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The role of minority stress in disordered eating: a systematic review of the literature. 少数群体压力在饮食失调中的作用:文献系统回顾。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-06-08 DOI: 10.1007/s40519-024-01671-7
Fabrizio Santoniccolo, Luca Rollè

Purpose: Sexual and gender minorities (SGMs) show a heightened risk of disordered eating compared to heterosexual and cisgender people, a disparity which may be caused by exposure to minority-specific stressors, such as discrimination and violence. This systematic review aims to summarize available evidence on the role of minority stress in disordered eating and SGM-specific aspects.

Methods: Following PRISMA guidelines, scientific search engines (EBSCO, PUBMED, Web of Science) were screened up to 31st of January 2024, including English-language original research papers containing analyses of the relationship between minority stress and disordered eating. 2416 records were gathered for screening. After application of inclusion and exclusion criteria, thematic analysis was conducted regarding 4 research questions: effects of minority stress on disordered eating, mediating factors, specificities of SGMs and differences between identity categories.

Results: 30 studies were included. Several aspects of minority stress are reliably associated with different forms of disordered eating. The relationship between minority stressors and disordered eating is mediated by aspects such as shame, body shame, or negative affect. SGMs show several specificities, such as the presence of a role of LGBTQIA + communities and additional gender-related pressures. Bisexual people and gender minorities appear to feature comparatively higher risks, and gender-related factors shape paths leading to disordered eating risk.

Conclusion: Minority stress is an important predictor of disordered eating, making SGM people's health particularly at risk. Institutional and organizational anti-discrimination policies are needed, as well as further research. Clinical interventions may benefit from exploring and incorporating how minority stressors impact SGM people. Evidence level I-Systematic review.

目的:与异性恋和同性性别者相比,性少数群体和性别少数群体(SGMs)的饮食失调风险更高,这种差异可能是由少数群体所面临的特定压力(如歧视和暴力)造成的。本系统性综述旨在总结关于少数群体压力在饮食失调中的作用以及SGM特定方面的现有证据:根据 PRISMA 准则,我们对截至 2024 年 1 月 31 日的科学搜索引擎(EBSCO、PUBMED、Web of Science)进行了筛选,其中包括分析少数群体压力与饮食失调之间关系的英文原创研究论文。共收集到 2416 条筛选记录。在应用纳入和排除标准后,对 4 个研究问题进行了主题分析:少数群体压力对饮食失调的影响、中介因素、SGM 的特殊性和身份类别之间的差异:结果:共纳入 30 项研究。少数群体压力的几个方面与不同形式的饮食失调有可靠的关联。少数群体压力与饮食失调之间的关系受羞耻感、身体羞耻感或负面情绪等方面的影响。SGMs 显示出一些特殊性,如 LGBTQIA + 社区的角色和额外的性别相关压力。双性恋者和性别少数群体似乎具有相对较高的风险,与性别相关的因素决定了导致饮食失调风险的路径:结论:少数群体的压力是饮食失调的一个重要预测因素,使 SGM 人员的健康面临特别大的风险。需要制定机构和组织反歧视政策,并开展进一步研究。临床干预措施可能会受益于探索和纳入少数群体压力如何影响 SGM 人。证据等级 I-系统综述。
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引用次数: 0
The optimal cut-off score of the Eating Attitude Test-26 for screening eating disorders in Japan. 日本用于饮食失调筛查的饮食态度测试-26 的最佳临界值。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-06-08 DOI: 10.1007/s40519-024-01669-1
Nobuhiro Nohara, Maiko Hiraide, Takeshi Horie, Shu Takakura, Tomokazu Hata, Nobuyuki Sudo, Kazuhiro Yoshiuchi

Purpose: The Eating Attitude Test-26 (EAT-26) is a screening tool for eating disorders (EDs) in clinical and non-clinical samples. The cut-off score was suggested to be varied according to target population. However, no studies have examined the appropriateness of the originally proposed score of 20 for screening DSM-5 eating disorders in Japan. This study aimed to identify an appropriate cut-off score to better differentiate clinical and non-clinical samples in Japan for EDs.

Methods: The participants consisted of 54 patients with anorexia nervosa restricting type, 58 patients with anorexia nervosa binge-eating/purging type, 37 patients with bulimia nervosa diagnosed according to DSM-5 criteria, and 190 healthy controls (HCs). Welch's t test was used to assess differences in age, body mass index (BMI), and total EAT-26 scores between HCs and patients with EDs. Receiver operating characteristic (ROC) analysis was conducted to identify the optimal cut-off score.

Results: The HCs had significantly higher BMI and lower total EAT-26 mean scores than patients with EDs. The area under the ROC curve was 0.925, indicating that EAT-26 had excellent performance in discriminating patients with EDs from HCs. An optimal cut-off score of 17 was identified, with sensitivity and specificity values of 0.866 and 0.868, respectively.

Conclusions: The result supports the suggestions that optimal cut-off score should be different according to target populations. The newly identified cut-off score of 17 would enable the identification of patients with EDs who have been previously classified as non-clinical samples in the EAT-26 test.

Level of evidence: III: evidence obtained from case-control analytic study.

目的:饮食态度测试-26(EAT-26)是临床和非临床样本中饮食失调(ED)的筛查工具。有人建议根据目标人群的不同而改变截断分数。然而,在日本,还没有研究探讨过最初建议的 20 分是否适合筛查 DSM-5 饮食失调症。本研究旨在确定一个合适的临界值,以更好地区分日本的饮食失调症临床和非临床样本:参与者包括 54 名神经性厌食症限制型患者、58 名神经性厌食症暴饮暴食型患者、37 名根据 DSM-5 标准确诊的神经性贪食症患者和 190 名健康对照者(HCs)。韦尔奇 t 检验用于评估健康对照组和 ED 患者在年龄、体重指数(BMI)和 EAT-26 总分上的差异。为确定最佳截断分数,进行了接收者操作特征(ROC)分析:结果:与 ED 患者相比,HC 患者的 BMI 明显更高,EAT-26 平均总分也更低。ROC 曲线下面积为 0.925,表明 EAT-26 在区分 ED 患者和 HC 患者方面表现出色。最佳临界值为 17 分,灵敏度和特异度分别为 0.866 和 0.868:该结果支持了最佳临界值应根据目标人群而有所不同的建议。新确定的截断分数为 17 分,可以识别出之前在 EAT-26 测试中被归类为非临床样本的 ED 患者:证据等级:III:从病例对照分析研究中获得的证据。
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引用次数: 0
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。
{"title":"Inpatient treatments for adults with anorexia nervosa: a systematic review of literature.","authors":"Federica Toppino, Matteo Martini, Paola Longo, Inês Caldas, Nadia Delsedime, Raffaele Lavalle, Francesco Raimondi, Giovanni Abbate-Daga, Matteo Panero","doi":"10.1007/s40519-024-01665-5","DOIUrl":"10.1007/s40519-024-01665-5","url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Level of evidence: </strong>Level I, systematic review.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"29 1","pages":"38"},"PeriodicalIF":2.9,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11106202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065088","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
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。
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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。
{"title":"Efficacy of multivitamin support following bariatric surgery in patients with obesity: a prospective observational study.","authors":"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","doi":"10.1007/s40519-024-01655-7","DOIUrl":"10.1007/s40519-024-01655-7","url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>Twenty patients with severe obesity (mean weight and BMI: 123.5 kg (range 88-174) and 43.3 kg/m<sup>2</sup> (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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"29 1","pages":"34"},"PeriodicalIF":2.9,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140876142","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
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":"29 1","pages":"33"},"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
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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
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