RESUMEN
The prevalence of binge eating spectrum conditions (BESC) are increasing globally. However, there is a lack of data from general population samples in low- and middle-income countries. Thus, this study described the food consumption during objective binge eating episodes (OBE) in people with BESC from a metropolitan city in Brazil. Participants comprised 136 adults (18 years old-60 years old) with Binge Eating Disorder (BED), Bulimia Nervosa (BN), or recurrent binge eating (RBE) from a two-phase epidemiological survey. They were interviewed in their homes by trained lay interviewers using the Questionnaire on Eating and Weight Patterns updated for the DSM-5 to assess BESC diagnosis and food consumption during a typical OBE. Overall, participants consumed a mean of 1067 kcal during the episodes. For the most part, these calories were derived from carbohydrates (58%) and lipids (30%), irrespective of the diagnosis. Regarding food item consumption, individuals with BED and RBE consumed staple foods (mainly rice and beans) more frequently than those with BN. Conversely, participants with BN ingested sugar-sweetened beverages more frequently than the BED group. In conclusion, there were differences in the eating patterns of individuals with BESC in Brazil. BED and RBE participants consumed more typical foods, whereas those with BN preferred foods with a high content of energy during their OBE.
Asunto(s)
Trastorno por Atracón , Bulimia Nerviosa , Bulimia , Trastornos de Alimentación y de la Ingestión de Alimentos , Adulto , Humanos , Adolescente , Trastorno por Atracón/epidemiología , Trastorno por Atracón/diagnóstico , Brasil/epidemiología , Bulimia/epidemiología , Bulimia/diagnóstico , Bulimia Nerviosa/diagnóstico , Conducta AlimentariaRESUMEN
PURPOSE: Binge eating disorder (BED), bulimia nervosa (BN) and recurrent binge eating (RBE) are binge eating spectrum conditions causing a significant impact in individual's health and functioning. Information regarding those conditions came mostly from high-income countries. The objective of this study was to assess the prevalence of DSM-5 BED, BN and RBE and correlates in a representative sample from a metropolitan area of a middle-income country. METHODS: The data were obtained from a cross-sectional population-based household survey in two stages in Rio de Janeiro, Brazil. Noninstitutionalized residents aged 18-60 years were assessed by lay interviewers using the Questionnaire of Eating and Weight Patterns-5 (QEWP-5). Positive cases and a paired sample screen-negative cases were reassessed by phone with the Eating Disorders Section of SCID-I-P (adapted for DSM-5). The data were collected from September 2019 to February 2020. RESULTS: Overall, 2297 individuals were interviewed. Prevalence of BED was 1.4%, BN 0.7%, RBE 6.2%. Psychiatric comorbidities, such as depression, anxiety and ADHD were significantly more prevalent in people with BED, BN and RBE than in people without these eating problems. Several medical conditions, when controlling for body mass index, were significantly more prevalent in people with BED, BN and RBE. People with BED and BN had marked impairments in work/school, social and family life, reduced mental and physical HRQoL and under half had sought treatment. CONCLUSION: As in high income countries, in Rio de Janeiro, Brazil, BED, BN and RBE are prevalent conditions and are associated with elevated BMI, functional impairment, psychiatric and medical comorbidity and poorer HRQoL.
Asunto(s)
Trastorno por Atracón , Bulimia Nerviosa , Bulimia , Trastornos de Alimentación y de la Ingestión de Alimentos , Trastorno por Atracón/complicaciones , Trastorno por Atracón/diagnóstico , Trastorno por Atracón/epidemiología , Brasil/epidemiología , Bulimia/epidemiología , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/epidemiología , Estudios Transversales , Trastornos de Alimentación y de la Ingestión de Alimentos/complicaciones , HumanosRESUMEN
OBJECTIVE: To investigate the association between migraine and signs and symptoms of eating disorders among teenagers. And as secondary objectives: to investigate the prevalence of eating disorders signs and symptoms and to identify the prevalence of migraine among teenagers. METHODS: Cross-sectional study was carried out in public schools which included adolescents aged 11-18 years, of both sexes. For eating disorders evaluation two self-reported questionnaires were used: Eating Attitudes Test-26 (EAT-26) and The Bulimic Investigatory Test of Edinburg (BITE). The presence and characterization of headache were verified following the International Classification of Headache Disorders (ICHD-II). RESULTS: 607 adolescents (388 females) with mean age of 13.9 years (95% CI: 13.7; 14) were included. The eating disorders symptoms based on EAT-26 (p = 0.041) and the bulimia nervosa symptoms (p = 0.014) evaluation were more prevalent among teenagers with migraine compared with non-migraine. Also, in multivariate analysis, the adjusted odds ratio (OR) to present bulimia nervosa symptoms is 1.85 times higher among females than males. And, the adjusted OR to present bulimia nervosa symptoms among teenagers with migraine is 1.51 times (OR) higher than among non-migraine. CONCLUSIONS: The presence of migraine symptoms were associated with a higher likelihood to present eating disorders symptoms among teenagers, especially in females, that was associated with a 1.85-fold increase in the risk to present bulimia nervosa symptoms. LEVEL OF EVIDENCE: III, Evidence obtained from cross-sectional study.
