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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity最新文献

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Adolescent leisure-time physical activity and eating disorders: a longitudinal population-based twin study. 青少年业余体育活动与饮食失调:一项基于人群的双胞胎纵向研究。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-06-08 DOI: 10.1007/s40519-024-01670-8
Nadja Anis, Anna Keski-Rahkonen, Sara Kaartinen, Yasmina Silén, Jaakko Kaprio, Sari Aaltonen

Purpose: High levels of physical activity have been documented in eating disorder patients. Our aim was to examine whether adolescent leisure-time physical activity is prospectively associated with eating disorders in adolescence and young adulthood.

Methods: Finnish twins born in 1983-1987 reported their physical activity frequency at ages 12, 14, and 17. A subsample of participants underwent structured, retrospective interviews for eating disorders at the mean age of 22.4 years. Associations between female twins' physical activity and future eating disorders (571-683 twins/wave) were investigated with the Cox proportional hazards model. To illustrate the physical activity similarity of the co-twins in a twin pair, we used cross-tabulation of eating disorder-discordant twin pairs (13-24 pairs/wave).

Results: After adjusting for several covariates, we found no statistically significant longitudinal association between physical activity and eating disorders. This applied when all eating disorders were combined but also when assessed separately as restrictive and non-restrictive eating disorders. Co-twins' physical activity in adolescence tended to be similar irrespective of their future eating disorder, supporting the results of the regression analysis.

Conclusion: We observed no evidence of adolescent physical activity frequency being prospectively associated with eating disorders in female twins. Further longitudinal studies with larger sample sizes and more detailed physical activity data are needed.

Level of evidence: III, evidence obtained from cohort or case-control analytic studies.

目的:有资料显示,饮食失调症患者的体育活动水平较高。我们的目的是研究青少年闲暇时间的体力活动是否与青少年期和青年期的饮食失调有前瞻性关联:方法:1983-1987 年出生的芬兰双胞胎报告了他们在 12、14 和 17 岁时的体育活动频率。在平均年龄为 22.4 岁时,参与者中的一部分人接受了有关饮食失调的结构化回顾性访谈。研究采用 Cox 比例危险模型对女性双胞胎(571-683 对/波)的体育锻炼与未来饮食失调之间的关系进行了调查。为了说明一对双胞胎中同卵双胞胎的体育活动相似性,我们对饮食失调不一致的双胞胎(13-24 对/波)进行了交叉分析:结果:在对几个协变量进行调整后,我们发现体力活动与饮食失调之间没有统计学意义上的纵向联系。这不仅适用于所有饮食失调,也适用于限制性和非限制性饮食失调。同卵双胞胎无论将来是否患有饮食失调症,其青春期的体力活动都趋于相似,这支持了回归分析的结果:我们没有观察到证据表明女性双胞胎青春期的体育锻炼频率与饮食失调有关。证据等级:III级,从队列研究和个案研究中获得的证据:III,证据来自队列或病例对照分析研究。
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引用次数: 0
Changing food choices: the option for high-protein foods and the move away from the Mediterranean diet. 改变食物选择:选择高蛋白食物和放弃地中海饮食。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-06-04 DOI: 10.1007/s40519-024-01668-2
Concetta M Vaccaro, Giulia Guarino, Francesco Danza, Alessia Fraulino, Renata Bracale

Purpose:  The growing importance placed on health and physical well-being by consumers continues to influence food industry choices. The food market therefore, pandering to the desires for a lean and athletic body, offers new products deemed more healthy and able to impact body image. It is evidenced, thus, a change in food choices and habits, with more attention to the quality and nutrient content of the products consumed, in which protein is assuming increasing importance. The purpose of the study is to highlight important changes in eating habits and in particular the increase in the consumption of high-protein foods, attributable to the focus on physical fitness and thinness, resulting in a decreasing adherence to the Mediterranean diet and the progressive loss of its positive impact on health.

Methods and results: This analysis is based on CIRCANA srl data on food consumption trends (change percentage of quantity and value sales) in recent years. Specifically, between January and September 2022 vs. 2021, there was a 21.6% increase in the sale of high-protein products, significantly higher than all the previous ones.

Conclusions: The past few years have seen the gradual discovery of new products, at first little-known and niche, which are becoming major players on the national food consumption scene. The trend is toward a growing preference for high-protein foods and diets with the gradual abandonment of the Mediterranean and an increased risk of nutritional deficiencies, obesity, and cardiovascular disease.

Level of evidence: Level IV, evidence obtained from multiple time series with or without the intervention.

