Eating disturbance

  • 文章类型: Journal Article
    背景:由于认知障碍,痴呆症患者(PWD)通常在饮食方面遇到困难。这项研究旨在评估营养状况,越南PWD的饮食质量和饮食干扰问题。
    方法:我们于2022年4月至12月在越南国立老年病医院进行了一项横断面研究。我们使用简易精神状态检查(MMSE)对痴呆的严重程度进行分类。迷你营养评估(MNA),24小时召回,饮食干扰问卷,和人体测量指标来评估营养状况,饮食质量,和研究对象的饮食失调。
    结果:总体而言,在63名研究参与者中,74.6%的残疾人有营养不良的风险或有营养不良的风险。根据MMSE量表对痴呆症进行分类,中度和重度痴呆症患者占达到建议能量水平的53.3%,相比之下,轻度痴呆症患者和正常人的比例为42.4%。在上述两组中,大约百分之三的参与者达到了建议的纤维量。钙(50-70%),维生素A(80-90%),发现D(90%)是男性和女性参与者中最严重的矿物质和维生素缺乏形式。大多数参与者(90.5%)至少有一种形式的饮食失调,最常见的问题是食欲变化(76.2%)和吞咽问题(50.8%)。
    结论:我们的样本中的PWD经常经历营养不良,缺乏必需的营养素,吞咽困难,饮食习惯和食欲的变化。早期筛查和评估PWD的营养状况和吞咽障碍是必要的。并指导他们的照顾者为他们准备营养餐。
    BACKGROUND: Due to cognitive impairments, people with dementia (PWD) often have difficulties in eating and drinking. This study aimed to assess the nutritional status, dietary quality and eating disturbance issues among PWD in Vietnam.
    METHODS: We conducted a cross-sectional study at the Vietnamese National Geriatric Hospital from April to December 2022. We used Mini-Mental State Exam (MMSE) to classify the severity levels of dementia. Mini Nutritional Assessment (MNA), 24-hour recall, eating disturbance questionnaires, and anthropometric indicators were used to evaluate the nutritional status, dietary quality, and eating disorders of study subjects.
    RESULTS: Overall, among 63 study participants, 74.6 per cent of PWD were at risk of or having malnutrition. By dementia classification according to MMSE scale, people with moderate and severe dementia accounted for 53.3 per cent of those who met the recommended energy levels, compared to 42.4 per cent of people with mild dementia and normal people. In the above two groups, around three per cent of participants reached the recommended amount of fibre. Calcium (50-70%), vitamin A (80-90%), and D (90%) were found to be the most severe deficiency forms of minerals and vitamins in both male and female participants. The majority of participants (90.5%) had at least one form of eating disorders with the most frequent issue being appetite changes (76.2%) and swallowing issues (50.8%).
    CONCLUSIONS: PWD in our sample frequently experienced malnutrition, a lack of essential nutrients, difficulties swallowing, changes in eating habits and appetite. It is neccesary to early screen and assess nutritional status and swallowing disturbance in PWD, and instruct their caregivers to prepare nutritious meals for them.
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  • 文章类型: Journal Article
    背景:经前综合症(PMS)是女性的严重问题,均衡的饮食有助于改善PMS症状。饮食紊乱是年轻女性的主要健康问题。在日本,有限的研究探索了饮食行为与PMS症状之间的相关性。这项研究旨在比较大学生的进食障碍和PMS症状的严重程度。
    方法:本研究采用在线调查问卷对女大学生进行。问卷包括基本信息(年龄,高度,和重量),PMS症状,和使用饮食态度测试26评估的饮食行为。
    结果:在进食障碍组中,患有PMS症状的患者受到PMS症状的干扰的比例明显更高。那些受PMS的身体症状影响的人在与饮食相关的分量表上得分明显更高,贪食症和食物的关注。
    结论:结果显示PMS症状严重程度与进食障碍之间存在关联。这项研究的结果表明,进食障碍的个体可能会对PMS症状产生不利影响,即使在体重不在体重过轻或肥胖的极端情况下。
    BACKGROUND: Premenstrual syndrome (PMS) is a severe problem in women, and a well-balanced diet helps improve PMS symptoms. Eating disturbances are a major health problem in young women. Limited research has explored the correlation between eating behaviors and PMS symptoms in Japan. This study aimed to compare eating disturbances and the severity of PMS symptoms in college students.
