Psychogenic nonepileptic seizures are associated with an increased risk of obesity

Psychogenic nonepileptic seizures (NES) are somatic manifestations of psychological distress. There is some evidence that weight problems are more common in patients with psychiatric illness. We have observed that patients admitted for video-EEG monitoring who we diagnosed with NES commonly have a l...

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Veröffentlicht in:Epilepsy & behavior 2004-02, Vol.5 (1), p.88-93
Hauptverfasser: Marquez, Anna Vinter, Farias, Sarah T., Apperson, Michelle, Koopmans, Suzanne, Jorgensen, Julie, Shatzel, Alan, Alsaadi, Taoufik M.
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container_end_page 93
container_issue 1
container_start_page 88
container_title Epilepsy & behavior
container_volume 5
creator Marquez, Anna Vinter
Farias, Sarah T.
Apperson, Michelle
Koopmans, Suzanne
Jorgensen, Julie
Shatzel, Alan
Alsaadi, Taoufik M.
description Psychogenic nonepileptic seizures (NES) are somatic manifestations of psychological distress. There is some evidence that weight problems are more common in patients with psychiatric illness. We have observed that patients admitted for video-EEG monitoring who we diagnosed with NES commonly have a larger body habitus than patients with epilepsy. The goal of this study was to test our hypothesis that there was a significant difference in body mass index (BMI) in patients with nonepileptic seizures compared with their epileptic counterparts. We compared the BMIs of 46 NES patients and 46 age- and gender-matched epileptic controls and found that the NES patients had significantly higher BMIs (30.5 vs 26.1, P=0.006) than controls. This remained true after controlling for weight-gain properties of antiepileptic drugs. These results are compared with the prevalence of overweight and obesity in the general population. Possible explanations of the findings and limitations of the study are discussed.
doi_str_mv 10.1016/j.yebeh.2003.10.019
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subjects Adolescent
Adult
Anticonvulsants - therapeutic use
Antiepileptic drugs
Body Mass Index
Body Weight - drug effects
Case-Control Studies
Chi-Square Distribution
Conversion Disorder - complications
Conversion Disorder - drug therapy
Conversion Disorder - epidemiology
Data Collection
Electroencephalography
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Nonepileptic seizures
Obesity
Obesity - drug therapy
Obesity - epidemiology
Obesity - etiology
Overweight
Prevalence
Pseudoseizures
Psychogenic seizures
Seizures - complications
Seizures - epidemiology
Seizures - physiopathology
Videotape Recording
title Psychogenic nonepileptic seizures are associated with an increased risk of obesity
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