Asunto(s)
Anorexia Nerviosa , Bulimia Nerviosa , Trastornos de Alimentación y de la Ingestión de Alimentos , Trastornos Migrañosos , Adolescente , Anorexia Nerviosa/diagnóstico , Bulimia Nerviosa/diagnóstico , Estudios Transversales , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Femenino , Humanos , Masculino , Trastornos Migrañosos/epidemiología , EstudiantesAsunto(s)
Humanos , Masculino , Femenino , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/terapia , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Bulimia Nerviosa/diagnósticoRESUMEN
The Questionnaire on Eating and Weight Patterns-5 is a self-report instrument developed for the screening of Binge Eating Disorder (BED) and Bulimia Nervosa (BN) according to DSM-5. The present study aimed to examine the concurrent validity of the Brazilian version of QEWP-5 to assess BED and BN in the general population. The Brazilian version of QEWP-5 was administered to 2297 subjects, aged from 18 to 60 years. All screen-positive and a subset of screen-negative participants were also interviewed by telephone using the eating disorders (ED) module of Structured Clinical Interview for DSM-IV - Patients Version (SCID-I-P) for the assessment of BED, BN, and their subthreshold forms. For the assessment of BED, the sensitivity of QEWP-5 was 0.41 and its specificity was 0.90. The positive and negative predictive values were 0.48 and 0.87, respectively. Regarding the assessment of BN, QEWP-5 showed a sensitivity of 0.56, a specificity of 0.90, a positive predictive value of 0.35, and a negative predictive value of 0.95. For the global screening of ED (BED, BN, and subthreshold forms), QEWP-5 showed a sensitivity of 0.71, a specificity of 0.83, a positive predictive value of 0.64 and a negative predictive value of 0.87. QEWP-5 can be a useful instrument for the initial screening of diagnostic threshold ED psychopathology in general population samples. However, it has less utility in identifying cases of BED and BN independently.
Asunto(s)
Trastorno por Atracón , Bulimia Nerviosa , Trastornos de Alimentación y de la Ingestión de Alimentos , Adolescente , Adulto , Trastorno por Atracón/diagnóstico , Brasil , Bulimia Nerviosa/diagnóstico , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Humanos , Persona de Mediana Edad , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Adulto JovenRESUMEN
Los trastornos de la conducta alimentaria son enfermedades de elevada prevalencia en la adolescencia y tienen repercusión en la salud integral. El objetivo fue describir su evolución y tratamiento en un grupo de adolescentes. Se estudiaron adolescentes menores de 18 años con al menos 6 meses de seguimiento y tratados por un equipo interdisciplinario. Se incluyeron 41 adolescentes: 23 presentaron anorexia nerviosa; 9, trastornos alimentarios no especificados; 7, bulimia nerviosa y 2, trastorno por atracones. El 35 % de pacientes con anorexia nerviosa requirió internación por complicaciones de la desnutrición. El 69 % de las pacientes con anorexia nerviosa, el 57 % de quienes tenían bulimia nerviosa y el 78 % de quienes tenían un trastorno alimentario no especificado presentaron remisión total o parcial, y no hubo pacientes fallecidos. La mayoría presentó una evolución favorable con el tratamiento.
Eating disorders are highly prevalent diseases in adolescence and have an impact on overall health. The objective was to describe the evolution and treatment of eating disorders in adolescents. Adolescents under 18 years of age with at least 6 months of follow-up and treated by an interdisciplinary team were studied. Forty one adolescents were included, 23 presented anorexia nervosa, 9 unspecified eating disorders, 7 bulimia nervosa and 2 binge eating disorders. Thirty five percent of patients with anorexia nervosa required hospitalization for complications of malnutrition. Sixty nine percent of the patients with anorexia nervosa, 57 % with bulimia nervosa, and 78 % with unspecified eating disorders had total or partial remission and there were no deceased patients. The majority presented a favorable evolution with the treatment.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Trastornos de Alimentación y de la Ingestión de Alimentos/terapia , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/terapia , Anorexia Nerviosa/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Estudios Transversales , Estudios de Seguimiento , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/terapia , Bulimia Nerviosa/epidemiología , Trastorno por Atracón/diagnóstico , Trastorno por Atracón/terapia , Trastorno por Atracón/epidemiologíaRESUMEN
Eating disorders are highly prevalent diseases in adolescence and have an impact on overall health. The objective was to describe the evolution and treatment of eating disorders in adolescents. Adolescents under 18 years of age with at least 6 months of follow-up and treated by an interdisciplinary team were studied. Forty one adolescents were included, 23 presented anorexia nervosa, 9 unspecified eating disorders, 7 bulimia nervosa and 2 binge eating disorders. Thirty five percent of patients with anorexia nervosa required hospitalization for complications of malnutrition. Sixty nine percent of the patients with anorexia nervosa, 57 % with bulimia nervosa, and 78 % with unspecified eating disorders had total or partial remission and there were no deceased patients. The majority presented a favorable evolution with the treatment.
