Group Cognitive Remediation Therapy for Adult Anorexia Nervosa Inpatients: First Experiences.

Group cognitive remediation therapy for adult anorexia nervosa inpatients: first experiences.

Eat Weight Disord. 2013 Jun 14;
Zuchova S, Erler T, Papezova H

AIM: In this study, we aim to explore the feasibility and acceptability of group cognitive remediation therapy (CRT) for anorexia nervosa (AN) inpatients, and to suggest modifications for future use. METHODS: We performed ten 45-min CRT sessions, once a week, in two consecutive groups of adult AN inpatients. The groups consisted of 14 and 20 participants, respectively. At the end of each session, participants filled in a questionnaire asking them to evaluate whether and how they benefited from the exercise RESULTS: Group-based CRT could be well incorporated into the therapeutic program of the Eating Disorders Unit, and was well received by the participants. Based on patients’ feedback and our observations, we discuss several options for future modifications. HubMed – eating

Adolescents with Anorexia Nervosa Have Their Say: A Review of Qualitative Studies on Treatment and Recovery from Anorexia Nervosa.

Eur Eat Disord Rev. 2013 Jun 13;
Bezance J, Holliday J

Anorexia nervosa often begins in adolescence, and there is a growing body of quantitative literature looking at the efficacy of treatment for adolescents. However, qualitative research has a valuable contribution to make to the understanding of treatment and recovery. This paper aims to review qualitative studies on the experience of treatment and recovery for adolescents with anorexia nervosa. Key themes from the 11 studies identified the role of family, peers and professionals, family therapy, the inpatient setting, emphasis on physical versus psychological and conceptualisation of recovery. Future studies would benefit from relating their findings to adolescent theory and considering reflexivity. Implications for clinical practice are also discussed. Copyright © 2013 John Wiley & Sons, Ltd and Eating Disorders Association. HubMed – eating

Weight management in the performance athlete.

Nestle Nutr Inst Workshop Ser. 2013; 75: 123-33
Manore MM

Management of weight is an ever-increasing challenge in societies where good tasting food is convenient, relatively inexpensive, and abundant. Developing a weight management plan is essential for everyone, including athletes that expend high amounts of energy in their sport. This brief review addresses the concept of dynamic energy balance and dietary approaches that can be successfully used with active individuals to facilitate weight loss, while retaining lean tissue and minimizing risks for disordered eating. Emphasis is placed on teaching athletes the benefits of consuming a low-energy-dense diet (e.g. high-fiber, high-water, low-fat foods), which allows for the consumption of a greater volume of food that is satiating but reduces energy intake. Other dietary behaviors important for weight loss or weight maintenance after weight loss are also emphasized, such as eating breakfast, spreading food and protein intake throughout the day, eating after exercise, elimination of sweetened beverages, and avoiding fad diets. As the general population becomes heavier, more young athletes will come to their sport needing to alter bodyweight or composition to perform at their peak. Health professionals need to be prepared with effective and evidence-based dietary approaches to help the athletes achieve their bodyweight goals. Copyright © 2013 Nestec Ltd., Vevey/S. Karger AG, Basel. HubMed – eating

Should visceral fat be reduced to increase longevity?

Ageing Res Rev. 2013 Jun 10;
Finelli C, Sommella L, Gioia S, La Sala N, Tarantino G

Several epidemiologic studies have implicated visceral fat as a major risk factor for insulin resistance, type 2 diabetes mellitus, cardiovascular disease, stroke, metabolic syndrome and death. Utilizing novel models of visceral obesity, numerous studies have demonstrated that the relationship between visceral fat and longevity is causal while the accrual of subcutaneous fat does not appear to play an important role in the etiology of disease risk. Specific recommended intake levels vary based on a number of factors, including current weight, activity levels, and weight loss goals. It is discussed the need of reducing the visceral fat as a potential treatment strategy to prevent or delay age-related diseases and to increase longevity. HubMed – eating

Randomized controlled trial targeting obesity-related behaviors: better together healthy caswell county.

Prev Chronic Dis. 2013; 10: E96
Zoellner J, Hill JL, Grier K, Chau C, Kopec D, Price B, Dunn C

Collaborative and multilevel interventions to effectively address obesity-related behaviors among rural communities with health disparities can be challenging, and traditional research approaches may be unsuitable. The primary objective of our 15-week randomized controlled pilot study, which was guided by community-based participatory research (CBPR) principles, was to determine the effectiveness of providing twice-weekly access to group fitness classes, with and without weekly nutrition and physical activity education sessions, in Caswell County, North Carolina, a rural region devoid of medical and physical activity resources.Participants were randomly divided into 2 groups: group 1 was offered fitness sessions and education in healthful eating and physical activity; group 2 was offered fitness sessions only. Outcome measures were assessed at baseline and immediately after the intervention. Standardized assessment procedures, validated measures, and tests for analysis of variance were used.Of 91 enrolled participants, most were African American (62%) or female (91%). Groups were not significantly different at baseline. Group 1 experienced significantly greater improvements in body mass index (F = 15.0, P < .001) and waist circumference (F = 7.0, P = .01), compared with group 2. Both groups significantly increased weekly minutes of moderate physical activity (F = 9.4, P < .003). Participants in group 1 also had significantly greater weight loss with higher attendance at the education (F = 14.7, P < .001) and fitness sessions (F = 18.5, P < .001).This study offers effective programmatic strategies that can reduce weight and increase physical activity and demonstrates feasibility for a larger scale CBPR obesity trial targeting underserved residents affected by health disparities. This study also signifies successful collaboration among community and academic partners engaged in a CBPR coalition. HubMed – eating

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