Eating Disorders: 100 Kg More or Less, Still the Same Person (And Disorder): From Overweight to Underweight-Exacerbation of an Eating Disorder After Bariatric Surgery.

100 kg more or less, still the same person (and disorder): From overweight to underweight-exacerbation of an eating disorder after bariatric surgery.

Filed under: Eating Disorders

Int J Eat Disord. 2012 Nov 29;
Lautenbach A, Kulinna U, Löwe B, Rose M

OBJECTIVE: To report the case of a morbidly obese 49-year-old woman with nonspecific interstitial pneumonia who underwent bariatric surgery. Because of inadequate weight loss after sleeve gastrectomy, duodenal switch as component of a stepwise treatment was performed and led to unexplained progressive weight loss and malnutrition. METHOD: Case report. RESULTS: After duodenal switch surgery, the patient presented with late postsurgical symptoms of malabsorption. Postsurgical psychological evaluation revealed a persistent binge eating disorder. Along with exocrine pancreatic insufficiency, binge eating had led to progressive weight loss of ?100 kg from a body mass index of 50.3 kg/m(2) presurgery to 17.3 kg/m(2) postsurgery. DISCUSSION: Recent research has focused on eating patterns after bariatric surgery and the risks of exacerbating eating disorders after surgery. This case study illustrates the need for auxiliary prepsychotherapeutic and postpsychotherapeutic evaluation and subsequent support for patients with eating disorders preparing for bariatric surgery. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012).
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Eating disorders after bariatric surgery: A case series.

Filed under: Eating Disorders

Int J Eat Disord. 2012 Nov 29;
Conceição E, Orcutt M, Mitchell J, Engel S, Lahaise K, Jorgensen M, Woodbury K, Hass N, Garcia L, Wonderlich S

OBJECTIVE: A significant number of post-bariatric surgery (BS) patients present with eating disorders (EDs) symptoms that require specialized treatment. These cases are thought to be underreported due to their frequent sub-syndromal presentation. This article describes ED syndromes that develop subsequent to BS. METHOD: The clinical charts of 12 individuals who were hospitalized on a specialized inpatient EDs unit were reviewed. RESULTS: Based on the new DSM-5 proposed criteria, six patients would meet criteria for an anorexia nervosa (AN) diagnosis: three with binge eating/purge AN subtype and three with restrictive AN subtype. An additional four met criteria for atypical AN, since they were at a normal weight, and two patients met criteria for bulimia nervosa. DISCUSSION: Several similarities to the classical EDs were found. The findings that most distinguished these patients from those with classical EDs were their ages, and the age of onset of the ED for some patients. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012).
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Significant differences in fertility between dairy cows selected for one QTL located on bovine chromosome 3 are not attributable to energy balance, although eating behaviour is affected.

Filed under: Eating Disorders

Animal. 2012 Nov 28; 1-8
Coyral-Castel S, Faverdin P, Ramé C, Fréret S, Guillaume D, Fritz S, Dupont J

Improvement of reproduction in dairy cows has become a major challenge in dairy production. We have recently shown that dairy cows carrying the ‘fertil-‘ haplotype for one quantitative trait locus (QTL), affecting female fertility and located on the bovine chromosome 3, had a significantly lower conception rate after the first artificial insemination than cows carrying the ‘fertil+’ haplotype. The objective of this paper was to study other phenotypic modifications linked to this QTL. In the present study, 23 ‘fertil+’ and 18 ‘fertil-‘ cows were characterized for live weight, milk production, food intake, eating behaviour and plasma metabolites. These parameters were measured during the first lactation, from calving to 40 weeks postpartum (wkpp). In the first 7 weeks of lactation, ‘fertil+’ primiparous cows had a significantly higher live BW and milk production than ‘fertil-‘ cows. Dry matter intake tended to be slightly higher for ‘fertil+’ than for ‘fertil-‘ primiparous cows in this period. However, energy balance was similar for the two haplotypes in the whole lactation, except in the first wkpp, and consequently, could not explain their different fertility. The major observation concerned the eating behaviour. ‘Fertil+’ primiparous cows had a significantly lower eating rate than ‘fertil-‘ cows during the 40 weeks of lactation. In parallel, ‘fertil+’ cows spent significantly more time at the feeder for a similar number of visits than ‘fertil-‘ cows. Furthermore, no differences in plasma concentrations of non-esterified fatty acids and insulin were observed between the two haplotypes. Plasma glucose was significantly lower in ‘fertil+’ than in ‘fertil-‘ cows in the second wkpp. Taken together, our results show that ‘fertil+’ and ‘fertil-‘ dairy cows, with different fertility, have also different eating behaviour without any variation in energy balance, except in the first week of lactation.
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Family affluence and cultural capital as indicators of social inequalities in adolescent’s eating behaviours: a population-based survey.

Filed under: Eating Disorders

BMC Public Health. 2012 Nov 28; 12(1): 1036
Fismen AS, Samdal O, Torsheim T

ABSTRACT: BACKGROUND: Dietary inequality, via socio-economic inequality, may involve several mechanisms. Different aspects of adolescents’ socio-economic circumstances should therefore be considered in order to make effective interventions to promote healthy eating in the young population. Indicators designed to tap socio-economic status among adolescents in particular will facilitate a better understanding of the concept of socio-economic status and how it influences health behaviour among young people. The purpose of this study was to evaluate if material capital and cultural capital individually and independently contribute to the prediction of eating habits in the Norwegian adolescent population. METHODS: The analysis is based on survey data from the Health Behaviour in School-Aged Children study. The Family Affluence Scale (number of cars, holidays, PC and bedrooms) and number of books in the household were used as indicators of socio-economic status, respectively measuring material capital and cultural capital. Their influence on adolescent’s consumption of fruit, vegetables, sweets, soft drinks, and consumption of breakfast and dinner was evaluated. Pearson’s correlation, logistic regression and ridit transformation analysis were used to analyse the data. RESULTS: Higher family affluence was shown to predict consumption of more fruit (OR 1.52) and vegetables (OR 1.39) and consumption of breakfast (OR 1.61) and dinner (1.35). Cultural capital was significantly associated to consumption of fruit (OR 1.85), vegetables (OR 2.38) sweets (OR .45), sugary soft drinks (OR .26), breakfast (OR 2.13) and dinner (OR 1.54). Cultural capital was the strongest predictor to healthy eating among adolescents in Norway. CONCLUSIONS: Material capital and cultural capital individually and independently contributed to the prediction of healthy eating patterns among adolescents in Norway. Cultural capital is an understudied dimension of the socio-economic status concept and the influence on health behaviour needs to be explored in future studies. Initiatives to promote healthy eating should focus on education, habits and consciousness of a healthy diet, but also at reducing the high cost of fruit and vegetables. There is further a need for developing appropriate indicators for adolescent socio-economic status.
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Anorexia- My Journey – My journey through anorexia has been and still is a horrible time. 3 years ago was the worst time of my life. I spent 8 months in an eating disorders unit. I hated it. But it saved me. Anorexia almost took me… but I battled through. Here is a small snippet of my journey through pictures. WARNING: MAY BE TRIGGERING TO SOME VIEWERS. I have written and published a book on Amazon called ‘Hungry For Change’ about my journey. Please have a look. It is sad but funny in places too and it aims to help people going through the same/similar as I am. The link for my book: www.amazon.co.uk For my ‘Hungry for Change’ Facebook page: www.facebook.com I’d like to say thank you to my family and friends and my school and college for supporting me so well 🙂

 

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