目的:消费者对健康和身体健康的日益重视继续影响着食品行业的选择。因此,食品市场为了迎合人们对苗条健美身材的追求,推出了被认为更健康、更能影响身体形象的新产品。由此可见,人们的食品选择和习惯发生了变化,更加关注所消费产品的质量和营养成分,其中蛋白质的重要性与日俱增。本研究的目的是强调饮食习惯的重要变化,特别是高蛋白食品消费量的增加,这归因于人们对健身和瘦身的关注,导致地中海饮食的坚持率下降,并逐渐丧失了其对健康的积极影响:本分析基于 CIRCANA srl 公司近几年的食品消费趋势数据(销售数量和价值的变化百分比)。具体而言,2022 年 1 月至 9 月与 2021 年相比,高蛋白产品的销售量增加了 21.6%,明显高于以往的销售量:在过去的几年里,人们逐渐发现了一些新产品,这些产品最初鲜为人知,属于小众产品,但现在已成为全国食品消费领域的主角。现在的趋势是,人们越来越偏爱高蛋白食品和饮食,逐渐放弃地中海饮食,营养缺乏、肥胖和心血管疾病的风险增加:证据等级:IV 级,从多个时间序列中获得的证据,无论是否有干预措施。
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引用次数: 0
Inpatient treatments for adults with anorexia nervosa: a systematic review of literature. 成人厌食症患者的住院治疗:文献系统回顾。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-05-20 DOI: 10.1007/s40519-024-01665-5
Federica Toppino, Matteo Martini, Paola Longo, Inês Caldas, Nadia Delsedime, Raffaele Lavalle, Francesco Raimondi, Giovanni Abbate-Daga, Matteo Panero

Purpose: Anorexia nervosa (AN) is a mental disorder for which hospitalization is frequently needed in case of severe medical and psychiatric consequences. We aim to describe the state-of-the-art inpatient treatment of AN in real-world reports.

Methods: A systematic review of the literature on the major medical databases, spanning from January 2011 to October 2023, was performed, using the keywords: "inpatient", "hospitalization" and "anorexia nervosa". Studies on pediatric populations and inpatients in residential facilities were excluded.

Results: Twenty-seven studies (3501 subjects) were included, and nine themes related to the primary challenges faced in hospitalization settings were selected. About 81.48% of the studies detailed the clinical team, 51.85% cited the use of a psychotherapeutic model, 25.93% addressed motivation, 100% specified the treatment setting, 66.67% detailed nutrition and refeeding, 22.22% cited pharmacological therapy, 40.74% described admission or discharge criteria and 14.81% follow-up, and 51.85% used tests for assessment of the AN or psychopathology. Despite the factors defined by international guidelines, the data were not homogeneous and not adequately defined on admission/discharge criteria, pharmacological therapy, and motivation, while more comprehensive details were available for treatment settings, refeeding protocols, and psychometric assessments.

Conclusion: Though the heterogeneity among the included studies was considered, the existence of sparse criteria, objectives, and treatment modalities emerged, outlining a sometimes ambiguous report of hospitalization practices. Future studies must aim for a more comprehensive description of treatment approaches. This will enable uniform depictions of inpatient treatment, facilitating comparisons across different studies and establishing guidelines more grounded in scientific evidence.

Level of evidence: Level I, systematic review.

目的:神经性厌食症(AN)是一种精神障碍,如果出现严重的医疗和精神后果,通常需要住院治疗。我们旨在通过真实世界的报告来描述最先进的厌食症住院治疗方法:方法:我们使用关键词对 2011 年 1 月至 2023 年 10 月期间主要医学数据库中的文献进行了系统回顾:"住院病人"、"住院 "和 "神经性厌食症"。结果显示,有27项研究(3501名受试者)发现了神经性厌食症:结果:共纳入 27 项研究(3501 名受试者),选出了与住院环境中面临的主要挑战有关的 9 个主题。约 81.48% 的研究详细介绍了临床团队,51.85% 的研究提到了心理治疗模式的使用,25.93% 的研究探讨了治疗动机,100% 的研究明确了治疗环境,66.67% 的研究详细介绍了营养和再喂养,22.22% 的研究提到了药物治疗,40.74% 的研究介绍了入院或出院标准,14.81% 的研究介绍了随访,51.85% 的研究使用了测试来评估自闭症或精神病理学。尽管国际指南规定了这些因素,但数据并不一致,入院/出院标准、药物治疗和动机方面的定义也不充分,而治疗环境、再喂养方案和心理评估方面的细节则更为全面:尽管考虑到了纳入研究之间的异质性,但还是出现了标准、目标和治疗方式稀疏的情况,勾勒出了有时含糊不清的住院实践报告。今后的研究必须以更全面地描述治疗方法为目标。这样才能对住院治疗进行统一描述,便于对不同研究进行比较,并制定出更有科学依据的指导方针:证据等级:I级,系统综述。
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引用次数: 0
The relationship between weight-adjusted-waist index and suicidal ideation: evidence from NHANES. 体重调整后腰围指数与自杀意念之间的关系:来自 NHANES 的证据。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-05-14 DOI: 10.1007/s40519-024-01666-4
Shijie Guo, Guangwei Qing, Qiqi Chen, Guang Yang

Background: Amidst growing evidence of the intricate link between physical and mental health, this study aims to dissect the relationship between the waist-to-weight index (WWI) and suicidal ideation within a representative sample of the US population, proposing WWI as a novel metric for suicide risk assessment.

