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Objective This study examined an 8-week telephone and mail weight management intervention for Veterans who are unable to attend frequent clinical visits. Methods A mail and phone based intervention was compared to a “usual care” intervention in a Hospital clinic. 26 participants (80% male; mean wt=246.2lbs, BMI=34.7) completed the study. All participants received weight management counseling...
Background : Within the framework of the Progetto Faenza, the aim of this study was to evaluate the effect of cardiovascular risk factors (CVRF) on the health-related Quality of Life (H-rQoL) of a cohort of patients in the province of Ravenna, on the basis of body mass index (BMI) . Methods : The following data were collected for each subject: age, sex, weight, height, glycemia, cholesterol (total, HDL and LDL), creatinine, uricemia, systolic arterial pressure (SAP) and diastolic arterial pressure (DAP), presence/absence of previous CV disorders, arterial hypertension, diabetes, antihypertensive therapy, smoking habits and physical exercise. To evaluate the H-rQoL the SF-36 general health survey questionnaire was used, filled in by the patient at the first examination. To test the significance of the differences between the groups (divided by classes of Body Mass Index) as regards the metabolic indicators, a univariate analysis of variance was performed; on the other hand, to assess which factors affect H-rQoL a multivariate analysis was carried out, considering p≤0.05 as significant. The results are expressed as ± 1SD...
Energy restriction affects the hypothalamus, leading to a decrease in production of reproductive and thyroid hormones. A decrease in reproductive hormones affects fertility and a decrease in thyroid hormones affects muscle metabolism. A pig model has been used to determine that reproductive function is negatively affected if the normal practice of overfeeding is limited during the late luteal phase...
Objective.The Karolinska Psychodynamic Profile (KAPP) was used for the assessment of the six-month outcome of Brief Adlerian Psychodynamic Psychotherapy (B-APP) . Method.Fifty-seven eating disordered women (28 with anorexia nervosa, 29 with bulimia nervosa), were included in the study. The sample was evaluated at baseline (time 0) and after six months (T6) with a clinical assessment and with Temperament and Character Inventory (TCI), Eating Disorder Inventory (EDI-2), State-Trait Anger Expression Inventory (STAXI), and KAPP...
Objective To explore the psychometric properties of the Italian version of the Bulimic Investigatory Test, Edinburgh (BITE). Subjects A general population sample of 995 subjects (621 females), a clinical sample of 388 eating disordered females and a clinical sample of 710 patients with obesity (575 females). Results Internal consistency was satisfactory. The factor analysis confirmed...
Objective Past and current symptoms of Attention Deficit Hyperactivity Disorder (ADHD) were assessed in a clinical sample of severely obese females. Method Core symptoms of ADHD were examined in 75 consecutive, severely obese (BMI ≥35) women referred to a medical specialist for the non-surgical treatment of obesity. Subjects completed both a retrospective report of childhood symptoms of...
Objective : To describe and evaluate long-term efficacy (18 months from the end of treatment) of a new cognitive short-term weight reducing treatment program for obese patients . Subjects : One hundred and five obese [Body Mass Index (BMI) ≥30] patients participated in the study. Of these, 62 took part in the treatment program and 43 served as controls ...
Background Refeeding inpatients with anorexia nervosa (AN) is costly, stressful, and can precipitate the refeeding syndrome. Caloric intake is usually increased gradually from a low starting point until a steady weight gain is achieved. There is no reliable equation that predicts the number of calories required for a weight gain. It was our clinical suspicion that anxiety, exercise, and cigarette...
Aims.To further investigate the differentiation between non-purging bulimia nervosa (BN-NP) and binge eating disorder (BED), particularly as concerns weight-shape overconcern affecting self-esteem, a core belief to both anorexia and bulimia nervosa . Methods.Twenty-five female subjects with BN-NP and 25 female subjects with BED, consecutively referred to the Eating Disorder Unit of the DPPhNB, were administered the BEDCI, the EDI-2 and the BUT...
