Percepções sobre comportamento alimentar compulsivo, imagem corporal e inflamação em indivíduos com esquizofrenia
DOI:
https://doi.org/10.25118/2763-9037.2023.v13.832Palavras-chave:
Transtorno da Compulsão Alimentar, Inflamação, Esquizofrenia, Insatisfação CorporalResumo
Objetivo: O Transtorno da Compulsão Alimentar Periódica (TCAP) é altamente prevalente em indivíduos com esquizofrenia. Este estudo tem como objetivo explorar a percepção da compulsão alimentar em pacientes com esquizofrenia e suas associações com marcadores clínicos, psicopatológicos e inflamatórios. Métodos: 45 participantes com queixa de compulsão alimentar foram avaliados por meio da Escala de Compulsão Alimentar Periódica (BES). Medidas clínicas e antropométricas, gordura corporal, dimensões psicopatológicas (PANSS) e um escore de satisfação com a imagem corporal com base nos itens da Body Shape Satisfaction Scale (BSSS) e do Body Shape Questionnaire (BSQ) e marcadores inflamatórios séricos, como IL-1β, IL - 6, IL-10, TNF-α e leptina foram dosados. Resultados: Os testes de correlação de Spearman revelaram correlações positivas entre escores de BES, insatisfação com a imagem corporal e escore PANSS, bem como correlação negativa com IL-10. Modelos de regressão linear múltipla mostraram que os escores de BES, embora não tenham sido suficientes para o diagnóstico de compulsão alimentar, estiveram associados positivamente com escore de insatisfação com a imagem corporal, níveis de IL-1β, IL-6 (ambas interleucinas pró inflamatórias) e negativamente com IL-10 (uma interleucina anti-inflamatória). Conclusão: Nossos achados sugerem que a inflamação crônica e a psicopatologia em indivíduos com esquizofrenia podem estar associados a comportamentos alimentares compulsivos e pior percepção de autoimagem corporal. Além da inflamação, o comer compulsivo pode contribuir para o aumento da mortalidade cardiovascular e piora do estado de saúde desses pacientes.
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Copyright (c) 2023 Isabel de Andrade Amato, Renato Oliveira Silva , Pedro Gabriel Lorencetti , Sérgio Roberto Correa Vicentin, Thaís Paulino do Prado, Vanessa Cristina Bobbo, Guilherme Augusto da Silva Nogueira, Eloisa Helena Rubello Valler Celeri, Renata Cruz Soares de Azevedo, Lício Augusto Velloso, Paulo Dalgalarrondo, Amilton dos Santos Junior
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Números do Financiamento 2013/07607-8