Late Onset Eating Disorders in Spain: Clinical Characteristics and Therapeutic Implications.
Late Onset Eating Disorders in Spain: Clinical Characteristics and Therapeutic Implications.
J Clin Psychol. 2013 Jun 25;
Bueno B, Krug I, Bulik CM, Jiménez-Murcia S, Granero R, Thornton L, Penelo E, Menchón JM, Sánchez I, Tinahones FJ, Fernández-Aranda F
The literature on later age of onset (LAO) in women with eating disorders is scarce. We compared the severity of eating disorders, eating disorder subtype, and personality profiles in a clinical sample of consecutively assessed women with eating disorders with later age of onset (LAO, > = 25 years) to women with typical age of onset (TAO, <25 years).All eating disorder patients met the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) criteria and were admitted to the Eating Disorder Unit of the University Hospital of Bellvitge in Barcelona, Spain. Ninety-six patients were classified as LAO and 759 as TAO.Measures included the Eating Attitude Test-40 (EAT-40), Eating Disorders Inventory-2 (EDI-2), Bulimic Investigatory Test Edinburgh (BITE), Symptom Checklist Revised (SCL-90-R), and the Temperament and Character Inventory-Revised (TCI-R), as well as other clinical and psychopathological indices.LAO individuals reported significantly fewer weekly vomiting episodes, fewer self-harming behaviours, less drug abuse, and lower scores on the BITE symptoms, the EDI-2 drive for thinness, and the TCI-R harm avoidance scales than TAO individuals. Conversely, the LAO group reported more current and premorbid obesity than the TAO group.LAO eating disorder patients in this sample presented with milder symptomatology and less extreme personality traits. Premorbid obesity may be more relevant to LAO than TAO eating disorders and should be routinely assessed and considered when planning treatment. HubMed – eating
Attitudes toward healthy eating: a mediator of the educational level-diet relationship.
Eur J Clin Nutr. 2013 Jun 26;
Lê J, Dallongeville J, Wagner A, Arveiler D, Haas B, Cottel D, Simon C, Dauchet L
BACKGROUNG/OBJECTIVES:A higher educational level is associated with a healthier diet. The goal of this study was to establish whether this association is mediated by attitudes toward healthy eating.SUBJECTS/METHODS:The cross-sectional MONA LISA-NUT study was performed in 2005-2007 on adults aged 35-64 years from northern and north-eastern France. Diet quality was assessed on the basis of a 3-day food record and a validated score based on French national dietary guidelines. Specific questions investigated attitudes toward healthy eating. Multivariate analyses were used to quantify the proportion of the educational level-diet relationship that was mediated by attitudes toward healthy eating.RESULTS:Among the 1631 subjects, favourable attitudes toward healthy eating were associated with both higher educational level and diet quality. In the mediation analysis, ‘organic food consumption’ explained 14% (95% confidence interval (8;24)) of the educational level-diet relationship and ‘attention paid to health when buying food’ explained 9% (3;16). In contrast, ‘attention to food choice’, ‘searching for information about food’ and ‘perceived role of eating’ were not mediators of the association between educational level and diet. In a multivariate model, the attitude items together accounted for 25% (10;45) of the relationship. The mediation was more pronounced in women than in men (37% (15;54) vs 16% (1;27), respectively) and was significant for consumption of fruits and vegetables (23% (13;37)), whole-grain food (32% (15;58)) and seafood (22% (9;55)).CONCLUSIONS:Our results suggest that poor attitudes toward healthy eating in groups with low socioeconomic status constitute an additional factor (along with cost constraints) in the choice of unhealthy foods.European Journal of Clinical Nutrition advance online publication, 26 June 2013; doi:10.1038/ejcn.2013.110. HubMed – eating
Co-Occurring Eating and Psychiatric Symptoms in Taiwanese College Students: Effects of Gender and Parental Factors.
J Clin Psychol. 2013 Jun 25;
Tseng MC, Gau SS, Tseng WL, Hwu HG, Lee MB
To test whether gender and parental factors moderate the relationships between symptoms of eating disorder (ED) and other psychiatric symptoms.A total of 5,015 new entrants completed several questionnaires and 541individuals with ED symptoms were identified by the Adult Self-Report Inventory-4 that assessed a wide range of Diagnostic and Statistical Manual of Mental Disorders Fourth Edition psychopathology. The participants also reported on their parents’ attitude toward them before their ages of 16.ED symptoms, female gender, less parental care, and more parental protection were associated with more severe co-occurring psychiatric symptoms. Gender and parental factors also demonstrated differential moderating effects on the relationships between ED and co-occurring psychiatric symptoms.Parenting counseling may be individualized to young adults with ED symptoms and different co-occurring psychiatric symptoms. HubMed – eating
Eating behavior influences diet, weight, and central obesity in women after pregnancy.
Nutrition. 2013 Jun 22;
Jaakkola J, Hakala P, Isolauri E, Poussa T, Laitinen K
The aim of this study was to explore whether type of eating behavior is related to diet and overweight in women after childbirth.In a prospective mother-infant study, women’s (N = 189) eating behavior, dietary intake from food diaries, weight, and waist circumference (WC) were measured at 6, 12, 24, and 48 mo after giving birth. Three aspects of eating behavior were measured by the validated Three Factor Eating Questionnaire-18: cognitive restraint (CR; restricting of eating without associated hunger or fullness), emotional eating (EE; overeating due to negative feelings), and uncontrolled eating (UE; overeating irrespective of physiologic need).High scores in CR associated with the lowest tertile of fat intake (% of energy [E%], P = 0.045). High UE scores associated with the highest tertiles of intakes of energy (kcal; P < 0.001), fiber (g; P < 0.001) and sucrose (E%; P < 0.001). High EE scores (P = 0.003) linked with overweight (body mass index ? 25 kg/m(2)), whereas UE (P < 0.001) linked with central obesity (WC ? 80 cm).We demonstrated that certain types of eating behavior related to both energy-dense diet and weight and central adiposity. We propose that measuring eating behavior by the simple questionnaire could be a helpful tool in dietary counseling that aids in identifying women who are likely at risk for unhealthy dietary patterns and for developing overweight. HubMed – eating