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Zachos KA, Godin O, Choi J, Jung JH, Aouizerate B, Aubin V, Bellivier F, Raoul Belzeaux R, Courtet P, Dubertret C, Etain B, Haffen E, Antoine Lefrere A, Llorca PM, Olié E, Polosan M, Samalin L, Schwan R, Roux P, Barau C, Richard JR, Tamouza R, Leboyer M, Andreazza AC, Etain B, Olié E, Leboyer M, Haffen E, Llorca PM, Barteau V, Bensalem S, Godin O, Laouamri H, Souryis K, Hotier S, Pelletier A, Hergeta F, Petrucci J, Willaume L, Bellivier F, Hennion V, Marlinge E, Meheust J, Richard A, Carminati M, Francisque H, Dubertret C, Mazer N, Portalier C, Scognamiglio C, Bing A, Laurent P, Gard S, M'Bailara K, Elkael C, Hoorelbeke F, Minois I, Sportich J, Da Ros N, Boukhobza L, Courtet P, Denat S, Deffinis B, Ducasse D, Gachet M, Lengvenyté A, Molière F, Nass L, Tarquini G, Lefrere A, Moreau E, Pastol J, Groppi F, Polomeni H, Bauberg J, Lescalier L, Muraccioli I, Suray A, Cohen R, Kahn JP, Milazzo M, Wajsbrot-Elgrabli O, Bougerol T, Pouchon A, Bertrand A, Fredembach B, Suisse A, Denoual Q, Polosan M, Galliot AM, Brehon L, Bonny G, Durand L, Feuga V, Kayser N, Roux P, Aubin V, Cussac I, Dupont MA, Loftus J, et alZachos KA, Godin O, Choi J, Jung JH, Aouizerate B, Aubin V, Bellivier F, Raoul Belzeaux R, Courtet P, Dubertret C, Etain B, Haffen E, Antoine Lefrere A, Llorca PM, Olié E, Polosan M, Samalin L, Schwan R, Roux P, Barau C, Richard JR, Tamouza R, Leboyer M, Andreazza AC, Etain B, Olié E, Leboyer M, Haffen E, Llorca PM, Barteau V, Bensalem S, Godin O, Laouamri H, Souryis K, Hotier S, Pelletier A, Hergeta F, Petrucci J, Willaume L, Bellivier F, Hennion V, Marlinge E, Meheust J, Richard A, Carminati M, Francisque H, Dubertret C, Mazer N, Portalier C, Scognamiglio C, Bing A, Laurent P, Gard S, M'Bailara K, Elkael C, Hoorelbeke F, Minois I, Sportich J, Da Ros N, Boukhobza L, Courtet P, Denat S, Deffinis B, Ducasse D, Gachet M, Lengvenyté A, Molière F, Nass L, Tarquini G, Lefrere A, Moreau E, Pastol J, Groppi F, Polomeni H, Bauberg J, Lescalier L, Muraccioli I, Suray A, Cohen R, Kahn JP, Milazzo M, Wajsbrot-Elgrabli O, Bougerol T, Pouchon A, Bertrand A, Fredembach B, Suisse A, Denoual Q, Polosan M, Galliot AM, Brehon L, Bonny G, Durand L, Feuga V, Kayser N, Roux P, Aubin V, Cussac I, Dupont MA, Loftus J, Medecin I, Samalin L, Llorca PM, Mennetrier M, Bonnet T, Lacelle D, Vayssié M, Beal C, Blanc O. Diet quality and associations with lactate and metabolic syndrome in bipolar disorder. J Affect Disord 2024; 364:167-177. [PMID: 39117002 DOI: 10.1016/j.jad.2024.05.167] [Show More Authors] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 05/01/2024] [Accepted: 05/21/2024] [Indexed: 08/10/2024]
Abstract
BACKGROUND Nutrition is largely affected in bipolar disorder (BD), however, there is a lack of understanding on the relationship between dietary categories, BD, and the prevalence of metabolic syndrome. The objective of this study is to examine dietary trends in BD and it is hypothesized that diets with increased consumption of seafood and high-fiber carbohydrates will be correlated to improved patient outcomes, and a lower frequency of metabolic syndrome. METHODS This retrospective cohort study includes two French cohorts. The primary cohort, FACE-BD, includes 268 stable BD patients. The second cohort, I-GIVE, includes healthy controls, both stable and acute BD and schizophrenia patients. Four dietary categories were assessed: meat, seafood, low-fiber and high-fiber carbohydrates. Dietary data from two food frequency questionnaires were normalized using min-max scaling and assessed using various statistical analyses. RESULTS In our primary cohort, the increased high-fiber carbohydrate consumption was correlated to lower prevalence of metabolic syndrome and improved mood. Low-fiber carbohydrate consumption is associated with higher BMI, while higher seafood consumption was correlated to improved mood and delayed age of onset. Results were not replicated in our secondary cohort. LIMITATIONS Our populations were small and two different dietary questionnaires were used; thus, results were used to examine similarities in trends. CONCLUSIONS Overall, various dietary trends were associated with metabolic syndrome, BMI, lactate, mood and age of onset. Improving our understanding of nutrition in BD can provide mechanistic insight, clinically relevant nutritional guidelines for precision medicine and ultimately improve the quality of lives for those with BD.
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