Types of eating disorders in patients with affective disorders: anthropometric and biochemical aspects of the problem
The aim of the study was to study the clinical features of eating disorders and their relationship with anthropometric and metabolic parameters in patients with affective disorders. Materials and methods. In 46 patients (14 men and 32 women) with affective spectrum disorders the parameters were studied eating behavior, anthropometric (body weight, body mass index, waist circumference) and biochemical (total cholesterol, glucose) indicators. The study was carried out using clinical-psychopathological, biochemical and clinical-statistical methods. Results. Patients with affective disorders with elevated and normal BM are characterized by various types of ED, among which, for patients with increased body weight (BMI>25), the emotiogenic type of ED prevails, and for patients with normal body weight (BMI<25), the restrictive type of ED. In addition, the average age in patients with the external type of ED was significantly (p<0.0005) higher than in the groups with other types of ED. The biochemical study allowed (given the small size of the sample) to draw a preliminary conclusion that lipid and carbohydrate metabolism in patients with affective disorders without concomitant somatic pathology did not have significant deviations from the standard values. Conclusions. A comprehensive approach to the treatment of patients with affective disorders and ED and the mandatory inclusion of ED in the treatment process, which should include, in addition to dietary and medication methods, psychotherapeutic corrective measures is advisable.