A pilot assessment of a curriculum-based running program geared for girls 8–12 years old (n=322) was implemented to assess influences regarding psychological risk factors leading to disordered eating among girls who participate in sports. Utilizing a pretest/posttest study design, researchers administered questionnaires in pre-program session T(1), and post-program T(2). Statistical tests on self-esteem...
The aim of the study was to develop a model of potential risk factors associated to the development of eating behaviors in Mexican women. A structural equation model was carried out on a sample of 425 women: high school and college students (N=425) with a mean age of 19.1 years (SD=3.8). The variables selected for the model were those that obtained significant correlations with the variable “eating...
Objective : To investigate the influence of the stage of change on treatment outcome among patients suffering from eating disorders . Method : Sixty-seven women receiving free outpatient treatment for eating disorders initially participated in this study. Their demographic, lifetime and clinical characteristics, eating disorder symptoms and general distress were assesssed at baseline and after one year, together with the results of self-report questionnaire on Attitudes towards Change in Eating Disorders (ACTA)...
Objective : To examine the association between weight control and tobacco use in young women . Methods : Smoking status and weight and eating related issues, endorsement of the belief “smoking helps to control weight”, dieting status (DEBQ-R), current and ideal weight and current height were assessed in 144 students . Results : Smoker (S) restrained eaters (RE) scored higher on dietary restraint than nonsmoker (NS) RE. In the smoking questionnaire, S-RE selected a significantly higher number of items concerning hunger, eating and weight than S unrestrained eaters (URE). S-RE had a greater level of endorsement of the belief: “smoking helps to control weight” than NS-URE. The subjects who marked those items had significantly higher scores in the DEBQ-R and were more likely to be RE than those who marked none of them...
Objective: Body image dissatisfaction is as well a risk factor for eating disorders (ED) and a central feature of ED. The exact nature of body image in adolescent ED is still debated. This study examined attitudinal body image in adolescent anorexia nervosa (AN) and bulimia nervosa (BN), and the association of age, maturational timing, duration of eating disorder, actual weight and general psychological...
Objective: To determine the effectiveness of psychosocial interventions for adolescents with AN. Methods: An extensive and systematic literature search was conducted for randomised controlled trials (RCTs) addressing the effectiveness of psychosocial interventions for teenagers (11–18 years) with AN. Results: Eight RCTs were located meeting the review’s inclusion criteria, the majority of which...
Objective: To assess the relationship between the personality dimensions measured by the temperament and character inventory (TCI) and pharmacotherapeutic outcome in bulimia nervosa (BN). Methods: Thirty female BN patients aged 19.5±2.9 years were enrolled to receive 12 weeks’ treatment with fluoxetine or buspirone and assessed using the Polish version of the TCI. The personality dimensions of...
Objective: To determine the prevalence of overweight adults living in the Bella Coola Valley. Design: A retrospective chart review of all people attending the Bella Coola Medical Clinic, and residing in the Bella Coola Valley. Main outcome measures: Weight (kilograms) and body mass index (BMI). Results: More than 92% of clinic charts had a recent measurement of weight and 65% of clinic charts...
Objective: The aim of this study was to evaluate eating disorder variables and self image in Italian female adolescents asking for a weight control treatment. Method: Eating Disorder Inventory-2 (1991) and Offer Self-Image questionnaire (1989) were administered; 100 subjects (75 outpatients and 25 controls) were enrolled over a period of three months and divided into three study groups (normal,...
Background: Eating disorders (EDs) affect an increasing proportion of young women in western countries. Psychometric questionnaires represent valuable tools to investigate various and critical areas directly involved in the pathogenesis of EDS and to support diagnosis and therapeutic decisions. Methods: 162 young women (16–35 years old) seeking diettherapy were recruited. We classified subjects...
Objective: The primary aim of this study was to examine the health- and appearance-related concerns of young African-American and Caucasian females. Research Methods: Participants were twenty Caucasian and twenty African-American college women, who were matched on age and BMI. All participants were administered the Multidimensional Body-Self Relations Questionnaire (MBSRQ), a demographics instrument,...
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