Methods: The study engaged a sample of 9500 participants in a cross-sectional design. It employed multivariate logistic and linear regression analyses to probe the association between WWI and suicidal ideation. It further examined potential nonlinear dynamics using a weighted generalized additive model alongside stratified analyses to test the relationship's consistency across diverse demographic and health variables.

Results: Our analysis revealed a significant positive correlation between increased WWI and heightened suicidal ideation, characterized by a nonlinear relationship that persisted in the adjusted model. Subgroup analysis sustained the association's uniformity across varied population segments.

Conclusions: The study elucidates WWI's effectiveness as a predictive tool for suicidal ideation, underscoring its relevance in mental health evaluations. By highlighting the predictive value of WWI, our findings advocate for the integration of body composition considerations into mental health risk assessments, thereby broadening the scope of suicide prevention strategies.

研究背景:越来越多的证据表明,身体健康与心理健康之间存在着错综复杂的联系,本研究旨在剖析具有代表性的美国人口样本中腰围-体重指数(WWI)与自杀意念之间的关系,提出将腰围-体重指数作为自杀风险评估的新指标:该研究采用横断面设计,抽样调查了 9500 名参与者。研究采用多变量逻辑分析和线性回归分析来探究 WWI 与自杀意念之间的关联。研究还使用加权广义相加模型和分层分析进一步研究了潜在的非线性动态关系,以检验不同人口统计学变量和健康变量之间的关系是否一致:我们的分析表明,WWI 增加与自杀意念增强之间存在明显的正相关,这种非线性关系在调整模型中持续存在。亚组分析结果表明,在不同的人群中,这种关联具有一致性:本研究阐明了 WWI 作为自杀意念预测工具的有效性,强调了其在心理健康评估中的相关性。通过强调WWI的预测价值,我们的研究结果提倡将身体成分因素纳入心理健康风险评估,从而扩大自杀预防策略的范围。
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引用次数: 0
Validation and assessment of psychometric properties of the Greek Eating Behaviors Assessment for Obesity (GR-EBA-O). 希腊肥胖症饮食行为评估(GR-EBA-O)的验证和心理特性评估。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-05-11 DOI: 10.1007/s40519-024-01664-6
Panagiota Mavrandrea, Matteo Aloi, Matteo Geraci, Androula Savva, Fragiskos Gonidakis, Cristina Segura-Garcia

Introduction: With increasing morbidity and risk of death, obesity has become a serious health problem largely attributable to difficulties in finding proper treatments for related diseases. Many studies show how detecting abnormal eating behaviors could be useful in developing effective clinical treatments. This study aims at validating the Greek version of the Eating Behaviors Assessment for Obesity (EBA-O).

Method: After a double English/Greek forward/backward translation of the EBA-O, 294 participants completed the Greek version (GR-EBA-O), the Eating Disorder Examination Questionnaire, the Binge Eating Scale, and the Yale Food Addiction Scale. Confirmatory factor analysis (CFA) and construct validity were calculated, and Two-way MANOVA was computed with the factors of GR-EBA-O controlling for sex and BMI categories.

Results: CFA confirmed the second-order five factors (i.e., food addiction, night eating, binge eating, sweet eating, and prandial hyperphagia) structure of the original EBA-O with excellent fit indices. GR-EBA-O factors were highly correlated. The GR-EBA-O subscales were also significantly correlated with the remaining measures, demonstrating good concurrent validity.

Conclusion: The Greek version of the EBA-O has demonstrated sound psychometric properties and appears a reliable and user-friendly tool to identify pathological eating behaviors in obesity.

Level of evidence: V, descriptive research.

