What is it about?
Neuropsychiatric patients were often reported to have unhealthy dietary habits, sedentary behaviors, and poor sleep hygiene. Even if some neuropsychiatric conditions can directly or indirectly affect eating behaviors, in terms of direction of causality, a poor diet has remarkably been shown to precede the onset of mental illnesses, with similar time dependence for both sedentary lifestyles and poor sleep.
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Why is it important?
The medical-surgical world is increasingly oriented towards drug- or surgeon-centered treatments. Obesity is treated with anti-obesity medications or bariatric surgery, insomnia with transcranial magnetic stimulation, and treatment-resistant conditions with neurosurgical implants. It seems that multiple benefits deriving from healthy diet, physical activity, and restful sleep have been progressively forgotten. The impending global pandemics of obesity and sleep disturbances are not effectively controlled by lifestyle interventions because the integration in clinical practice has never been systematic.
Perspectives
We support the integration of HEPAS as the central determinant in the prevention and multimodal approach of neuropsychiatric disorders, thus ultimately encouraging multidisciplinary interactions between specialists and researchers. Conceivably, clinical trials should investigate HEPAS into diverse settings and disease populations in order to take full advantage of these behavioral interventions. Both youths and adults should be included in interventional studies. Real-world approaches to promote healthy habits, enhance physical activity, and increase sleep quality should be investigated, being social engagement the common denominator.
Dr. M. Briguglio
IRCCS Ospedale Galeazzi - Sant'Ambrogio
Read the Original
This page is a summary of: Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice, January 2020, Taylor & Francis,
DOI: 10.2147/ndt.s229206.
You can read the full text:
Resources
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