diet, body weight & mental
wellbeing in adolescents
DIANE EDWARDS & ED FRESHWATER
04/12 BSC MENTAL HEALTH NURSING
mental illness & weight change
Weight change as a
cause of mental ill health
vs.
Mental ill health as a
cause of weight change
outlining the problem
Overweight
Poor nutrition
Higher mortality
Physical health problems
Inactivity
Maladaptive coping strategies
mental illness & weight change
Delusions about food
Social withdrawal
Somnolence
Lack of motivation
Cognitive impairment
Hospital admission
Obesogenic environment
Comfort eating
energy requirements
Age Males Females
kcal kcal
11 years 2127 2032
12 years 2247 2103
13 years 2414 2223
14 years 2629 2342
15 years 2820 2390
16 years 2964 2414
17 years 3083 2462
18 years 3155 2462
SACN, 2011
diet routine
Day Breakfast Lunch Dinner Snacks Calories / sugar
Mon Cereal,Squash x2
¼ cheese baguetteIce cream2 x Squash
Pasta & Tomato sauceBlack forest Gateau2 x Squash
4 chocolate bourbons,Crisps x 2Cake3 x hot Chocolate
Tue Declined DeclinedPasta & CheeseIce Cream2 x Squash
Giant cookieCrispsKit KatHaribo (x4)3x Squash
Wed4 toast with jam2 x squash
Refused Refused
AeroCrispsChocolate cake2 x Squash
diet routine
Day Breakfast Lunch Dinner Snacks Calories / sugar
Mon Cereal,Squash x2
¼ cheese baguetteIce cream2 x Squash
Pasta & Tomato sauceBlack forest Gateau2 x Squash
4 chocolate bourbons,Crisps x 2Cake3 x hot Chocolate
2948226
Tue Declined DeclinedPasta & CheeseIce Cream2 x Squash
Giant cookieCrispsKit KatHaribo (x4)3x Squash
1785169
Wed4 toast with jam2 x squash
Refused Refused
AeroCrispsChocolate cake2 x Squash
161489
nutrition & mental health
Symptom May be lacking…
Anxiety Folic acid, magnesium
Poor concentration or attention Vitamin B1
Depression Vitamins B3, B6 & C, Folic acid, magnesium, selenium, zinc, Omega3 fatty acids, tryptophan, tyrosine, GABA
Loss of appetite Zinc
Irritability Vitamin B6, magnesium, selenium
Stress Vitamins B6 & B3, magnesium
Lack of motivation Zinc, tyrosine
Insomnia Magnesium
barriers
Fixed timetable
Kitchen - food production
- lack of creativity
- teenager-friendly
food
- awareness
Involving the young people
Policy
Monitoring bodies
Infection control
Inedible gloop
Apathy
challenges for nurses
Advocacy
Sustaining lifestyle change
Maladaptive strategies
Cultural or religious needs
Challenging practice
Systemic issue
any ideas?
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Hamel, L. & Robbins, L. (2012) Computer- and web-based interventions to promote healthy eating among children and adolescents: a systematic review. Journal of Advanced Nursing 69:1, pp16-30Maayan, L. & Correll, C.U. (2011) Weight gain and metabolic risks associated with antipsychotic medications in children and adolescents. Journal of Child & Adolescent Pharmacology 21(6), pp517-535Mulrooney, H. (2012) The effect of weight on mental health. Practice Nursing 23:7, pp339-343NMC (2008) The code: standards of practice for nurses and midwives. London, NMCPark, E. (2009) Gender as a moderator in the association of body weight to smoking and mental health. American Journal of Public Health 99:1, pp146-151Rees, R., Oliver, K., Woodman, J. & Thomas, J. (2009) Children’s views about obesity, body size, shape and weight. Journal of Advanced Nursing 67:5, pp954-960SACN (2011) Scientific Advisory Commission on Nutrition Available from Nutrition.org.uk Accessed 17.Mar.2014Tosh, G., Clifton, A.V., Xia, J. & White, M.M. (2014) Physical health care monitoring for people with serious mental illness. Cochrane Database of Systematic Reviews 2014