Los trastornos de la conducta alimentaria son enfermedades de elevada prevalencia en la adolescencia y tienen repercusión en la salud integral. El objetivo fue describir su evolución y tratamiento en un grupo de adolescentes. Se estudiaron adolescentes menores de 18 años con al menos 6 meses de seguimiento y tratados por un equipo interdisciplinario. Se incluyeron 41 adolescentes: 23 presentaron anorexia nerviosa; 9, trastornos alimentarios no especificados; 7, bulimia nerviosa y 2, trastorno por atracones. El 35 % de pacientes con anorexia nerviosa requirió internación por complicaciones de la desnutrición. El 69 % de las pacientes con anorexia nerviosa, el 57 % de quienes tenían bulimia nerviosa y el 78 % de quienes tenían un trastorno alimentario no especificado presentaron remisión total o parcial, y no hubo pacientes fallecidos. La mayoría presentó una evolución favorable con el tratamiento.
Asunto(s)
Anorexia Nerviosa , Bulimia Nerviosa , Trastornos de Alimentación y de la Ingestión de Alimentos , Adolescente , Anorexia Nerviosa/epidemiología , Anorexia Nerviosa/terapia , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/epidemiología , Bulimia Nerviosa/terapia , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/terapia , Hospitalización , Humanos , Lactante , InvestigaciónRESUMEN
INTRODUCTION: The Questionnaire on Eating and Weight Patterns-5 (QEWP-5) is a self-report instrument developed to screen individuals for binge eating disorder (BED), as defined by the DSM-5. However, this version of the instrument had not been adapted for the Brazilian population. OBJECTIVE: To describe translation and cross-cultural adaptation of the QEWP-5 into Brazilian Portuguese. METHODS: Translation and cross-cultural adaptation of the QEWP-5 included the following steps: forward translation, comparison of translations and a synthesis version, blind back-translations, comparison of the back translations with the original version, and a comprehensibility test. The comprehensibility test was conducted with a sample of 10 participants with BED or bulimia nervosa and 10 eating disorders experts. Additionally, a Content Validity Index (CVI-I) was calculated for each item and then averaged to produce an index for the entire scale (CVI-Ave), to assess content equivalence. RESULTS: Some inconsistencies emerged during the process of translation and adaptation. However, the expert committee solved them by consensus. The participants of the comprehensibility test understood the Brazilian version of QEWP-5 well. Only 2 patients (20%) had doubts about items related to subjective binge eating episodes. Content equivalence analysis rated all items relevant, with CVI-I ranging from 0.8 to 1.0 and an overall CVI-Ave of 0.94. In view of the good overall assessment of the pre-final version of the instrument, additional changes were not made to the final version. CONCLUSION: The Brazilian version of the QEWP-5 was cross-culturally adapted and was well understood by the target population. Further studies are required to assess its psychometric properties.
Asunto(s)
Peso Corporal , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Escalas de Valoración Psiquiátrica/normas , Psicometría/normas , Adulto , Trastorno por Atracón/diagnóstico , Brasil , Bulimia Nerviosa/diagnóstico , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Humanos , Psicometría/instrumentación , Psicometría/métodosRESUMEN
Abstract Introduction The Questionnaire on Eating and Weight Patterns-5 (QEWP-5) is a self-report instrument developed to screen individuals for binge eating disorder (BED), as defined by the DSM-5. However, this version of the instrument had not been adapted for the Brazilian population. Objective To describe translation and cross-cultural adaptation of the QEWP-5 into Brazilian Portuguese. Methods Translation and cross-cultural adaptation of the QEWP-5 included the following steps: forward translation, comparison of translations and a synthesis version, blind back-translations, comparison of the back translations with the original version, and a comprehensibility test. The comprehensibility test was conducted with a sample of 10 participants with BED or bulimia nervosa and 10 eating disorders experts. Additionally, a Content Validity Index (CVI-I) was calculated for each item and then averaged to produce an index for the entire scale (CVI-Ave), to assess content equivalence. Results Some inconsistencies emerged during the process of translation and adaptation. However, the expert committee solved them by consensus. The participants of the comprehensibility test understood the Brazilian version of QEWP-5 well. Only 2 patients (20%) had doubts about items related to subjective binge eating episodes. Content equivalence analysis rated all items relevant, with CVI-I ranging from 0.8 to 1.0 and an overall CVI-Ave of 0.94. In view of the good overall assessment of the pre-final version of the instrument, additional changes were not made to the final version. Conclusion The Brazilian version of the QEWP-5 was cross-culturally adapted and was well understood by the target population. Further studies are required to assess its psychometric properties.