导言:随着发病率和死亡风险的增加,肥胖已成为一个严重的健康问题,这主要归因于很难找到相关疾病的适当治疗方法。许多研究表明,检测异常饮食行为有助于开发有效的临床治疗方法。本研究旨在验证希腊语版的肥胖饮食行为评估(EBA-O):方法:在对 EBA-O 进行英语/希腊语正向/反向双重翻译后,294 名参与者完成了希腊语版本(GR-EBA-O)、进食障碍检查问卷、暴食量表和耶鲁食物成瘾量表。计算了确认性因子分析(CFA)和建构效度,并对GR-EBA-O的因子进行了双向MANOVA计算,控制了性别和BMI类别:CFA证实了原EBA-O的二阶五因子(即食物成瘾、夜食、暴食、甜食和膳食过多)结构,拟合指数极佳。GR-EBA-O 各因子高度相关。GR-EBA-O子量表与其他测量指标也有显著相关性,显示出良好的并发效度:希腊语版 EBA-O 具有良好的心理测量学特性,似乎是一种可靠且易于使用的工具,可用于识别肥胖症患者的病态饮食行为:证据等级:V,描述性研究。
{"title":"Validation and assessment of psychometric properties of the Greek Eating Behaviors Assessment for Obesity (GR-EBA-O).","authors":"Panagiota Mavrandrea, Matteo Aloi, Matteo Geraci, Androula Savva, Fragiskos Gonidakis, Cristina Segura-Garcia","doi":"10.1007/s40519-024-01664-6","DOIUrl":"10.1007/s40519-024-01664-6","url":null,"abstract":"<p><strong>Introduction: </strong>With increasing morbidity and risk of death, obesity has become a serious health problem largely attributable to difficulties in finding proper treatments for related diseases. Many studies show how detecting abnormal eating behaviors could be useful in developing effective clinical treatments. This study aims at validating the Greek version of the Eating Behaviors Assessment for Obesity (EBA-O).</p><p><strong>Method: </strong>After a double English/Greek forward/backward translation of the EBA-O, 294 participants completed the Greek version (GR-EBA-O), the Eating Disorder Examination Questionnaire, the Binge Eating Scale, and the Yale Food Addiction Scale. Confirmatory factor analysis (CFA) and construct validity were calculated, and Two-way MANOVA was computed with the factors of GR-EBA-O controlling for sex and BMI categories.</p><p><strong>Results: </strong>CFA confirmed the second-order five factors (i.e., food addiction, night eating, binge eating, sweet eating, and prandial hyperphagia) structure of the original EBA-O with excellent fit indices. GR-EBA-O factors were highly correlated. The GR-EBA-O subscales were also significantly correlated with the remaining measures, demonstrating good concurrent validity.</p><p><strong>Conclusion: </strong>The Greek version of the EBA-O has demonstrated sound psychometric properties and appears a reliable and user-friendly tool to identify pathological eating behaviors in obesity.</p><p><strong>Level of evidence: </strong>V, descriptive research.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceptions, attitudes, and behaviors among adolescents living with obesity, caregivers, and healthcare professionals in Italy: the ACTION Teens study. 意大利肥胖症青少年、护理人员和医护人员的观念、态度和行为:ACTION 青少年研究。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-05-08 DOI: 10.1007/s40519-024-01663-7
Claudio Maffeis, Luca Busetto, Malgorzata Wasniewska, Daniele Di Pauli, Carla Maccora, Andrea Lenzi

Purpose: ACTION Teens (NCT05013359) was conducted in 10 countries to identify perceptions, attitudes, behaviors, and barriers to effective obesity care among adolescents living with obesity (ALwO), caregivers of ALwO, and healthcare professionals (HCPs). Here, we report data from participants in Italy.

Methods: The ACTION Teens cross-sectional online survey was completed by 649 ALwO (aged 12- < 18 years), 455 caregivers, and 252 HCPs in Italy in 2021.

Results: Most ALwO thought their weight was above normal (69%), worried about weight affecting their future health (87%), and reported making a weight-loss attempt in the past year (60%); fewer caregivers responded similarly regarding their child (46%, 72%, and 33%, respectively). In addition, 49% of caregivers believed their child would lose excess weight with age. ALwO (38%) and caregivers (30%) most often selected wanting to be more fit/in better shape as a weight-loss motivator for ALwO; HCPs most often selected improved social life/popularity (73%). ALwO (25%) and caregivers (22%) most frequently selected lack of hunger control and not liking exercise, respectively, as weight-loss barriers, while HCPs most often agreed that unhealthy eating habits were a barrier (93%). ALwO most often obtained weight-management information from family/friends (25%) and search engines (24%); caregivers most often obtained information from doctors (29%).

Conclusion: In Italy, the impact of obesity on ALwO was underestimated by caregivers, and ALwO and HCPs had different perceptions of key weight-loss motivators and barriers. Additionally, the internet was a key information source for ALwO, which suggests new education/communication strategies are needed.

Level of evidence: IV; Evidence obtained from multiple time series with/without intervention, e.g.

Case studies:

Trial registration: ClinicalTrials.gov, NCT05013359.

目的:ACTION Teens(NCT05013359)在 10 个国家开展,旨在确定肥胖症青少年(ALwO)、肥胖症青少年的照顾者和医疗保健专业人员(HCPs)对有效肥胖症护理的看法、态度、行为和障碍。在此,我们将报告来自意大利参与者的数据:方法:649 名患有肥胖症的青少年(年龄在 12- 岁之间)完成了 ACTION 青少年横断面在线调查:大多数 ALwO 认为自己的体重超过正常值(69%),担心体重会影响未来的健康(87%),并表示在过去一年中尝试过减肥(60%);而对孩子做出类似回答的照顾者较少(分别为 46%、72% 和 33%)。此外,49% 的照护者认为他们孩子的体重会随着年龄的增长而减轻。ALwO(38%)和看护者(30%)最常选择希望自己更健康/身材更好作为 ALwO 的减肥动机;HCPs 最常选择改善社交生活/受欢迎程度(73%)。ALwO(25%)和护理人员(22%)最常选择的减肥障碍分别是无法控制饥饿感和不喜欢运动,而保健医生最常认为不健康的饮食习惯是一个障碍(93%)。ALwO最常从家人/朋友(25%)和搜索引擎(24%)处获得体重管理信息;护理人员最常从医生(29%)处获得信息:在意大利,护理人员低估了肥胖对 ALwO 的影响,ALwO 和 HCPs 对关键的减肥动机和障碍有不同的看法。此外,互联网是 ALwO 的主要信息来源,这表明需要新的教育/沟通策略:证据等级:IV;证据来自有/无干预措施的多个时间序列,如个案研究:试验登记:试验注册:ClinicalTrials.gov,NCT05013359。
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引用次数: 0
Efficacy of multivitamin support following bariatric surgery in patients with obesity: a prospective observational study. 肥胖症患者接受减肥手术后多种维生素支持的疗效:一项前瞻性观察研究。
IF 2.9 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-05-07 DOI: 10.1007/s40519-024-01655-7
Alessio Basolo, Susanna Bechi Genzano, Jacopo Vitti, Guido Salvetti, Donatella Gilio, Giovanni Ceccarini, Giovanna Scartabelli, Chita Lippi, Rosario Bellini, Rudi Mancini, Simone D'Imporzano, Carlo Moretto, Valentina Angeli, Daniela Troiani, Paola Fierabracci, Roberta Jaccheri, Alba Calderone, Anello M Poma, Luca Chiovato, Giorgio Saponati, Ferruccio Santini