    METHODS: This study was conducted among female college students using an online questionnaire. The questionnaire included basic information (age, height, and weight), PMS symptoms, and eating behaviors assessed using the Eating Attitudes Test 26.
    RESULTS: The proportion of those with PMS symptoms who were disturbed by PMS symptoms was significantly higher in the group with eating disturbance. Those who were affected by the physical symptoms of PMS had significantly higher scores on the subscales related to diet, bulimia and food preoccupation.
    CONCLUSIONS: The results showed an association between PMS symptom severity and eating disturbance. The findings of this study indicate that individuals with eating disturbances may experience adverse effects on PMS symptoms, even in cases where weight is not at the extremes of excessive underweight or obesity.
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  • 文章类型: Journal Article
    BACKGROUND: Studies about medical student\'s stress associated with disturbed eating behavior are scarce.
    OBJECTIVE: To study the explanatory role of curricular factors and distress in disturbed eating behavior among medical students and whether this varies according to gender, study stage, curriculum model, study stress and mental distress.
    METHODS: The cross-sectional sample surveyed consisted of Norwegian medical students at two faculties with different curricular models (traditional and integrated). The total response rate was 64% (1044/1635). We tested differences in disturbed eating behavior symptoms (EDS) and their correlates using stepwise linear regression analysis.
    RESULTS: In total, 18.3% were cases of disturbed eating behavior symptoms, including 23.5% of female and 5.6% of male participants. Disturbed eating behavior symptoms were independently associated with the medical school stress factors \"medical school is cold and threatening\" (β = 0.07, p = .041), \"worries about work and competence\" (β =0.15, p < .001) and \"worries about finances and accommodation\" (β = 0.07, p = .018), in addition to female gender (β = 0.30, p < .001), mental distress (β = 0.17, p < .001), and body mass index (β = 0.28, p < .001). The variables explained 28.9% of the variance in disturbed eating behavior symptoms, and medical school stress contributed 9%. \"Worries about work and competence\" was more important among the female students.
    CONCLUSIONS: Nearly one in five female medical students in the current sample reported symptoms of disturbed eating behavior. The symptoms were associated with medical school stress factors, mental distress, and body mass index.
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  • 文章类型: Journal Article
    This study aimed to investigate individual and team sports participation across sex, age, and levels of body mass index (BMI). We also wanted to explore how symptoms of disordered eating (DE) were associated with participation in individual and team sports, and to what extent BMI moderated this association.
    Data stemmed from a large population-based survey of 10,172 Norwegian adolescents aged 16 to 19 years. Self-reported participation in organized team- and individual sports were the dependent variables. Self-reported symptoms of DE using the five-item Eating Disturbance Screening (EDS-5) questionnaire comprised the independent variable. Covariates included sex, age, socioeconomic status, and BMI. We used regression analyses for associations between DE symptoms and sports participation, including the interaction between DE and BMI.
    Boys had higher team sports participation compared with girls. Individual and team sports participation varied significantly across BMI levels for each sex. Symptoms of DE were negatively associated with team sports participation (odds ratio [OR] = 0.90, p < 0.001), and were not significantly associated with individual sports participation. BMI scores moderated the association between DE symptoms and individual sports participation (p < 0.005). DE symptoms were associated with higher individual sports participation among individuals with low BMI, and with lower participation among those with high BMI.
    DE symptoms are important correlates of sports participation among adolescents, but the direction of these associations partly differs across the weight spectrum. Promotion of factors that counteract DE is needed alongside efforts to increase physical activity and sports participation in the general adolescent population.
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  • 文章类型: Journal Article
    OBJECTIVE: Literature from the past five years exploring roles of Three-Factor Eating Questionnaire (TFEQ) Restraint and Disinhibition in relation to adult obesity and eating disturbance (ED) was reviewed.
    RESULTS: Restraint has a mixed impact on weight regulation, diet quality, and vulnerability to ED, where it is related detrimentally to weight regulation, diet, and psychopathology, yet can serve as a protective factor. The impact of Disinhibition is potently related to increased obesity, poorer diet, hedonically driven food choices, and a higher susceptibility to ED. Restraint and Disinhibition have distinct influences on obesity and ED and should be targeted differently in interventions. Further work is required to elucidate the mechanisms underlying TFEQ eating behavior traits.