Resumo Introdução O Questionnaire on Eating and Weight Patterns-5 (QEWP-5) - Questionário sobre Padrões de Alimentação e Peso-5 - é um instrumento auto preenchível utilizado para rastrear indivíduos com transtorno da compulsão alimentar (TCA) segundo os critérios do DSM-5. Entretanto, essa versão do instrumento ainda não foi adaptada para a população brasileira. Objetivo Descrever a tradução e adaptação transcultural do QEWP-5 para a língua portuguesa. Métodos O processo de adaptação transcultural incluiu as seguintes etapas: tradução, comparação das traduções e elaboração da versão síntese, retro-tradução com cegamento, comparação das retrotraduções com a versão original, e teste de compreensibilidade. O teste de compreensibilidade foi conduzido em uma amostra de 10 indivíduos com TCA ou bulimia nervosa e 10 especialistas em Transtornos Alimentares. Adicionalmente, foram calculados o Índice de Validade de Conteúdo para cada item (IVC-I) e para a média da escala (IVC-M), para avaliar a equivalência de conteúdo. Resultados Durante o processo de tradução e adaptação surgiram algumas discrepâncias. No entanto, elas foram solucionadas por meio de consenso do comitê de especialistas. No teste de compreensibilidade, a versão brasileira do QEWP-5 foi bem compreendida pelos participantes. Somente 2 participantes (20%) apresentaram questionamentos sobre itens relacionados aos episódios de compulsão alimentar subjetivos. Em relação à equivalência de conteúdo, todos os itens foram avaliados como relevantes, com o IVC-I variando de 0,8 a 1,0. Ademais, o IVC-M foi 0,94. Considerando a boa avaliação geral da versão pré-final do instrumento, não foram realizadas alterações na versão final. Conclusão A versão brasileira do QEWP-5 foi adaptada transculturalmente e bem compreendida pela população-alvo. Estudos adicionais são necessários para avaliar suas propriedades psicométricas.
Asunto(s)
Adulto , Humanos , Escalas de Valoración Psiquiátrica/normas , Psicometría/normas , Peso Corporal , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Psicometría/instrumentación , Psicometría/métodos , Brasil , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Bulimia Nerviosa/diagnóstico , Trastorno por Atracón/diagnósticoRESUMEN
Introducción: Los trastornos de la conducta alimentaria afectan con mayor frecuencia a jóvenes, y pueden llegar a tener importantes consecuencias en su salud mental y física. Objetivo: Determinar la prevalencia de probable diagnóstico de trastornos de conducta alimentaria en estudiantes de medicina y sus factores asociados. Métodos: Estudio descriptivo transversal realizado en estudiantes de medicina del primer año de una universidad de Lima, Perú. Se aplicó un cuestionario virtual para recolectar los datos de interés. Aquellos con un puntaje ≥20 en elEatingAttitudes Test-26, se consideronconprobable diagnóstico de trastornos de conducta alimentaria.Para evaluar los factores se calcularon razones de prevalencia y intervalos de confianza al 95% usando regresiones de Poissoncrudas con varianza robusta. Resultados: Del total de 440 estudiantes de primer año, 375 (85,2 por ciento) completaron la encuesta. La prevalencia de probable diagnóstico de trastornos de conducta alimentaria fue de 10,1 por ciento (11,3 en mujeres y 8,6 en varones).Los factores asociados a esta variable fueron: rechazo escolar por trastornos nutricionales, rechazo laboral por la delgadez, rechazo social cercano por la imagen corporal, influencia familiar sobre la imagen corporal, influencia de la imagen corporal de modelos de pasarela e influencia de los anuncios televisivos de productos para adelgazar. Los dos últimos con los mayores valores de la razón de prevalencias. Conclusiones: Aproximadamente uno de cada diez estudiantes presentaprobable diagnóstico de trastornos de conducta alimentaria que se asocian con factores familiares, sociales,laborales y otros relacionados con los medios de comunicación(AU)
Introduction: Eating disorders affect mostly young persons, and may have important consequences on their mental and physical health. Objectives: To determine the probable diagnosis of eating disorders in medical students and to evaluate their associated factors. Methods: Descriptive and cross-sectional study performed in first-year medical students of a private university in Lima, Peru. An electronic survey was administrated to collect data of interest. Those students with a score ≥20 in the Eating Attitudes Test-26 were considered to have probable diagnosis of eating disorders. For assessment of associated factors, we calculated prevalence ratios and 95 percent confidence intervals using Poisson crude regressions with robust variance. Results: Of 440 first-year medical students, 375 (85.2 percent) completed our survey. The prevalence of probable diagnosis of eating disorders in the study population was 10.1 percent (11.3for females and 8.6for males). Associated factors to this variable were: school rejection due to nutritional disorders, job rejection due to thinness, social rejection of body image, family influence on body image, influence of fashion show models' body image and influence of TV advertisement of slimming products. The two latter reached the highest prevalence ratio values. Conclusions: Around one in ten students has a probable diagnosis of eating disorders associated with family, social, work and mass media-related factors(AU)
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Estudiantes de Medicina/psicología , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/etiología , Anorexia Nerviosa/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/etiología , Bulimia Nerviosa/epidemiología , Perú , Epidemiología Descriptiva , Estudios TransversalesRESUMEN
