Diagnostic Issues of Binge Eating in Eating Disorders.

Diagnostic Issues of Binge Eating in Eating Disorders.

Eur Eat Disord Rev. 2013 Feb 26;
Birgegård A, Clinton D, Norring C

BACKGROUND: Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria for eating disorders (EDs) are problematic and due to be revised. One area of debate concerns binge eating. AIMS: We investigated the impact of four aspects of binge eating (binge size, loss of control, frequency of objective and subjective binge eating) assessed by questionnaire and interview in adult ED patients on concurrent and follow-up symptoms. METHOD: Data came from two independent naturalistic Swedish ED databases (N?=?2354, with 12-month follow-up; and N?=?597, with 36-month follow-up). RESULTS: We found fair concurrent validity of criteria assessed using questionnaire, but poor concurrent validity for interview assessment, and no prognostic validity regardless of assessment method. CONCLUSIONS: The findings give support to some planned DSM-5 revisions, but challenge the assumption of binge eating as a useful diagnostic criterion, as well as having implications for measurement. Copyright © 2013 John Wiley & Sons, Ltd and Eating Disorders Association. HubMed – eating

Fish Allergy: In Review.

Clin Rev Allergy Immunol. 2013 Feb 27;
Sharp MF, Lopata AL

Globally, the rising consumption of fish and its derivatives, due to its nutritional value and divergence of international cuisines, has led to an increase in reports of adverse reactions to fish. Reactions to fish are not only mediated by the immune system causing allergies, but are often caused by various toxins and parasites including ciguatera and Anisakis. Allergic reactions to fish can be serious and life threatening and children usually do not outgrow this type of food allergy. The route of exposure is not only restricted to ingestion but include manual handling and inhalation of cooking vapors in the domestic and occupational environment. Prevalence rates of self-reported fish allergy range from 0.2 to 2.29 % in the general population, but can reach up to 8 % among fish processing workers. Fish allergy seems to vary with geographical eating habits, type of fish processing, and fish species exposure. The major fish allergen characterized is parvalbumin in addition to several less well-known allergens. This contemporary review discusses interesting and new findings in the area of fish allergy including demographics, novel allergens identified, immunological mechanisms of sensitization, and innovative approaches in diagnosing and managing this life-long disease. HubMed – eating

Revisiting Classification of Eating Disorders-toward Diagnostic and Statistical Manual of Mental Disorders-5 and International Statistical Classification of Diseases and Related Health Problems-11.

Indian J Psychol Med. 2012 Jul; 34(3): 290-6
Goyal S, Balhara YP, Khandelwal SK

Two of the most commonly used nosological systems- International Statistical Classification of Diseases and Related Health Problems (ICD)-10 and Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV are under revision. This process has generated a lot of interesting debates with regards to future of the current diagnostic categories. In fact, the status of categorical approach in the upcoming versions of ICD and DSM is also being debated. The current article focuses on the debate with regards to the eating disorders. The existing classification of eating disorders has been criticized for its limitations. A host of new diagnostic categories have been recommended for inclusion in the upcoming revisions. Also the structure of the existing categories has also been put under scrutiny. HubMed – eating

[The Bolsa Família cash transfer program and food and nutrition security in Brazil: a critical review of the literature].

Rev Panam Salud Publica. 2013 Jan; 33(1): 54-60
Cotta RM, Machado JC

To critically review studies evaluating the impact of Bolsa Família (PBF), a federal cash transfer program, for food and nutrition security in Brazil.The Cochrane Library, LILACS, Medline and SciELO databases were searched, as well as public organization websites. All studies based on primary data were selected. The following were excluded: studies using secondary data, review articles, studies that did now allow the establishment of associations between PBF and food and nutrition security, as well as studies evaluating food security strictly in sanitary terms.Ten studies were included. Of these, five concluded that PBF had a positive impact on the food and nutrition security of participating families. Three studies observed an increase in the consumption of foods with higher calorie content and less nutritional value. This change in dietary habits is a risk factor for the development of overweight, obesity, and noncommunicable chronic diseases.The guarantee of food and nutrition security requires programs that focus on both malnutrition and overweight and obesity. Cash transfer programs such as the PBF can contribute more effectively to the nutritional well-being of participants if they are combined with other types of interventions, such as actions to promote healthy eating. HubMed – eating

Nutritional status in the oldest elderly and associated factors.

Rev Assoc Med Bras. 2013 Feb; 59(1): 40-7
Boscatto EC, Duarte Mde F, Coqueiro Rda S, Barbosa AR

To verify factors associated with nutritional status in an oldest elderly communitydwelling population in Southern Brazil.This cross-sectional epidemiological and household-based study involved all subjects (n = 134) aged > 80 years who were living in Antônio Carlos (Santa Catarina state, Brazil). Nutritional status was assessed by body mass index (BMI < 22.0 kg/m2, underweight; BMI > 27.0 kg/m2, overweight). Explanatory variables in the study were: gender (women/ men), literacy (knows how to write and read – yes/no), living conditions (lives alone/with company), cognitive function (normal/altered), eating difficulty (yes/no), medication use (none to two/three or more), morbidity (none to two/three or more diseases), alimentary pattern (adequate/inadequate), alcohol consumption (none to one day a week, two or more days a week), cigarette smoking (never/current or former smoker), physical activity level (< 150 min/week; > 150 min/week), and sitting time (< 4 hours/day; > 4 hours but < 6 hours/ day; > 6 hours/day).Prevalence of underweight was 27.3% in men and 12.8% in women (p < 0.01), and was positively associated with altered cognitive function (OR: 3.52) and inversely related with greater medication use (OR: 0.34). Overweight affected 25.5% of men and 53.8% of women. It was negatively associated with illiteracy (OR: 0.12) and positively associated with female gender (OR: 2.58).There are differences between men and women regarding nutritional status. The factors associated to nutritional status of the oldest elderly from Antônio Carlos are specific to the vulnerability condition (underweight and overweight). HubMed – eating

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