Purpose: Bariatric surgery (BS), an effective treatment for severe obesity and its comorbidities, may result in micronutrient and vitamin deficiencies. This monocentric prospective observational study aimed at evaluating the efficacy of a specifically designed vitamin/mineral formula (Bariatrifast, BIOITALIA S.r.l., Italy) for preventing and treating micronutrient deficiencies in patients submitted to BS.

Methods: Twenty patients with severe obesity (mean weight and BMI: 123.5 kg (range 88-174) and 43.3 kg/m2 (range 37-54) respectively) underwent BS (10 vertical sleeve gastrectomy VSG, 10 Roux-en-Y gastric bypass, RYGB). The mean age was 49.9 years (range 27-68). After a presurgical visit (V0), follow-up visits were performed at 1, 3, 6 and 12 months after surgery (V1-V4). Recorded data included weight, height and BMI. A complete blood count, measurement of ferritin, folic acid, vitamin B12, ionized calcium, 25 OH vitamin D, parathyroid hormone (PTH) were obtained. Following BS, patients started the daily oral multivitamin and mineral supplement.

Results: All patients achieved a significant weight loss (mean - 34.7 ± 11.8 kg). No deficiencies of various vitamins/micronutrients were detected during the entire study period. The serum concentrations of vitamin B12, 25-OH Vitamin D and folic acid increased over the follow-up period compared with V0 (mean increase 243 ng/L, 23 µg /L, 8 µg/L, respectively). Compared to RYGB, patients who underwent sleeve gastrectomy showed higher levels of 25-OH vitamin D at V2, V3 and V4 (all p < 0.05), and higher levels of Vitamin B12 and folic acid at V4 (p < 0.05 and p < 0.005, respectively). No adverse events were reported.

Conclusion: Following VSG or RYGB, Bariatrifast administration was associated with normal values of essential micronutrients, and it was well-tolerated without evidence of gastrointestinal side effects. Clinical Trial Registration ClinicalTrials.gov, identifiers NCT06152965.

目的:减肥手术(BS)是治疗严重肥胖症及其并发症的有效方法,但可能导致微量元素和维生素缺乏。这项单中心前瞻性观察研究旨在评估一种专门设计的维生素/矿物质配方(Bariatrifast,BIOITALIA S.r.l.,意大利)对预防和治疗减肥手术患者微量营养素缺乏症的疗效:20名重度肥胖症患者(平均体重和体重指数分别为123.5千克(范围88-174)和43.3千克/平方米(范围37-54))接受了BS治疗(10例垂直袖带胃切除术VSG,10例Roux-en-Y胃旁路术RYGB)。平均年龄为 49.9 岁(27-68 岁不等)。术前访视(V0)后,分别在术后 1、3、6 和 12 个月进行了随访(V1-V4)。记录的数据包括体重、身高和体重指数。此外,还进行了全血细胞计数、铁蛋白、叶酸、维生素 B12、离子钙、25 OH 维生素 D 和甲状旁腺激素(PTH)的测定。手术后,患者开始每天口服多种维生素和矿物质补充剂:结果:所有患者的体重都有明显下降(平均 34.7 ± 11.8 千克)。在整个研究期间,未发现患者缺乏各种维生素/微量元素。与 V0 相比,血清中维生素 B12、25-OH 维生素 D 和叶酸的浓度在随访期间有所增加(分别平均增加 243 纳克/升、23 微克/升和 8 微克/升)。与 RYGB 相比,接受袖状胃切除术的患者在 V2、V3 和 V4 阶段的 25-OH 维生素 D 水平更高(均为 p):在VSG或RYGB术后服用Bariatrifast可使必需微量营养素达到正常值,且耐受性良好,无胃肠道副作用。临床试验注册 ClinicalTrials.gov,标识符 NCT06152965。
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引用次数: 0
Obesity, body fat distribution and eye diseases. 肥胖症、体脂分布与眼疾。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-05-06 DOI: 10.1007/s40519-024-01662-8
Francesca Bosello, Angiola Vanzo, Chiara Zaffalon, Luca Polinelli, Filippo Saggin, Erika Bonacci, Emilio Pedrotti, Giorgio Marchini, Ottavio Bosello