BACKGROUND: Around 40 % of individuals with eating disorders of recurrent binge eating, namely bulimia nervosa and binge eating disorder, are obese. In contrast to binge eating disorder, currently there is no evidence base for weight management or weight loss psychological therapies in the treatment of bulimia nervosa despite their efficacy in binge eating disorder. Thus, a manualised therapy called HAPIFED (Healthy APproach to weIght management and Food in Eating Disorders) has been developed. HAPIFED integrates the leading evidence-based psychological therapies, cognitive behavioural therapy-enhanced (CBT-E) and behavioural weight loss treatment (BWLT) for binge eating disorder and obesity respectively. The aim of the present study is to detail the protocol for a randomised controlled trial (RCT) of HAPIFED versus CBT-E for people with bulimia nervosa and binge eating disorder who are overweight/obese. METHOD/DESIGN: A single-blind superiority RCT is proposed. One hundred Brazilian participants aged ≥ 18 years, with a diagnosis of bulimia nervosa or binge eating disorder, BMI > 27 to < 40 kg/m(2), will be recruited from both community and clinics and individually randomised to a therapy arm. Five groups of ten participants will receive the experimental intervention (HAPIFED) and the other five groups of ten the control intervention (CBT-E). Both therapies are manualised, and in this RCT will comprise 1 individual session and 29 office-based group sessions over 6 months. Assessment points will be at baseline, end of therapy, and 6 and 12 months after end of therapy. The primary outcome of this intervention will be reduced weight. Secondary outcomes will be improved metabolic indicators of weight management, reduction in eating disorder symptoms including improved control over eating, improved adaptive function, physical and mental health-related quality of life, and reduced levels of depression and anxiety. DISCUSSION: This study will be the first to investigate a psychological therapy that aims to assist weight management in people with co-morbid overweight or obesity bulimia nervosa as well as with binge eating disorder. It will have the potential to improve health outcomes for the rapidly increasing number of adults with co-morbid obesity and binge eating disorder or bulimia nervosa. TRIAL REGISTRATION: US National Institutes of Health clinical trial registration number NCT02464345 , date of registration 1 June 2015.
Asunto(s)
Terapia Conductista/métodos , Trastorno por Atracón/terapia , Bulimia Nerviosa/terapia , Terapia Cognitivo-Conductual , Conducta Alimentaria , Obesidad/terapia , Sobrepeso/terapia , Pérdida de Peso , Trastorno por Atracón/diagnóstico , Trastorno por Atracón/fisiopatología , Trastorno por Atracón/psicología , Índice de Masa Corporal , Brasil , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/fisiopatología , Bulimia Nerviosa/psicología , Protocolos Clínicos , Terapia Combinada , Comorbilidad , Ingestión de Alimentos , Femenino , Humanos , Masculino , Obesidad/diagnóstico , Obesidad/fisiopatología , Obesidad/psicología , Sobrepeso/diagnóstico , Sobrepeso/fisiopatología , Sobrepeso/psicología , Escalas de Valoración Psiquiátrica , Calidad de Vida , Proyectos de Investigación , Método Simple Ciego , Encuestas y Cuestionarios , Factores de Tiempo , Resultado del TratamientoRESUMEN
OBJECTIVE: Compare inadequate eating behaviors and their relationship to body checking in three groups: patients with anorexia nervosa (AN), patients with bulimia nervosa (BN) and a control group (C). METHODS: Eighty three outpatients with eating disorders (ED) and 40 controls completed eating attitudes and body checking questionnaires. RESULTS: The overall relationship between the eating attitude and body checking was statistically significant in all three groups. The worse the eating attitude, the greater the body checking behavior. However, when we look at each group individually, the relationship was only statistically significant in the AN group (r=.354, p=0.020). DISCUSSION: The lower the desired weight and the worse the eating attitude, the more people check themselves, although in the presence of an ED the relationship between body checking and food restrictions is greater. In patients displaying the AN subgroup, body checking is also related to continued dietary control.
Asunto(s)
Anorexia Nerviosa/psicología , Imagen Corporal/psicología , Bulimia Nerviosa/psicología , Ingestión de Alimentos/psicología , Pacientes Ambulatorios/psicología , Adolescente , Adulto , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/terapia , Actitud , Índice de Masa Corporal , Brasil , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/terapia , Estudios de Casos y Controles , Cognición , Femenino , Humanos , Persona de Mediana Edad , Pacientes Ambulatorios/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto JovenRESUMEN
This work aims to compare in patients with anorexia nervosa, bulimia nervosa, and control subjects: (a) body checking types, frequency, and parts; (b) prevalence of body avoidance and the most checked body parts; (c) body checking cognitions. Eighty-five outpatients with eating disorders (ED) and 40 controls filled out validated body checking and cognition questionnaires. ED patients, especially bulimia nervosa, check their bodies more than do the control subjects. The most checked area was the belly. The most frequent means of body checking was mirror checking, while the most avoided was weighing. The reasons that participants in the various study groups check their bodies seem to differ. Given the importance of body checking in the etiology and maintenance of EDs, it is important that clinicians consider this behavior, as well as the factors that lead to checking/avoidance in the different eating disorder subtypes, so that treatment may be more specific.