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  • 文章类型: Journal Article
    对外观的社会文化态度问卷-4修订版(SATAQ-4R)是对肌肉,薄/低身体脂肪,和一般的吸引力理想;以及家庭经历的社会文化压力,同行,媒体,和重要的其他人来实现理想的身体。当前的研究检查了性少数(非异性恋)男女样本中SATAQ-4R得分的心理测量特性。采用验证性因素分析来检查男性(n=479)和女性(n=482)的因素结构。原来的7因子结构被复制,七个子量表得分的内部可靠性系数是可以接受的(≥.82α和ω)。对于男人和女人来说,瘦/低身体脂肪,家庭,同行,媒体,和其他重要的分量表表现出与饮食失调检查问卷(EDE-Q)的分量表得分显着的中等到大的正相关,衡量饮食病理学的各个方面。肌肉理想子量表与肌肉驱动量表(DMS)显着相关,测量肌肉相关的问题。肌肉理想和一般吸引力理想子量表均与饮食病理学表现出显着的小或不显着的相关性。总之,SATAQ-4R评分在性少数群体男性和女性样本中显示出可接受的信度以及结构和收敛效度.
    The Sociocultural Attitudes Towards Appearance Questionnaire-4 Revised (SATAQ-4R) is a measure of internalization (or belief and acceptance) of muscular, thin/low body fat, and general attractiveness ideals; and of sociocultural pressures experienced from family, peers, media, and significant others to achieve the ideal body. The current study examined the psychometric properties of the SATAQ-4R scores in a sample of sexual minority (non-heterosexual) men and women. Confirmatory factor analysis was employed to examine the factor structure in men (n = 479) and women (n = 482). The original 7-factor structure was replicated, and internal reliability coefficients for the seven subscale scores were acceptable (≥ .82 α and ω). For men and women, the thin/low body fat, family, peers, media, and significant others subscales exhibited significant positive medium-to-large associations with subscale scores on the Eating Disorder Examination-Questionnaire (EDE-Q), measuring aspects of eating pathology. The muscular ideal subscale exhibited a significant large correlation with the Drive for Muscularity Scale (DMS), measuring muscularity-related concerns. Both the muscular ideal and general attractiveness ideal subscale exhibited significant small or non-significant correlations with eating pathology. In sum, the SATAQ-4R scores demonstrated acceptable reliability and structural and convergent validity in samples of sexual minority men and women.
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  • 文章类型: Journal Article
    To explore the role of body-esteem and self-esteem in the occurrence of academic functioning problems associated with eating disturbances. Participants: 330 university students (aged 16-53 years) in Finland in 2016. Method: Interference with academic functioning measured with the Eating and Body Image Academic Interference Scale. Multivariable logistic regression analyses were performed to describe the relationship of body-esteem, global self-esteem, and age with academic functioning problems associated with eating disturbances. Results: The level of academic functioning problems was low. High appearance-esteem (OR = 0.26; 95% CI [0.14-0.48]) and a five-year increase in age (OR = 0.68; 95% CI [0.52-0.89]) provided protection against academic functioning problems, whereas high evaluations attributed to others about one\'s body and appearance increased the odds of such problems (OR = 2.25; 95% CI [1.41-3.59]). Conclusion: Problems in academic functioning may relate to problems in eating behavior, body image, and feelings about appearance.
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  • 文章类型: Journal Article
    背景:体力活动是与进食障碍有关的重要因素,但是饮食失调的症状和身体活动之间的关系是多方面的。这项研究的目的是调查饮食障碍(ED)的症状如何与身体活动相关,并从体重指数(BMI)评分中探讨潜在的性别差异和潜在的调节作用。
    方法:数据来自对10,172名16至19岁的挪威青少年的大规模人口调查,青年@hordaland调查。主要因变量是每周自我报告的体力活动天数,而主要自变量是使用五项进食障碍筛查(EDS-5)问卷自我报告的ED症状。控制变量包括性别,年龄,社会经济地位,BMI。
    结果:女孩报告的ED症状明显多于男孩(M=3.02对1.32,d=0.80,p<0.001),以及每周体力活动天数较少(M=2.88vs.3.46,d=-0.28,p<0.001)。对两性来说,ED的症状与体力活动呈负相关(调整后的平均差异(调整。平均差异)范围从-0.03到-0.08,所有p<0.05)。相互作用分析显示,然而,通过BMI评分,女孩(p<0.01)和男孩(p<0.05),ED症状与体力活动之间的关联均显著减轻.具体来说,在BMI得分较高的青少年中,ED症状与较低的体育锻炼水平有关。
    结论:本研究表明,青春期男女的ED症状与体力活动总体呈负相关。然而,ED症状和体力活动水平之间的关联在整个体重范围内差异很大。
    BACKGROUND: Physical activity is an important factor related to eating disorders, but the relationship between symptoms of eating disorders and physical activity is multifaceted. The aims of this study were to investigate how symptoms of eating disturbance (ED) were associated with physical activity, and to explore potential sex differences and the potential moderating effects from body mass index (BMI) scores.