Background: The prevalence of obesity, a chronic disease, is increasing, and obesity is now considered a global epidemic. Eye diseases are also increasing worldwide and have serious repercussions on quality of life as well as increasingly high costs for the community. The relationships between obesity and ocular pathologies are not yet well clarified and are not pathologically homogeneous: they seem to be somehow linked to excess body fat, especially to the distribution of adipose tissue and its ectopic deposits.

Purpose: Our objective was to examine the associations between obesity and anthropometric indices, including body mass index (BMI), waist circumference (WC), and the waist/hip ratio (WHR), and the risk of most widespread eye diseases, with particular attention given to the most significant metabolic mechanisms.

Methods: This article provides a narrative overview of the effect of obesity and anthropometric measurements of body fat on prevalent eye diseases. We used the MEDLINE/PubMed, CINAHL, EMBASE, and Cochrane Library databases from 1984 to 2024. In addition, we hand-searched references from the retrieved articles and explored a number of related websites. A total of 153 publications were considered.

Results: There is significant evidence that obesity is associated with several eye diseases. Waist circumference (WC) and the waist/hip ratio (WHR) have been observed to have stronger positive associations with eye diseases than BMI.

Conclusions: Obesity must be considered a significant risk factor for eye diseases; hence, a multidisciplinary and multidimensional approach to treating obesity, which also affects ocular health, is important. In the prevention and treatment of eye diseases related to obesity, lifestyle factors, especially diet and physical activity, as well as weight changes, both weight loss and weight gain, should not be overlooked.

Level of evidence: Level V narrative review.

背景:肥胖症是一种慢性疾病,其发病率不断上升,目前已被认为是一种全球性流行病。眼部疾病在全球范围内也日益增多,严重影响了人们的生活质量,社会成本也越来越高。目的:我们的目的是研究肥胖和人体测量指数(包括体重指数(BMI)、腰围(WC)和腰臀比(WHR))与最常见眼部疾病风险之间的关系,尤其关注最重要的代谢机制:本文概述了肥胖和人体脂肪测量对流行性眼病的影响。我们使用了 1984 年至 2024 年的 MEDLINE/PubMed、CINAHL、EMBASE 和 Cochrane 图书馆数据库。此外,我们还人工搜索了检索到的文章中的参考文献,并浏览了一些相关网站。我们共研究了 153 篇出版物:有大量证据表明,肥胖与多种眼部疾病有关。据观察,腰围(WC)和腰臀比(WHR)与眼部疾病的正相关性比体重指数(BMI)更强:结论:肥胖必须被视为眼部疾病的重要风险因素;因此,采用多学科、多维度的方法治疗肥胖非常重要,因为肥胖也会影响眼部健康。在预防和治疗与肥胖有关的眼病时,生活方式因素(尤其是饮食和体育锻炼)以及体重变化(包括体重减轻和增加)也不容忽视:五级叙述性综述。
{"title":"Obesity, body fat distribution and eye diseases.","authors":"Francesca Bosello, Angiola Vanzo, Chiara Zaffalon, Luca Polinelli, Filippo Saggin, Erika Bonacci, Emilio Pedrotti, Giorgio Marchini, Ottavio Bosello","doi":"10.1007/s40519-024-01662-8","DOIUrl":"10.1007/s40519-024-01662-8","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of obesity, a chronic disease, is increasing, and obesity is now considered a global epidemic. Eye diseases are also increasing worldwide and have serious repercussions on quality of life as well as increasingly high costs for the community. The relationships between obesity and ocular pathologies are not yet well clarified and are not pathologically homogeneous: they seem to be somehow linked to excess body fat, especially to the distribution of adipose tissue and its ectopic deposits.</p><p><strong>Purpose: </strong>Our objective was to examine the associations between obesity and anthropometric indices, including body mass index (BMI), waist circumference (WC), and the waist/hip ratio (WHR), and the risk of most widespread eye diseases, with particular attention given to the most significant metabolic mechanisms.</p><p><strong>Methods: </strong>This article provides a narrative overview of the effect of obesity and anthropometric measurements of body fat on prevalent eye diseases. We used the MEDLINE/PubMed, CINAHL, EMBASE, and Cochrane Library databases from 1984 to 2024. In addition, we hand-searched references from the retrieved articles and explored a number of related websites. A total of 153 publications were considered.</p><p><strong>Results: </strong>There is significant evidence that obesity is associated with several eye diseases. Waist circumference (WC) and the waist/hip ratio (WHR) have been observed to have stronger positive associations with eye diseases than BMI.</p><p><strong>Conclusions: </strong>Obesity must be considered a significant risk factor for eye diseases; hence, a multidisciplinary and multidimensional approach to treating obesity, which also affects ocular health, is important. In the prevention and treatment of eye diseases related to obesity, lifestyle factors, especially diet and physical activity, as well as weight changes, both weight loss and weight gain, should not be overlooked.</p><p><strong>Level of evidence: </strong>Level V narrative review.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with food label use: focus on healthy aspects of orthorexia and orthorexia nervosa. 与食品标签使用相关的因素:关注厌食症和神经性厌食症的健康方面。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-05-04 DOI: 10.1007/s40519-024-01661-9
Ezgi Bellikci-Koyu, Yasemin Karaağaç, Armağan Aytuğ Yürük

