Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot study

Background and Objective: Patients with schizophrenia are more prone to develop metabolic syndrome (MetS) with its related complications, including cardiovascular diseases and diabetes mellitus compared to the general population. In this study, we aim to evaluate the effect of low-carbohydrate diet...

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Main Authors: Noor J Altooq, Safa Abduljalil Aburowais, Ahmed N Alajaimi, Isa Y Albanna, Omar A Alhaj, Haitham A Jahrami
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Heart and Mind
Subjects:
Online Access:http://www.heartmindjournal.org/article.asp?issn=2468-6476;year=2021;volume=5;issue=3;spage=80;epage=85;aulast=Altooq
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author Noor J Altooq
Safa Abduljalil Aburowais
Ahmed N Alajaimi
Isa Y Albanna
Omar A Alhaj
Haitham A Jahrami
author_facet Noor J Altooq
Safa Abduljalil Aburowais
Ahmed N Alajaimi
Isa Y Albanna
Omar A Alhaj
Haitham A Jahrami
author_sort Noor J Altooq
collection DOAJ
description Background and Objective: Patients with schizophrenia are more prone to develop metabolic syndrome (MetS) with its related complications, including cardiovascular diseases and diabetes mellitus compared to the general population. In this study, we aim to evaluate the effect of low-carbohydrate diet on MetS Z score, weight status, and symptomatology of patients with schizophrenia in Bahrain. Materials and Methods: This single-group pretest–posttest study was executed while considering an ethical approach of volunteer participants, a sample size of 35 patients with schizophrenia. The participants were instructed to follow a low-carbohydrate moderate-fat diet for 8 weeks. Anthropometric measurements, mean arterial pressure, basal metabolic index, body fat percentage (BFP), body surface area (BSA), and MetS Z score and Clinical Global Impression (CGI) Scale were collected before and after the diet intervention. Descriptive statistics, including the mean and standard deviations, were used for continuous variables and percentages for the categorical variables. Paired t-tests and effect size were used to analyze the mean difference of the values before and after the diet intervention. Results: A statistical significance in the mean difference was observed among the following variables: MetS Z score, weight, body mass index (BMI), high-density lipoproteins (HDL), low-density lipoprotein (LDL), thrombin generation test, waist circumference (WC), BFP, BSA, and CGI-improvement (CGI-I). Weight, BMI, TG, BFP, BSA, and CGI-I had a large effect size of the mean difference, whereas LDL, HDL, and WC had a moderate effect size. There was no statistically significant difference in the MetS Z score between male and female after the diet intervention (P = 0.274). Conclusion: Dietary modification with low-carbohydrates restriction is a workable approach in the management of schizophrenia and its related metabolic complications. Clinical trials need to be conducted to corroborate the implementation of dietary intervention as a co-treatment of schizophrenia.
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spelling doaj.art-b0e1ee9a151b4800a9a338a843a0ac2d2022-12-21T21:27:37ZengWolters Kluwer Medknow PublicationsHeart and Mind2468-64762468-64842021-01-0153808510.4103/hm.hm_25_21Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot studyNoor J AltooqSafa Abduljalil AburowaisAhmed N AlajaimiIsa Y AlbannaOmar A AlhajHaitham A JahramiBackground and Objective: Patients with schizophrenia are more prone to develop metabolic syndrome (MetS) with its related complications, including cardiovascular diseases and diabetes mellitus compared to the general population. In this study, we aim to evaluate the effect of low-carbohydrate diet on MetS Z score, weight status, and symptomatology of patients with schizophrenia in Bahrain. Materials and Methods: This single-group pretest–posttest study was executed while considering an ethical approach of volunteer participants, a sample size of 35 patients with schizophrenia. The participants were instructed to follow a low-carbohydrate moderate-fat diet for 8 weeks. Anthropometric measurements, mean arterial pressure, basal metabolic index, body fat percentage (BFP), body surface area (BSA), and MetS Z score and Clinical Global Impression (CGI) Scale were collected before and after the diet intervention. Descriptive statistics, including the mean and standard deviations, were used for continuous variables and percentages for the categorical variables. Paired t-tests and effect size were used to analyze the mean difference of the values before and after the diet intervention. Results: A statistical significance in the mean difference was observed among the following variables: MetS Z score, weight, body mass index (BMI), high-density lipoproteins (HDL), low-density lipoprotein (LDL), thrombin generation test, waist circumference (WC), BFP, BSA, and CGI-improvement (CGI-I). Weight, BMI, TG, BFP, BSA, and CGI-I had a large effect size of the mean difference, whereas LDL, HDL, and WC had a moderate effect size. There was no statistically significant difference in the MetS Z score between male and female after the diet intervention (P = 0.274). Conclusion: Dietary modification with low-carbohydrates restriction is a workable approach in the management of schizophrenia and its related metabolic complications. Clinical trials need to be conducted to corroborate the implementation of dietary intervention as a co-treatment of schizophrenia.http://www.heartmindjournal.org/article.asp?issn=2468-6476;year=2021;volume=5;issue=3;spage=80;epage=85;aulast=Altooqlow-carbohydrate dietmetabolic syndromemets z scoreschizophrenia
spellingShingle Noor J Altooq
Safa Abduljalil Aburowais
Ahmed N Alajaimi
Isa Y Albanna
Omar A Alhaj
Haitham A Jahrami
Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot study
Heart and Mind
low-carbohydrate diet
metabolic syndrome
mets z score
schizophrenia
title Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot study
title_full Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot study
title_fullStr Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot study
title_full_unstemmed Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot study
title_short Low-carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia: A pilot study
title_sort low carbohydrate diet improves the cardiopsychiatry profile of patients with schizophrenia a pilot study
topic low-carbohydrate diet
metabolic syndrome
mets z score
schizophrenia
url http://www.heartmindjournal.org/article.asp?issn=2468-6476;year=2021;volume=5;issue=3;spage=80;epage=85;aulast=Altooq
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