Asunto(s)
Anorexia Nerviosa/psicología , Anorexia Nerviosa/terapia , Atención , Trastorno Dismórfico Corporal/psicología , Trastorno Dismórfico Corporal/terapia , Imagen Corporal/psicología , Tamaño Corporal , Bulimia Nerviosa/psicología , Bulimia Nerviosa/terapia , Cultura , Adulto , Atención Ambulatoria , Anorexia Nerviosa/diagnóstico , Trastorno Dismórfico Corporal/diagnóstico , Peso Corporal , Brasil , Bulimia Nerviosa/diagnóstico , Femenino , Humanos , Distorsión de la Percepción , Encuestas y CuestionariosRESUMEN
Atualização dos principais aspectos relativos à nutrição na infância e adolescência, com particular enfoque nos principais distúrbios alimentares encontrados nessa faixa etária, anorexia nervosa e bulimia nervosa e abordando os recursos diagnósticos e a conduta terapêutica.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/etnología , Anorexia Nerviosa/patología , Anorexia Nerviosa/terapia , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/etnología , Bulimia Nerviosa/patología , Bulimia Nerviosa/terapia , Nutrición del AdolescenteRESUMEN
O padrão estético de beleza do corpo imposto pela sociedade contemporânea tem sido o responsável pelo aumento do número de casos de bulimia nervosa. Essa doença comportamental que leva a transtornos alimentares acarreta danos fisiológicos que, se não erradicados precocemente, podem se tornar irreparáveis. Dentre esses danos, destacam-se àqueles relacionados à saúde bucal, caracterizados pela perimólise, aumento nos índices de lesões cariosas, intumescimento das glândulas salivares, sobretudo as parótidas, alterações na quantidade e qualidade da saliva, xerostomia, queilite e mucosite, bruxismo e alterações ortodônticas. As manifestações bucais são causadas por higiene bucal insatisfatória, deficiências de vitaminas, pela ingestão crônica de carboidratos, pela compulsão alimentar, pouca salivação (xerostomia), ansiedade e, também, pela acidificação da saliva causada pelos vômitos. O cirurgião-dentista, a partir do conhecimento dos sinais e sintomas dessa doença, é potencialmente um dos primeiros profissionais de saúde a identificá-la, podendo oferecer tratamento odontológico adequado.
The aesthetic beauty standard imposed by contemporary society has been responsible for the increasing bulimia rates. This behavioral disease that leads to eating disorders results in physiological damages that can become permanent if not treated early. These damages may affect oral health and include perimolysis, more caries lesions, swelling of the salivary glands, especially the parotid glands, changes in the amount and quality of the saliva, xerostomia, cheilitis and mucositis, bruxism and orthodontic changes. The oral manifestations are caused by poor oral hygiene, vitamin deficiencies, chronic carbohydrate intake, binge eating, xerostomia, anxiety, and also because of the acidification of the saliva due to vomiting. Based on the signs and symptoms of this disease, the dental surgeon is potentially one of the first health professionals to identify it and can provide proper dental treatment.
Asunto(s)
Bulimia Nerviosa/complicaciones , Bulimia Nerviosa/diagnóstico , Odontólogos , Salud BucalRESUMEN
The aim of this study was to develop and validate the Disordered Eating Attitude Scale to measure disordered eating attitudes, defined as abnormal beliefs, thoughts, feelings, behaviors, and relationship regarding food. Exploratory factor analysis was performed and internal consistency assessed in a sample of female university students (N=196). Convergent validity was acceptable based on statistically significant correlations with the Eating Attitude Test-26 and Restraint Scale. Known-groups validity was determined by comparing the student sample's mean scores against scores of an eating disorder group (N=51). The Disordered Eating Attitude Scale comprises 25 questions and five subscales explaining 54.3% of total variance. The total scores differentiated student, bulimia, and anorexia groups. The scale should prove useful for evaluating eating attitudes in various population groups and eating disordered patients.
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Anorexia Nerviosa/diagnóstico , Actitud Frente a la Salud , Bulimia Nerviosa/diagnóstico , Comparación Transcultural , Ingestión de Alimentos , Inventario de Personalidad/estadística & datos numéricos , Adolescente , Adulto , Anorexia Nerviosa/psicología , Brasil , Bulimia Nerviosa/psicología , Dieta Reductora/psicología , Femenino , Preferencias Alimentarias/psicología , Humanos , Persona de Mediana Edad , Psicometría/estadística & datos numéricos , Valores de Referencia , Reproducibilidad de los Resultados , Traducción , Adulto JovenRESUMEN
OBJECTIVE: The objective is to evaluate the prevalence and associated clinical characteristics of eating disorders (ED) in patients with obsessive-compulsive disorder (OCD). METHOD: This is a cross-sectional study comparing 815 patients with OCD. Participants were assessed with structured interviews and scales: SCID-I, Y-BOCS, Dimensional Y-BOCS, BABS, Beck Depression and Anxiety Inventories. RESULTS: Ninety-two patients (11.3%) presented the following EDs: binge-eating disorders [= 59 (7.2%)], bulimia nervosa [= 16 (2.0%)], or anorexia nervosa [= 17 (2.1%)]. Compared to OCD patients without ED (OCD-Non-ED), OCD-ED patients were more likely to be women with previous psychiatric treatment. Mean total scores in Y-BOCS, Dimensional Y-BOCS, and BABS were similar within groups. However, OCD-ED patients showed higher lifetime prevalence of comorbid conditions, higher anxiety and depression scores, and higher frequency of suicide attempts than did the OCD-Non-ED group. Primarily diagnosed OCD patients with comorbid ED may be associated with higher clinical severity. DISCUSSION: Future longitudinal studies should investigate dimensional correlations between OCD and ED.
