A Short Anorexic Behaviour Scale

1973 ◽  
Vol 122 (566) ◽  
pp. 83-85 ◽  
Author(s):  
P. D. Slade
Keyword(s):  
Anorexia Nervosa ◽  
Body Size ◽  
Weight Status ◽  
Objective Assessment ◽  
Short Term ◽  
Treatment Regimes ◽  
Assessment Techniques ◽  
Valid Assessment ◽  
Assessment Procedures ◽  
Psychosexual Adjustment

The successful investigation and development of effective treatment programmes for any disorder is closely dependent on the development of reliable and valid assessment procedures. Anorexia nervosa would seem to be no exception in this respect. At present, while the diagnosis of anorexia nervosa seems fairly easy to establish, the assessment of severity, response to various treatment regimes, and prognosis pose rather more of a problem. Reliance on criteria such as weight status and gain, return of menstruation, psychosexual adjustment, etc., is inadequate, especially in the assessment of short-term effects of various therapeutic conditions. Recently Slade and Russell (1972) have described an objective technique for measuring ‘perception of body size‘, an area in which they found anorexia nervosa patients to be defective. Clearly, however, other reliable, objective assessment techniques are needed as well.

Insulin, glucose, and pancreatic polypeptide responses to a test meal in restricting type anorexia nervosa before and after weight restoration

2007 ◽  
Vol 292 (5) ◽  
pp. E1441-E1446 ◽  
Author(s):  
Kimberly P. Kinzig ◽  
Janelle W. Coughlin ◽  
Graham W. Redgrave ◽  
Timothy H. Moran ◽  
Angela S. Guarda
Keyword(s):  
Anorexia Nervosa ◽  
Pancreatic Polypeptide ◽  
Test Meal ◽  
Weight Status ◽  
Endocrine Function ◽  
Response Patterns ◽  
Short Term ◽  
Before And After ◽  
Weight Restoration ◽  
Relapse Rates

Prolonged malnutrition in individuals with anorexia nervosa (AN) has been associated with alterations in endocrine function that may play a sustaining role in the disorder. We hypothesized that abnormalities in endocrine responses to ingestion of a meal in AN are reversible and depend on weight restoration. We measured meal-induced endocrine responses in AN subjects at three time points during hospitalization: before refeeding ( n = 13, mean BMI 16.7 kg/m2), after 2 wk of refeeding (mean BMI 18.0 kg/m2), and in the weight-restored state (mean BMI 20.3 kg/m2). Control subjects ( n = 13, BMI 19–24.9 kg/m2) were tested once. Tests were 2.5-h sessions in which blood was drawn every 15 min before, during, and after a ∼650-kcal test breakfast. Relative to controls, peak levels of glucose were depressed and peak levels of insulin in response to ingestion of the test meal were delayed, with response patterns in the third trial most similar to controls. Pancreatic polypeptide (PP) levels were increased in AN relative to controls regardless of weight status. The delay in insulin release and elevated PP levels did not correct with short-term refeeding and may contribute to the high relapse rates and maintenance of AN.

Objective Assessment of Hearing in Children: Update on Procedures and Protocols

2011 ◽  
Vol 21 (2) ◽  
pp. 50-58
Author(s):  
James W. Hall ◽  
Anuradha R. Bantwal
Keyword(s):  
Psychosocial Development ◽  
Otoacoustic Emissions ◽  
Objective Assessment ◽  
Behavioral Assessment ◽  
Auditory Brainstem ◽  
Test Battery ◽  
Auditory Evoked Responses ◽  
Brainstem Response ◽  
Assessment Techniques ◽  
Pediatric Populations

Early identification and diagnosis of hearing loss in infants and young children is the first step toward appropriate and effective intervention and is critical for optimal communicative and psychosocial development. Limitations of behavioral assessment techniques in pediatric populations necessitate the use of an objective test battery to enable complete and accurate assessment of auditory function. Since the introduction of the cross-check principle 35 years ago, the pediatric diagnostic test battery has expanded to include, in addition to behavioral audiometry, acoustic immittance measures, otoacoustic emissions, and multiple auditory evoked responses (auditory brainstem response, auditory steady state response, and electrocochleography). We offer a concise description of a modern evidence-based audiological test battery that permits early and accurate diagnosis of auditory dysfunction.

