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Type: Journal article
Title: Obesity and nutrition behaviours in Western and Palestinian outpatients with severe mental illness
Author: Jakabek, D.
Quirk, F.
Driessen, M.
Aljeesh, Y.
Baune, B.
Citation: BMC Psychiatry, 2011; 11(1):1-7
Publisher: BioMed Central Ltd.
Issue Date: 2011
ISSN: 1471-244X
Statement of
David Jakabek, Frances Quirk, Martin Driessen, Yousef Aljeesh and Bernhard T Baune
Abstract: Background: While people with severe mental illness have been found to be more overweight and obese in Western nations, it is unknown to what extent this occurs in Middle Eastern nations and which eating behaviours contribute to obesity in Middle Eastern nations. Method: A total of 665 responses were obtained from patients with serious mental illness attending out-patient clinics in Western developed countries (Germany, UK and Australia; n = 518) and Palestine (n = 147). Patients were evaluated by ICD-10 clinical diagnosis, anthropometric measurements and completed a self-report measure of frequencies of consuming different food items and reasons for eating. Nutritional habits were compared against a Western normative group. Results: More participants from Palestine were overweight or obese (62%) compared to Western countries (47%). In the Western sample, obese patients reported consuming more low-fat products (OR 2.54, 95% CI 1.02-6.33) but also greater eating due to negative emotions (OR 1.84, 95% CI 1.31-2.60) than patients with a healthy body-mass index. In contrast, obese patients from Palestine reported increased consumption of unhealthy snacks (OR 3.73 95% CI 1.16-12.00). Conclusion: Patients with mental illness have poorer nutritional habits than the general population, particularly in Western nations. Separate interventions to improve nutritional habits and reduce obesity are warranted between Western nations and Palestine.
Keywords: Humans; Obesity; Feeding Behavior; Mental Disorders; Adult; Outpatients; Arabs; Australia; Germany; Female; Male; United Kingdom
Description: Extent: 7p.
Rights: © 2011 Jakabek et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0020114709
DOI: 10.1186/1471-244X-11-159
Appears in Collections:Psychiatry publications

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