Evaluating Psychological Factors Related to Food and Weight Concerns: 10-Year Follow-up Study with US Registered Dietitian Nutritionists

2019 ◽  
Vol 119 (10) ◽  
pp. A111
Author(s):  
D. Burnett ◽  
R. Evans
2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1293-1293
Author(s):  
Erika Cavanaugh ◽  
Heather Zeman ◽  
Elizabeth Metallinos-Katsaras ◽  
Shelley Strowman ◽  
Kathy Ireland ◽  
...  

Abstract Objectives Treatment from registered dietitian nutritionists (RDNs) has been shown to improve weight and hemoglobin A1c in high-risk patients, yet little is known about these outcomes long term. The current study investigated the association between RDN care and changes in weight and HbA1c compared to primary care in high-risk patients (BMI ≥35 kg/m2 or HbA1c ≥7%) long term up to 24 months. Methods This was a retrospective cohort study of high-risk adults. Electronic medical records were reviewed for participants who were 18 years or older with BMI ≥35 kg/m2 or HbA1c ≥7.0% at first visit to a patient centered medical home in Boston, MA. Mean change in weight (kg) and HbA1c (%) at six, 12, and 24 months were compared between patients who saw an RDN and patients who received primary care only. Paired sample t-tests and repeated measures ANOVA adjusting for age, sex, gender, days from baseline at follow-up visit, and number of clinic visits at follow-up were used to analyze outcomes. Results 1902 patients with BMI >35 and 1240 patients with a HbA1c >7.0% were included. There was no significant difference in 24-month weight loss between RDN care and standard primary care. HbA1c decreased significantly with RDN care at all time points (P < 0.001). Patients with at least one RDN visit had a significantly greater mean change in HbA1c of −0.8 ± 0.2 (95% CI −1.0 to −0.5) and −0.6 ± 0.1 (95% CI −0.8 to −0.3) after 12 and 24 months from baseline, respectively (P < 0.001). Conclusions RDN care resulted in statistically and clinically significant improvements in HbA1c at 12 and 24 months compared to standard primary care alone. Funding Sources The authors received no specific funding for this work.


PEDIATRICS ◽  
1965 ◽  
Vol 35 (1) ◽  
pp. 42-49
Author(s):  
John M. Freeman ◽  
Alan M. Aron ◽  
Jean E. Collard ◽  
Mary C. MacKay

1. During a long-term follow-up study of patients previously hospitalized with Sydenham's chorea, a high incidence of psychological disturbance was encountered prior to the onset of chorea, and at the time of current evaluation, an average of 29 years later. 2. Seventy-five per cent of patients with Sydenham's chorea were currently found to manifest evidence of psychiatric disturbance. 3. A control population similarly evaluated showed a 25% incidence of psychiatric disability—about the expected incidence for the general population. 4. This study emphasizes the need to consider psychological factors as part of the total evaluation of patients with Sydenham's chorea.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Zhen Zhang ◽  
Ren Rong Gong ◽  
Yong Yan Song ◽  
Yuan Hao Li ◽  
Minshan Hu ◽  
...  

The association of psychological factors with the risk of cardiovascular diseases (CVD) has been reported before. However, few studies have evaluated whether psychological factors are associated with increased risk of CVD in adolescents with longitudinal design. Our hypothesis is that post-traumatic stress disorder (PTSD) and depression may increase the risk of CVD by changing its risk factors in adolescents. A total of 746 students at a high school 10 km away from the epicenter of Wenchuan earthquake were enrolled 6 months after the earthquake, and was followed up at 18 months. A total of 737 (98.8%) students completed the study 6 months after the earthquake. In the 18-month follow-up, 478 (64.1%) students completed the study. PTSD was assessed using PTSD Checklist-Civilian Version. Beck Depression Inventory (BDI) was used to assess depression. Fasting blood samples were collected. Serum variables of lipid and glucose metabolism were analyzed. The prevalences of PTSD symptoms were 10.6% and 1.9% at 6- and 18-month follow-up respectively. At 6- and 18-month follow-up, 40.7% and 30.3% of the students were found to have depression. The subjects with PTSD had significantly higher BMI ( p <0.05), WHR ( p <0.05) and triglyceride (TG) ( p <0.05) than subjects with no PTSD 6 months after the earthquake. The boy subjects with PTSD had significantly higher BMI ( p <0.05) than boy subjects with no PTSD. The girl subjects with PTSD had significantly higher BMI ( p <0.05) and WHR ( p <0.05) than girl subjects with no PTSD. In the 18-month follow-up study, the boy subjects with PTSD had significantly lower WHR ( p <0.05) than boy subjects with no PTSD. Six months after the earthquake, subjects with depression had significantly higher BMI ( p <0.05) and WHR ( p <0.05) than subjects with no depression. The boy subjects with depression had significantly higher WHR ( p <0.05) than boy subjects with no depression. The girl subjects with depression had significantly lower total cholesterol (TC) ( p <0.05) than girl subjects with no depression. In the 18-month follow-up study, subjects with depression had significantly lower HDL-cholesterol (HDL-C) ( p <0.05) than subjects with no depression. The boy subjects with depression had significantly higher systolic pressure ( p <0.05), higher LDL-cholesterol (LDL-C) ( p <0.05) but lower HDL-C ( p <0.05) than boy subjects with no depression. The girl subjects with depression had significantly lower systolic pressure ( p <0.05) and HDL-C ( p <0.05) than girl subjects with no depression. These findings provide preliminary evidence linking of PTSD and depression symptoms with risk factors for CVD in adolescents.


Author(s):  
C. Wolpers ◽  
R. Blaschke

Scanning microscopy was used to study the surface of human gallstones and the surface of fractures. The specimens were obtained by operation, washed with water, dried at room temperature and shadowcasted with carbon and aluminum. Most of the specimens belong to patients from a series of X-ray follow-up study, examined during the last twenty years. So it was possible to evaluate approximately the age of these gallstones and to get information on the intensity of growing and solving.Cholesterol, a group of bile pigment substances and different salts of calcium, are the main components of human gallstones. By X-ray diffraction technique, infra-red spectroscopy and by chemical analysis it was demonstrated that all three components can be found in any gallstone. In the presence of water cholesterol crystallizes in pane-like plates of the triclinic crystal system.


1997 ◽  
Vol 24 (10) ◽  
pp. 713-717 ◽  
Author(s):  
R. NAPANKANGAS ◽  
M.A.M. SALONEN ◽  
A.M. RAUSTIA

2001 ◽  
Vol 120 (5) ◽  
pp. A628-A628
Author(s):  
P CLEMENS ◽  
V HAWIG ◽  
M MUELLER ◽  
J SCAENZLIN ◽  
B KLUMP ◽  
...  

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