Purpose: This study aimed to investigate the potential relationships between the use of different section of food label, and healthy and pathological aspects of orthorexia among adults.

Methods: This cross-sectional study was conducted using an online survey (n = 1326). Inclusion criteria were being 19-64 years and graduated from at least primary school. Pregnant and lactating women were excluded. Data were collected using questionnaire including socio-demographic variables, lifestyle factors, body weight and height, frequency of reading different sections of food label ("always", "when buying a food for the first time", "when comparing similar packaged foods", "rarely", "never"), food label literacy, and Teruel Orthorexia Scale. Participants were categorized as nutrition facts panel-users, ingredients list-users or claim-users if they read at least one item from the relevant parts.

Results: The proportions of nutrition facts, ingredients list, and claims sections users were 72.3%, 76.3%, and 79.9%, respectively. Both healthy and pathological aspects of orthorexia were associated with reading food labels. The healthy orthorexia had the strongest association with using the ingredients list (OR 1.76, 95% CI 1.41-2.20), whereas the orthorexia nervosa showed the highest association with using nutrition facts panel (OR 1.48, 95% CI 1.20-1.81). While women, physically active participants and those with higher food label literacy were more likely to use all sections of food labels; older age, having children, and chronic disease increased the likelihood of using claims and ingredients list (p < 0.05). Besides, following a diet was associated with higher use of nutrition facts and ingredients list (p < 0.05).

Conclusions: The study demonstrates that food label users have higher orthorexia tendencies compared to non-users. Of the food label sections, healthy orthorexia showed the strongest association with use of the list of ingredients, while pathological orthorexia showed the strongest association with use of the nutrition facts panel.

Level of evidence: Level V, cross-sectional study.

目的:本研究旨在调查成年人使用食品标签的不同部分与厌食症的健康和病理方面之间的潜在关系:这项横断面研究采用在线调查的方式进行(n = 1326)。纳入标准为 19-64 岁,至少小学毕业。孕妇和哺乳期妇女除外。调查问卷收集的数据包括社会人口变量、生活方式因素、体重和身高、阅读食品标签不同部分的频率("总是"、"首次购买食品时"、"比较同类包装食品时"、"很少"、"从不")、食品标签识读能力和特鲁埃尔厌食症量表。如果参与者至少阅读了相关部分的一项内容,则被归类为营养成分表用户、配料表用户或声称用户:结果:营养成分表、配料表和声称部分使用者的比例分别为 72.3%、76.3% 和 79.9%。健康和病态的厌食症都与阅读食品标签有关。健康型厌食症与使用配料表的关联度最高(OR 1.76,95% CI 1.41-2.20),而神经性厌食症与使用营养成分表的关联度最高(OR 1.48,95% CI 1.20-1.81)。女性、身体活跃的参与者和食品标签知识水平较高的参与者更有可能使用食品标签的所有部分;而年龄较大、有孩子和慢性病的参与者则更有可能使用声称和配料表(p 结论:该研究表明,食品标签的使用者与食品标签的使用有很大的关系:研究表明,与不使用食品标签的人相比,使用食品标签的人有更高的厌食倾向。在食品标签的各个部分中,健康型厌食症与配料表的使用关系最为密切,而病态型厌食症与营养成分表的使用关系最为密切:证据等级:V 级,横断面研究。
{"title":"Factors associated with food label use: focus on healthy aspects of orthorexia and orthorexia nervosa.","authors":"Ezgi Bellikci-Koyu, Yasemin Karaağaç, Armağan Aytuğ Yürük","doi":"10.1007/s40519-024-01661-9","DOIUrl":"https://doi.org/10.1007/s40519-024-01661-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the potential relationships between the use of different section of food label, and healthy and pathological aspects of orthorexia among adults.</p><p><strong>Methods: </strong>This cross-sectional study was conducted using an online survey (n = 1326). Inclusion criteria were being 19-64 years and graduated from at least primary school. Pregnant and lactating women were excluded. Data were collected using questionnaire including socio-demographic variables, lifestyle factors, body weight and height, frequency of reading different sections of food label (\"always\", \"when buying a food for the first time\", \"when comparing similar packaged foods\", \"rarely\", \"never\"), food label literacy, and Teruel Orthorexia Scale. Participants were categorized as nutrition facts panel-users, ingredients list-users or claim-users if they read at least one item from the relevant parts.</p><p><strong>Results: </strong>The proportions of nutrition facts, ingredients list, and claims sections users were 72.3%, 76.3%, and 79.9%, respectively. Both healthy and pathological aspects of orthorexia were associated with reading food labels. The healthy orthorexia had the strongest association with using the ingredients list (OR 1.76, 95% CI 1.41-2.20), whereas the orthorexia nervosa showed the highest association with using nutrition facts panel (OR 1.48, 95% CI 1.20-1.81). While women, physically active participants and those with higher food label literacy were more likely to use all sections of food labels; older age, having children, and chronic disease increased the likelihood of using claims and ingredients list (p < 0.05). Besides, following a diet was associated with higher use of nutrition facts and ingredients list (p < 0.05).</p><p><strong>Conclusions: </strong>The study demonstrates that food label users have higher orthorexia tendencies compared to non-users. Of the food label sections, healthy orthorexia showed the strongest association with use of the list of ingredients, while pathological orthorexia showed the strongest association with use of the nutrition facts panel.</p><p><strong>Level of evidence: </strong>Level V, cross-sectional study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11069476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of serotonin receptor gene polymorphisms with anorexia nervosa: a systematic review and meta-analysis 血清素受体基因多态性与神经性厌食症的关系:系统回顾与荟萃分析
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-04-26 DOI: 10.1007/s40519-024-01659-3
Arturo Bevilacqua, Francesca Santini, Daniela La Porta, Silvia Cimino

