Eating Disorders: National Survey of US Primary Care Physicians’ Perspectives About Causes of Obesity and Solutions to Improve Care.

National survey of US primary care physicians’ perspectives about causes of obesity and solutions to improve care.

Filed under: Eating Disorders

BMJ Open. 2012; 2(6):
Bleich SN, Bennett WL, Gudzune KA, Cooper LA

To describe physician perspectives on the causes of and solutions to obesity care and identify differences in these perspectives by number of years since completion of medical school.National cross-sectional online survey from 9 February to 1 March 2011.USA.500 primary care physicians.We evaluated physician perspectives on: (1) causes of obesity, (2) competence in treating obese patients, (3) perspectives on the health professional most qualified to help obese patients lose or maintain weight and (4) solutions for improving obesity care.Primary care physicians overwhelmingly supported additional training (such as nutrition counselling) and practice-based changes (such as having scales report body mass index) to help them improve their obesity care. They also identified nutritionists/dietitians as the most qualified providers to care for obese patients. Physicians with fewer than 20 years since completion of medical school were more likely to identify lack of information about good eating habits and lack of access to healthy food as important causes of obesity. They also reported feeling relatively more successful helping obese patients lose weight. The response rate for the survey was 25.6%.Our results indicate a perceived need for improved medical education related to obesity care.
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Preproghrelin gene polymorphisms in obese Japanese women: Minor homozygotes are light eaters, do not prefer protein or fat, and apparently have a poor appetite.

Filed under: Eating Disorders

Appetite. 2012 Dec 17;
Takezawa J, Yamada K, Miyachi M, Morita A, Aiba N, Sasaki S, Watanabe S

Preproghrelin gene single-nucleotide polymorphisms are possible predisposing factors to obesity and other metabolic syndromes. To study the correlation between genotypes and obesity, we recruited 117 obese Japanese women (BMI, 25.0-41.1; average, 31.1). Minor homozygotes for 5 preproghrelin gene polymorphisms, namely, -1500C>G (rs3755777), -1062G>C (rs26311), -994C>T (rs26312) (promoter region), Leu72Met (rs696217) (exon 2), and +3056T>C (rs2075356) (intron 2), had high values of total and visceral fat areas, waist circumference, and BMI, indicating significant correlation of the polymorphisms with obesity and fat metabolism. Here, we studied the relationship between the genotypes and dietary tendency. Self-administered Diet History Questionnaire showed that total food intake, sugar, and dairy product intake were low in +3056C/C women. Their energy, protein, fat, and meat intake was also low. Energy balance calculation showed considerably reduced fat and protein consumption. Dietary habits were surveyed using Sakata’s Questionnaire on Eating Behavior. Of the genotypes, -1062C/C women showed low scores for “motivation for eating” and “eating because of stress or something else.” Thus, surprisingly, it was revealed that minor homozygotes for preproghrelin gene polymorphisms were light eaters, did not prefer fat or protein, and apparently had a poor appetite, although they were predisposed to obesity.
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Lunch Habits of German Children and Adolescents: Composition and Dietary Quality.

Filed under: Eating Disorders

Ann Nutr Metab. 2012 Dec 21; 62(1): 75-79
Alexy U, Freese J, Kersting M, Clausen K

Background/Aims: Data from the ongoing, open-cohort Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) study were used to describe warm family lunch meals and the association of the lunch composition with total diet quality. Methods: 2,095 three-day weighed dietary records, collected between 2004 and 2009, from a 4- to 18-year-old DONALD study subgroup were used. Results: Warm lunch (eating occasions between 11.30 a.m. and 2.29 p.m. including at least one course that is typically consumed warm) was eaten on 68.8% of all record days. Meat lunch (>50%) was predominant, followed by vegetarian (25%), fish (13%) and sweet lunch meals (3%). The prevalence of desserts at lunch was high and beverages were drunk at 80% of lunch meals. A meat lunch was associated with a higher protein (+1.4% energy intake, %E) and fat intake (+1.7%E) than a sweet lunch; also densities of vitamin A, folate and iron were higher. A dessert at lunch decreased protein intake slightly (-0.2%E), but increased carbohydrate (+0.7%E) and added sugar intake (+1.4%E) as well as density of calcium (+18 mg/MJ). Conclusion: Our study proves the impact of lunch on daily dietary quality and yields valuable insights on the development of food and meal-based dietary guidelines.
HubMed – eating

Dr. Jantz on Maury Povich discussing eating disorders – Dr. Jantz discusses eating disorders on Maury Povich TV Show. There is hope for those who have eating disorders

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