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Anorexia Nerviosa/epidemiología , Trastorno por Atracón/epidemiología , Bulimia Nerviosa/epidemiología , Trastorno Obsesivo Compulsivo/epidemiología , Adulto , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/psicología , Trastorno por Atracón/diagnóstico , Trastorno por Atracón/psicología , Índice de Masa Corporal , Brasil , Bulimia Nerviosa/diagnóstico , Bulimia Nerviosa/psicología , Comorbilidad , Estudios Transversales , Femenino , Humanos , Masculino , Trastorno Obsesivo Compulsivo/diagnóstico , Trastorno Obsesivo Compulsivo/psicología , Inventario de Personalidad/estadística & datos numéricos , PsicometríaRESUMEN
In order to explore if neuropsychological deficits on visual constructional ability could be related to risk eating behaviors, a total of 102 women were evaluated, 51 of the participants had been formally diagnosed with eating disorders and 51 did not. All participants were given the Eating Attitude Test (EAT-40), The Rey-Osterrieth Complex Figure and The Tower of London Task. Results revealed the existence of a deficit on visual integration similar to those observed in other studies with diagnosed patients. The group at risk showed a comparatively reduced ability on the tasks and the control participants' execution was on the average. Findings revealed the need for designing studies to evaluate neuropsychological processes as possible risk factors which predict eating disorders.
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Anorexia Nerviosa/diagnóstico , Bulimia Nerviosa/diagnóstico , Memoria a Corto Plazo , Pruebas Neuropsicológicas/estadística & datos numéricos , Reconocimiento Visual de Modelos , Solución de Problemas , Desempeño Psicomotor , Adolescente , Anorexia Nerviosa/psicología , Bulimia Nerviosa/psicología , Percepción de Color , Función Ejecutiva , Femenino , Humanos , Orientación , Psicometría/estadística & datos numéricos , Reproducibilidad de los Resultados , Factores de Riesgo , Adulto JovenRESUMEN
A cirurgia bariátrica é importante opção terapêutica para obesidade mórbida e é considerada a forma mais eficaz de controlar o peso a longo prazo. para avaliar a compulsão açimentar é empregada a ECAP (Escala de Compulsão Alimentar Periódica), permitindo observar a magnitude das mudanças do comportamento em cada paciente, em diferentes momentos, durante o tratamento para perda do peso. Objetivo: Identificar fatores que podem contribuir para a presença/ausência da compulsão alimentar em pacientes submetidos á cirurgia bariátrica, relacionando o perfil antropométrico pré e pós-operatório, perda de peso e o acompanhamento prévio psicológico e nutricional. Método: A amostra foi constituída de 30 pacientes, sendo 27 (90%) do sexo feminino e 3 (10%) do sexo masculino, com idade média de 40 anos (variando de 21 a 61 anos), submetidos à cirurgia bariátrica tipo Fobi-Capella. Resultados: Observou-se que, após o procedimento cirúrgico, o IMC pré-operatório médio reduziu 66,3%, a perda de excesso de peso médio foi de 33,4% em relação ao inicial, encontrou-se 25 (83,3%) dos pacientes sem CAP e 5 (16,8%) com CAP. Observou-se que, quanto maior o tempo de orientação nutricional pré-operatória (r=0,443;p=0,014) e pós-operatória (r=0,639; p=0,000) e orientação psicológica pré-operatória (r=0,408; p=0,025), maior foi a porcentagem de perda de peso. Conclusão: Os fatores aqui citados não tiveram relação com a compulsão alimentar e sim correlação entre eles.
Bariatric surgery is important therapeutic option for morbid obesity and is considered the most effective way to control weight in the long term. compulsion to evaluate the cement floor is used to ECAP (Binge Eating Scale), allowing you to see the magnitude of behavior changes in each patient at different times during treatment for weight loss. Objective: To identify factors that may contribute to the presence / absence of binge eating in patients undergoing bariatric surgery, correlating anthropometric pre-and postoperative weight loss and prior psychological and nutritional monitoring. Method: The sample consisted of 30 patients, 27 (90%) females and three (10%) males, mean age 40 years (range 21-61 years) undergoing bariatric surgery type Fobi -Capella. Results: We observed that after the surgery, the preoperative mean BMI decreased 66.3%, the loss of excess weight was 33.4% compared to the original, we found 25 (83.3 %) patients without CAP and 5 (16.8%) with CAP. It was observed that the higher the time of preoperative nutritional guidance (r = 0.443, p = 0.014) and postoperative (r = 0.639, p = 0.000) and preoperative counseling (r = 0.408, p = 0.025), the higher the percentage of weight loss. Conclusion: The factors mentioned here were not associated with binge eating, but correlation between them.