Purpose

Several studies have investigated the association between anorexia nervosa and polymorphisms of genes regulating serotonin neurotransmission, with a focus on the rs6311 polymorphism of 5-HTR2A. However, inconsistent results of these studies and conflicting conclusions of existing meta-analyses complicate the understanding of a possible association. We have updated these results and evaluated the involvement of other serotonin receptor gene polymorphisms in anorexia nervosa.

Methods

Adhering to PRISMA guidelines, we have searched studies on anorexia nervosa and serotonin-regulating genes published from 1997 to 2022, selected those concerning receptor genes and meta-analyzed the results from twenty candidate gene studies on the 5-HTR2A rs6311 polymorphism and the 5-HTR2C rs6318 polymorphism.

Results

Present analyses reveal an association for the 5-HTR2A rs6311 polymorphism, with G and A alleles, across eighteen studies (2049 patients, 2877 controls; A vs. G allele, Odds Ratio = 1.24; 95% Confidence Interval = 1.06–1.47; p = 0.009). However, after geographic subgrouping, an association emerged only in a Southern European area, involving five studies (722 patients, 773 controls; A vs. G allele, Odds Ratio = 1.82; 95% Confidence Interval = 1.41–2.37; p < 0.00001). No association was observed for the 5-HTR2C rs6318 polymorphism across three studies.

Conclusions

To date, the involvement in the pathophysiology of anorexia nervosa of the 5-HTR2A rs6311 polymorphism appears limited to a specific genetic and/or environmental context, while that of the 5-HTR2C rs6318 polymorphism seems excluded. Genome-wide association studies and epigenetic studies will likely offer deeper insights of genetic and environmental factors possibly contributing to the disorder.

Level of evidence

III Evidence obtained from well-designed cohort or case–control analytic studies.

Clinical trial registration PROSPERO registration number: CRD42021246122.

目的多项研究调查了神经性厌食症与调节血清素神经递质的基因多态性之间的关联,重点是 5-HTR2A 的 rs6311 多态性。然而,这些研究的结果并不一致,现有的荟萃分析得出的结论也相互矛盾,这使得人们对可能存在的关联性的理解变得更加复杂。我们更新了这些结果,并评估了其他血清素受体基因多态性在神经性厌食症中的参与情况。方法根据PRISMA指南,我们检索了1997年至2022年发表的有关神经性厌食症和血清素调节基因的研究,选择了那些与受体基因有关的研究,并对20项候选基因研究中有关5-HTR2A rs6311多态性和5-HTR2C rs6318多态性的结果进行了荟萃分析。结果目前的分析显示,在 18 项研究中,5-HTR2A rs6311 多态性与 G 等位基因和 A 等位基因存在关联(2049 例患者,2877 例对照;A 等位基因与 G 等位基因的比值比 = 1.24;95% 置信区间 = 1.06-1.47;p = 0.009)。然而,在进行地理分组后,只有在南欧地区的五项研究(722 名患者,773 名对照组;A 与 G 等位基因的比值比 = 1.82;95% 置信区间 = 1.41-2.37;p <;0.00001)中出现了关联。结论迄今为止,5-HTR2A rs6311 多态性参与神经性厌食症的病理生理学似乎仅限于特定的遗传和/或环境背景,而 5-HTR2C rs6318 多态性似乎不参与其中。全基因组关联研究和表观遗传学研究可能会对可能导致该疾病的遗传和环境因素有更深入的了解。证据等级III 从设计良好的队列或病例对照分析研究中获得的证据:CRD42021246122。
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引用次数: 0
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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
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