Do Preoperative Eating Behaviors Influence Weight Loss After Biliopancreatic Diversion?

Do Preoperative Eating Behaviors Influence Weight Loss After Biliopancreatic Diversion?

Obes Surg. 2013 Apr 3;
Facchiano E, Scaringi S, Quartararo G, Alpigiano G, Liscia G, Pavoni V, Lucchese M

BACKGROUND: The presence of disturbed eating patterns can affect the short- and long-term outcomes after bariatric surgery. Data about the influence of preoperative eating patterns on outcomes after biliopancreatic diversion (BPD) are lacking. The aim of the present study was to assess the role of preoperative eating behavior in patients’ selection for biliopancreatic diversion. METHODS: Sixty-one consecutive patients who underwent BPD were evaluated for the present study. For each patient, the following preoperative eating patterns were evaluated: sweet eating, snacking, hyperphagia, and gorging. The primary outcome measure was the percentage of excess weight loss (%EWL) at 3, 6, and 12 months in the groups of patients with different eating patterns at the preoperative evaluation. RESULTS: At the preoperative evaluation, snacking was found in 31 patients (50.8 %), sweet eating in 15 patients (24.6 %), hyperphagia in 48 patients (78.7 %), and gorging in 45 patients (73.8 %). For each eating behavior, there was no significant difference in mean preoperative BMI and weight loss at 3, 6, and 12 months between the group of patients with and the group of patients without the eating pattern considered. At the analysis of variance in the four groups of patients presenting the eating patterns considered, there was no difference in mean preoperative BMI (P?=?0.66), %EWL at 3 months (P?=?0.62), %EWL at 6 months (P?=?0.94), and %EWL at 12 months (P?=?0.95). CONCLUSIONS: Preoperative eating behaviors do not represent reliable outcome predictors for BPD, and they should not be used as a selection criterion for patients who are candidates to this operation. HubMed – eating

Apparent and content validation of maternal self-efficiency scale for prevention of childhood diarrhea.

Rev Lat Am Enfermagem. 2013 Feb; 21(1): 371-9
Joventino ES, Oriá MO, Sawada NO, Ximenes LB

The aim of this paper is to describe the apparent and content validation for the Maternal Self-Efficiency Scale for the Prevention of Childhood Diarrhoea.Methodological study with the execution of apparent and content validation by seven judges; semantic analysis, by 30 mothers of children under 5 years old and also a pre-test involving 31 mothers who have been selected through convenience. It has been considered necessary to have the agreement of at least 70% of the judges for apparent validation and a minimum of 80% for pertinence and Index of Content Validation.This paper shows that most items have been considered clear, comprehensive and relevant by the judges. The final Content Validity Index of the scale was 0.96. The suggestions of the mothers were accepted.The scale ended up having 25 items and two domains (family hygiene and general/eating practices) which assess the maternal self-efficiency for the prevention of diarrhea in their children, thereby contributing to the planning of nursing interventions. HubMed – eating

Determining the Influence of Type 1 Diabetes on Two Common Eating Disorder Questionnaires.

Diabetes Educ. 2013 Apr 1;
Powers MA, Richter S, Ackard D, Critchley S, Meier M, Criego A

PurposeThis research evaluated the level of influence that having type 1 diabetes (T1DM) has on responses to questions about food choices, eating concerns, dietary restraint, and others that are included on two widely used, validated eating disorder (ED) questionnaires and examined responses to these two questionnaires from patients with T1DM and an eating disorder (ED-T1DM) and an ED-no-diabetes.MethodAn expert panel rated each item on the Eating Disorders Examination Questionnaire (EDE-Q) and Eating Disorders Inventory, version 3 (EDI-3) regarding T1DM level of influence on item interpretation. These questionnaires were completed by 2 matched samples (ED-T1DM, n = 48 and ED-no-diabetes, n = 96); responses were compared between the samples with particular attention to items of high T1DM influence.ResultsThe expert panel identified that 50% (19/38) of the items on the EDE-Q and 6.6% (6/91) on the EDI-3 could be highly influenced by having T1DM. Before Bonferroni correction, the 2 groups responded statistically different on 9 out of 38 items on the EDE-Q and 27 out of 91 items on the EDI-3; generally responses were healthier for those with ED-T1DM than ED-no-diabetes. Of these items, on the EDE-Q, 5 were rated high T1DM influence and on the EDI-3, 3 were rated high.ConclusionHaving T1DM influences responses on ED questionnaires developed for the general population. This influence may be greater when questionnaires focus on eating, weight, and shape and result in misinterpretation of total and subscale scores by even well-trained clinicians. A careful review of individual item responses by the treatment team is warranted. HubMed – eating