blood pressure, Mediterranean diet, Psychosocial functioning, Bipolar disorder
Abstract: Background: Lifestyle factors are being increasingly studied in bipolar disorder (BD) due to their possible effects on both course of disease and physical health. The aim of this study was to jointly describe and explore the interrelations between diet patterns, exercise, pharmacological treatment with course of disease and metabolic profile in BD. Methods: The sample consisted of 66 euthymic or mild depressive individuals with BD. Clinical and metabolic outcomes were assessed, as well as pharmacological treatment or lifestyle habits (diet and exercise). Correlations were explored for different interrelations and a factor analysis of dietary patterns was performed. Results: Adherence to the Mediterranean diet was low, seen in 37.9% of the patients and was positively associated with perceived quality of life. The amount of exercise was negatively associated with cholesterol levels, with 32.8% of participants rated as low active by International Physical Activity Questionnaire. There was a high prevalence of obesity (40.6%) and metabolic syndrome (29.7%). Users of lithium showed the best metabolic profile. Interestingly, three dietary patterns were identified: "vegetarian," "omnivore" and "Western." The key finding was the overall positive impact of the "vegetarian" pattern in BD, which was associated with reduced depression scores, better psychosocial functioning, and perceived quality of life, decreased body mass index, cholesterol, LDL and diastolic blood pressure. Nuts consumption was associated with a better metabolic profile. Conclusions: A vegetarian diet pattern was associated with both, better clinical and metabolic parameters, in patients with BD. Future studies should prioritize prospective and randomized designs to determine causal relationships, and potentially inform clinical recommendations. [ABSTRACT FROM AUTHOR]
Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Is a vegetarian diet beneficial for bipolar disorder? Relationship between dietary patterns, exercise and pharmacological treatments with metabolic syndrome and course of disease in bipolar disorder.
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  Data: <searchLink fieldCode="AR" term="%22Gomes‐da‐Costa%2C+Susana%22">Gomes‐da‐Costa, Susana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fernandéz‐Pérez%2C+Isabel%22">Fernandéz‐Pérez, Isabel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Borras%2C+Roger%22">Borras, Roger</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lopez%2C+Noelia%22">Lopez, Noelia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rivas%2C+Yudith%22">Rivas, Yudith</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ruiz%2C+Victoria%22">Ruiz, Victoria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pons‐Cabrera%2C+Maria+Teresa%22">Pons‐Cabrera, Maria Teresa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Giménez‐Palomo%2C+Anna%22">Giménez‐Palomo, Anna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anmella%2C+Gerard%22">Anmella, Gerard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Valentí%2C+Marc%22">Valentí, Marc</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Berk%2C+Michael%22">Berk, Michael</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vieta%2C+Eduard%22">Vieta, Eduard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pacchiarotti%2C+Isabella%22">Pacchiarotti, Isabella</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Acta+Psychiatrica+Scandinavica%22">Acta Psychiatrica Scandinavica</searchLink>. Oct2024, Vol. 150 Issue 4, p209-222. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Dietary+patterns%22">Dietary patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Diastolic+blood+pressure%22">Diastolic blood pressure</searchLink><br /><searchLink fieldCode="DE" term="%22Mediterranean+diet%22">Mediterranean diet</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+functioning%22">Psychosocial functioning</searchLink><br /><searchLink fieldCode="DE" term="%22Bipolar+disorder%22">Bipolar disorder</searchLink>
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  Label: Abstract
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  Data: Background: Lifestyle factors are being increasingly studied in bipolar disorder (BD) due to their possible effects on both course of disease and physical health. The aim of this study was to jointly describe and explore the interrelations between diet patterns, exercise, pharmacological treatment with course of disease and metabolic profile in BD. Methods: The sample consisted of 66 euthymic or mild depressive individuals with BD. Clinical and metabolic outcomes were assessed, as well as pharmacological treatment or lifestyle habits (diet and exercise). Correlations were explored for different interrelations and a factor analysis of dietary patterns was performed. Results: Adherence to the Mediterranean diet was low, seen in 37.9% of the patients and was positively associated with perceived quality of life. The amount of exercise was negatively associated with cholesterol levels, with 32.8% of participants rated as low active by International Physical Activity Questionnaire. There was a high prevalence of obesity (40.6%) and metabolic syndrome (29.7%). Users of lithium showed the best metabolic profile. Interestingly, three dietary patterns were identified: "vegetarian," "omnivore" and "Western." The key finding was the overall positive impact of the "vegetarian" pattern in BD, which was associated with reduced depression scores, better psychosocial functioning, and perceived quality of life, decreased body mass index, cholesterol, LDL and diastolic blood pressure. Nuts consumption was associated with a better metabolic profile. Conclusions: A vegetarian diet pattern was associated with both, better clinical and metabolic parameters, in patients with BD. Future studies should prioritize prospective and randomized designs to determine causal relationships, and potentially inform clinical recommendations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/acps.13733
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        Text: English
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        PageCount: 14
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      – SubjectFull: Dietary patterns
        Type: general
      – SubjectFull: Diastolic blood pressure
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      – SubjectFull: Mediterranean diet
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              Text: Oct2024
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