Dangerous Association Noted Between Mental Illness and Obesity CME

Clinical Context

Obesity is common among patients with mental illness, occurring in up to 60% of patients with bipolar disorder, 70% of patients with schizophrenia, and 55% of patients with depression. A review by Taylor and colleagues in the current issue of the Canadian Journal of Psychiatry analyzes why mental illness is associated with higher rates of obesity. Although the use of psychoactive medications is an obvious reason for weight gain in this patient population, there is also evidence that disturbance of the sleep-wake cycle may promote a resistance to leptin, which promotes satiety, and higher levels of circulating ghrelin, which stimulates appetite. In addition, depression is associated with higher levels of circulating cortisol, which promotes weight gain. Finally, both mood disorders and obesity are marked by dopaminergic deficits. Continue reading

Diet Rich in Fish Oil and Protein May Help Combat ADHD

In the past few decades, there have been a growing number of children with attention deficit hyperactivity disorder (ADHD). According to the Centers for Disease Control and Prevention (CDC), more than 9 percent of children between the ages of 4 and 17 have been diagnosed with the disease.

While there is medication to treat this disorder, it is not effective for all children. Recently, research published in the journal Pediatrics revealed that making changes in diet could combat the symptoms of ADHD in children who are unresponsive to pharmacotherapy.

“A greater attention to the education of parents and children in a healthy dietary pattern, omitting items shown to predispose to ADHD, is perhaps the most promising Continue reading