La cirugía bariátrica es una opción terapéutica importante para la obesidad mórbida y se considera la forma más eficaz de control de peso a largo plazo. obligación de evaluar el suelo de cemento se utiliza para ECAP (ingesta Scale), lo que le permite ver la magnitud de los cambios de comportamiento en cada paciente en diferentes momentos durante el tratamiento para bajar de peso. Objetivo: Identificar los factores que pueden contribuir a la presencia / ausencia de atracones en pacientes sometidos a cirugía bariátrica, la correlación de antropométricos pre y postoperatoria y la pérdida de peso antes de seguimiento psicológico y nutricional. Método: La muestra estuvo constituida por 30 pacientes, 27 (90%) mujeres y tres (10%) hombres, edad media 40 años (rango 21-61 años) sometidos a cirugía bariátrica tipo Fobi -Capella. Resultados: Se observó que después de la cirugía, la media preoperatoria IMC disminuyeron en 66,3%, la pérdida del exceso de peso fue de 33,4% en comparación con el original, encontramos 25 (83,3 %) pacientes sin PAC y 5 (16,8%) con la PAC. Se observó que a mayor tiempo de orientación nutricional preoperatorio (r = 0,443, p = 0,014) y postoperatorias (r = 0,639, p = 0,000) y el asesoramiento preoperatorio (r = 0,408, p = 0,025), mayor es el porcentaje de pérdida de peso. Conclusión: Los factores mencionados aquí no se asociaron con los atracones, pero la correlación entre ellos.
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Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Bulimia Nerviosa/diagnóstico , Cirugía Bariátrica/psicología , Cirugía Bariátrica/tendencias , Cirugía Bariátrica , Gastroplastia/tendencias , Gastroplastia , Obesidad Mórbida/cirugíaRESUMEN
Introdução: Atualmente, é nítido o aumento da prevalência de obesidade e de transtornos alimentares em adolescentes. A obesidade ou excesso de gordura corporal é comprovadamente fator de risco para saúde humana. objetivo: Identificar a prevalência de compulsão alimentar periódica e alteração da imagem corporal em adolescentes de uma escola particular de um município do Norte do Paraná. Método: Os adolescentes foram divididos em dois grupos 1 - eutróficos, 2 - sobrepeso e obesos. Os dados foram obtidos por meio de questionários constituídos por informações sobre: hábitos alimentares e auto-retrato relacionado à imagem corporal. Além disso, os adolescentes foram submetidos à aferição do peso, com o auxílio da balança, e estatura com fita métrica, para determinação do seu estado nutricional. Resultados: Adolescentes do sexo feminino que apresentam sobrepeso e obesidade têm maior tendência a desenvolver compulsão alimentar (30,77%) e distorção da imagem corporal (39,18%), quando comparados ás adolescentes que se encontram em eutrofia (20% para compulsão alimentar e 20% para distorção da imagem corporal. Conclusão: A análise porcentual indicou a existência de diferenças em relação á insatisfação corporal entre gêneros, sendo que no sexo feminino há uma maior preocupação com os padrões de beleza.
Introduction: Nowadays, it is clear the increasing prevalence of obesity and eating disorders in adolescents. Obesity or excess body fat is a proven risk factor for human health. Objective: To identify the prevalence of binge eating and change in body image among adolescents in a private school in a city in northern Paraná. Method: Students were divided into two groups 1 - eutrophic, 2 - overweight and obese. Data were obtained through questionnaires consisting of information on: diet and self-portrait related to body image. Moreover, adolescents underwent measurement of weight, with the aid of the scale, and height with a tape measure to determine their nutritional status. Results: Female adolescents who are overweight and obese are more likely to develop binge eating (30.77%) and body image distortion (39.18%) when compared to adolescents who are in normal range (20% for binge 20% for food and body image distortion. Conclusion: The analysis indicated the existence of percentage differences in relation to body dissatisfaction among genera, and in females there is a greater concern with the standards of beauty .
Introducción: Hoy en día, es evidente la creciente prevalencia de la obesidad y los trastornos alimentarios en adolescentes. La obesidad o exceso de grasa corporal es un factor de riesgo para la salud humana. Objetivo: Identificar la prevalencia de ingesta compulsiva y el cambio en la imagen corporal en adolescentes de una escuela privada en una ciudad en el norte de Paraná. Método: Los estudiantes se dividieron en dos grupos 1 - eutróficos, 2 - el sobrepeso y la obesidad. Los datos fueron obtenidos a través de cuestionarios que consiste en información sobre: la dieta y el autorretrato relacionados con la imagen corporal. Por otra parte, los adolescentes se realizaron medidas de peso, con la ayuda de la escala, y la altura con una cinta métrica para determinar su estado nutricional. Resultados: Las adolescentes con sobrepeso y obesos son más propensos a desarrollar los atracones (30,77%) y la distorsión de la imagen corporal (39,18%) en comparación con los adolescentes que están en rango normal (20% para ir de borrachera 20% de los alimentos y la distorsión de la imagen corporal. Conclusión: El análisis indicó la existencia de diferencias porcentuales en relación con la insatisfacción corporal entre los géneros, y en las mujeres existe una preocupación mayor con los estándares de la belleza (UA).