Although we have extracted records from primary care and hospital inpatient data as supplements, some women may not recognize the depressive symptoms, or may be reluctant to seek help to disclose their mental problems, which might result in an underestimate of the PPD prevalence in our study 39. This prospective cohort study included female participants in UK Biobank who attended online follow-up assessment and reported their history of PPD. A total of 36 chronic diseases were assessed and multimorbidity was defined as the co-existence of two or more of these diseases. Participants were followed from the baseline recruitment to the onset of two or more chronic diseases, death, or the end of follow-up (2023). Logistic regression models, Cox proportional hazard models, quasi-Poisson mixed effects models, and linear mixed models were conducted to examine the association of PPD with chronic diseases and multimorbidity at baseline and during follow-up. One study found that women who were obese were more likely to experience symptoms of anxiety and depression than women who were of a healthy weight.
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Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight loss…from exercises to build a stronger core to advice on treating cataracts. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. A number of experts have recommended revision of the guidelines toward lower amounts, as more studies have linked even moderate alcohol consumption to health risks. And not so long ago there was general consensus that drinking in moderation also came with health advantages, including a reduced risk of cardiovascular disease and diabetes.
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Similarly, obese individuals are highly stigmatized and their excess weight is often viewed as a sign of irresponsibility and moral weakness.147 Obesity is sometimes treated as a medical disease, and the treatment for obesity usually includes reducing the amount of food consumed. However, there has been little discussion of the possibility that at least a subset of obese individuals may suffer from a psychiatric disorder that makes it particularly difficult for them to limit food consumption, just as it is difficult for individuals with alcohol or drug dependence to limit consumption of those is alcoholism a mental illness substances. Some of the differences between overeating and substance dependence may have implications for future definitions of substance use disorders. Physiological tolerance and withdrawal are currently prominent among the symptoms for substance dependence, but are not as salient for overeating.
Obesity and personality disorders
This external influence complicates the narrative around obesity as a disease because it’s not solely a personal health issue, but one that is driven by broader, systemic factors. By labelling obesity strictly as a disease, we risk overlooking the societal pressures and food environments that push individuals toward unhealthy eating behaviours. Part of what makes alcoholism and obesity alike is the way the tools of the disease, ethanol and food, work on the brain. Ethanol stimulates reward centers in the brain in much the same way sugar, salt and fat do. Because of this, people with a predisposition to over-drinking may also have a predisposition to overeating. Highlighting the behavioral core of obesity is not be equated with saying that freely-willed choices about eating are the root-cause of obesity.
- But the fault lies with the situation, not with ourselves—in the sense that human bodies are simply not adapted to spend too much time under water.
- Alcoholism, for instance, leads to liver damage, cardiovascular issues, and neurological impairments.
- A combination of treatments is optimal when pursuing therapeutic options in a clinical setting.
- Ethanol, the kind of alcohol in alcoholic drinks, and fat from foods have approximately the same amount of calories; but people with alcoholism tend not to be affected by obesity, mainly because they are often malnourished, having replaced a portion of their food calories with calories from alcohol.
- A designation of obesity as a disease that results from a complex interplay of behavioral, environmental, and genetic factors should shift the stigma and discrimination from considering it as simply a lifestyle issue of poor eating habits and sedentary lifestyle.
In this article, I aim to emphasise the importance of a more nuanced perspective that goes beyond the disease label. What surprised researchers, however, was that there was no link between obesity and a family history of alcoholism in the first survey. In short, a genetic risk might be subdued in a world that makes maintaining one’s weight a relatively straightforward task. But, change the environment to make unhealthy eating easier and being active harder, and the problem will become apparent.
Clearly using a BMI-based system is fraught with shortcomings, but the wealth of positive benefits to obese people of all ages far outweighs this problem. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, and more. Assessing the risks and benefits of alcohol consumption remains an active area of research that may lead to major changes in official guidelines or warning labels. The answer to this important question has varied over Sobriety time, but current US guidelines recommend that men who drink should limit intake to two drinks/day or less and women who drink should have no more than one drink/day.
Unfortunately, psychiatric disorders, and addictive disorders in particular, carry substantial stigma such that while we all acknowledge being medically ill at various points in our lives, we’re often loathe to admit that we might be mentally ill. And despite the fact that overweight has become the new normal in the U.S., being “fat” is itself widely reviled and stigmatized within our “fat shaming” culture. So reclassifying obesity as a psychiatric disorder might very well compound those stigmas. Enhancing healthcare team outcomes for individuals suffering from the psychological effects of obesity requires a multidisciplinary approach involving various healthcare professionals such as primary care physicians, psychiatrists, psychologists, dietitians, and exercise physiologists. The management of obesity is key to preventing or mediating the psychological effects that often accompany the condition. Conducting a thorough assessment to differentiate between these potential psychological issues and determine the most appropriate treatment and intervention strategies is essential. A multidisciplinary approach involving mental health professionals, physicians, dietitians, and other healthcare providers may be necessary to address the complex interplay between obesity and psychological well-being.
Weight And Health
This narrow focus on biological factors may lead people to rely more on medical treatments—such as surgery or medications—without addressing the underlying psychological and behavioural patterns that perpetuate their condition. Labelling conditions such as alcoholism and obesity as diseases can have positive effects. For one, it highlights the severe health risks they pose, urging https://ecosoberhouse.com/ individuals and healthcare providers to take these conditions seriously. Alcoholism, for instance, leads to liver damage, cardiovascular issues, and neurological impairments.
MeSH terms
By providing individuals with knowledge and skills, education enables understanding of the causes and consequences of obesity-related mental health issues like depression and anxiety. It empowers individuals to adopt healthier lifestyle behaviors, manage cravings, and overcome barriers to change. It also promotes treatment adherence by highlighting the benefits of interventions and fostering a sense of empowerment. Overall, this plays a crucial role in prevention, early intervention, and successful management of obesity-related psychological effects, leading to improved health outcomes and quality of life. It is known that some people with a BMI in the obese range are putatively ‘healthy,’ and some with a normal BMI have an excess of visceral body fat and are not healthy.
A significant number of therapeutic options exist for both obesity and psychiatric symptoms together, as well as separately. A combination of treatments is optimal when pursuing therapeutic options in a clinical setting. Furthermore, evaluating the impact of obesity on the patient’s quality of life using instruments like the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) questionnaire can help further understand the broader effects of obesity on daily functioning and well-being. Further, it is important that the medical community as well as the public and insurers drop their stereotypic perceptions of those who are obese, and elevate the obese condition to that of other disease conditions along with respect for those who are suffering. Finally, I hope this is a wake up call for public policymakers, as well as public and private funders to make certain comprehensive prevention and treatment resources are made available to all consumers.
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