    METHODS: Data stem from a large population-based survey of 10,172 Norwegian adolescents aged 16 to 19 years, the youth@hordaland-survey. The main dependent variable was self-reported number of days with physical activity per week, while the main independent variable was self-reported symptoms of ED using the five-item Eating Disturbance Screening (EDS-5) questionnaire. Control variables included sex, age, socioeconomic status, and BMI.
    RESULTS: Girls reported substantially more symptoms of ED compared with boys (M = 3.02 versus 1.32, d = 0.80, p < 0.001), as well as fewer days with physical activity per week (M = 2.88 versus 3.46, d = - 0.28, p < 0.001). For both sexes, symptoms of ED were negatively associated with physical activity (adjusted mean differences (adj. mean diff) ranging from - 0.03 to - 0.08, all p < 0.05). Interaction analyses showed, however, that associations between symptoms of ED and physical activity were significantly moderated by BMI scores for both girls (p < 0.01) and boys (p < 0.05). Specifically, ED symptoms were associated with lower physical activity levels among adolescents with higher BMI scores.
    CONCLUSIONS: The present study indicates that symptoms of ED were overall negatively associated with physical activity for both sexes during adolescence. However, associations between ED symptoms and physical activity levels differed considerably across the weight spectrum.
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  • 文章类型: Journal Article
    BACKGROUND: Although there have been suggestions that central coherence may be associated with eating disturbances (EBD) in children with autism spectrum disorder (ASD), relatively little attention has been given to specific aspects of IQ and EDB.
    METHODS: The association between total IQ, perceptual and verbal composite scores and subtests was explored in a sample of 50 high-functioning girls with ASD (mean age = 9.7 years, SD = 2.4 years, range = 6 years to 14 years). Self-reports and mothers\' reports were collected about the girls\' EDB.
    RESULTS: There were only isolated associations between mothers\' data and the girls\' IQ. Selected aspects of the girls\' self-reported EDB were significantly associated with matrix reasoning.
    CONCLUSIONS: The role of IQ, particularly matrix reasoning, in the assessment and treatment of EDB in girls with ASD, is highlighted by these findings.
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  • 文章类型: Journal Article
    BACKGROUND: An association of eating disorder with diabetes mellitus may lead to a serious lack of metabolic control, higher mortality and morbidity. There is no recent study conducted in the Iranian population about eating disorder and its variants. The aim of the present study is investigation of frequency of disturbed eating behaviors in adolescent girls with type 1 diabetes mellitus (T1DM) compared to non-diabetics.
    METHODS: In this cross-sectional study, disturbed eating behavior were evaluated and compared in two groups of 12-22 year old adolescent and young females (126 with diabetes and 325 without diabetes). A self-report questionnaire including demographic data, Children\'s Depression Inventory (CDI), and Eating Attitude Test (EAT-26) was used for data gathering. Independent t-test, Chi-square test, and logistic regression [odds ratio (OR)] were used for data analyses in SPSS 15.
    RESULTS: Findings revealed that higher percentage of diabetic girls are likely to have eating disturbances (67.9% vs. 53.8%, P = 0.01). Diabetic group obtained higher scores in both dieting (14.95 ± 6.28 vs. 11.79 ± 5.62, P < 0.001) and bulimia scales (4.9 ± 3.13 vs. 4.12 ± 2.89, P = 0.017), which supports a role for T1DM in inducing the symptoms. Diabetic girls were at more than double the risk of developing eating disturbance.
    CONCLUSIONS: The results indicate that a significantly higher percentage of diabetic girls are likely to have eating disturbances. Also, diabetic subjects had an increased probability of getting higher scores in all three EAT-26 subscales. Therefore, healthcare professionals, especially diabetic nurses, should be aware of the potential effects of the subclinical and clinical eating behaviors on adolescents with T1DM and evaluate them for these disturbances.
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