Morphological Changes in the Brain of Acutely Ill and Weight-Recovered Patients with Anorexia Nervosa

2014 ◽  
Vol 42 (1) ◽  
pp. 7-18 ◽  
Author(s):  
Jochen Seitz ◽  
Katharina Bühren ◽  
Georg G. von Polier ◽  
Nicole Heussen ◽  
Beate Herpertz-Dahlmann ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Cognitive Deficits ◽  
Time Course ◽  
Morphological Changes ◽  
Meta Analysis ◽  
Short Term ◽  
Clinical Prognosis ◽  
Qualitative Review ◽  
Brain Changes ◽  
The Brain

Objective: Acute anorexia nervosa (AN) leads to reduced gray (GM) and white matter (WM) volume in the brain, which however improves again upon restoration of weight. Yet little is known about the extent and clinical correlates of these brain changes, nor do we know much about the time-course and completeness of their recovery. Methods: We conducted a meta-analysis and a qualitative review of all magnetic resonance imaging studies involving volume analyses of the brain in both acute and recovered AN. Results: We identified structural neuroimaging studies with a total of 214 acute AN patients and 177 weight-recovered AN patients. In acute AN, GM was reduced by 5.6% and WM by 3.8% compared to healthy controls (HC). Short-term weight recovery 2–5 months after admission resulted in restitution of about half of the GM aberrations and almost full WM recovery. After 2–8 years of remission GM and WM were nearly normalized, and differences to HC (GM: –1.0%, WM: –0.7%) were no longer significant, although small residual changes could not be ruled out. In the qualitative review some studies found GM volume loss to be associated with cognitive deficits and clinical prognosis. Conclusions: GM and WM were strongly reduced in acute AN. The completeness of brain volume rehabilitation remained equivocal.

Objective assessment of nasal resistance among electronic cigarette users

2021 ◽  
pp. 1-4
Author(s):  
S W Lim ◽  
AB Zulkiflee
Keyword(s):  
Tobacco Smoking ◽  
Repeated Measures ◽  
Airway Resistance ◽  
Electronic Cigarettes ◽  
Objective Assessment ◽  
Control Group ◽  
Nasal Airway ◽  
Nasal Resistance ◽  
Short Term ◽  
Nasal Airway Resistance

Abstract Background Electronic cigarettes have been a popular alternative to tobacco smoking. The effect of tobacco smoking on nasal airway resistance has been investigated before; however, the effect of the aerosol generated by electronic cigarettes is still unknown. This study aimed to evaluate the short-term effects of e-cigarettes on nasal airway resistance. Methods Sixty-one participants were recruited into a vapers group and a control group. The vapers group was instructed to smoke for 5 minutes, and their nasal resistance was measured pre-procedure and at 1 and 5 minutes post-procedure. The results were compared between both groups. Results Repeated measures analysis of variance demonstrated that vaping has no statistically significant effect on total nasal airway resistance. Conclusion Although the differences between both groups were not statistically significant overall, the vapers group showed a reduction in nasal airway resistance in the short term.

Weight Loss Attempts and Attitudes toward Body Size, Eating, and Physical Activity in American Indian Children: Relationship to Weight Status and Gender

2001 ◽  
Vol 9 (6) ◽  
pp. 356-363 ◽  
Author(s):  
Mary Story ◽  
June Stevens ◽  
Marguerite Evans ◽  
Carol E. Cornell ◽  
Juhaeri ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Body Size ◽  
American Indian ◽  
Weight Status ◽  
Indian Children ◽  
And Gender

scholarly journals Body Size Preferences and Food Choice Among Normal and Overweight Mothers and Children in Malawi (P10-070-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Valerie Flax ◽  
Chrissie Thakwalakwa ◽  
Lindsay Jaacks ◽  
John Phuka
Keyword(s):  
Body Size ◽  
Food Choice ◽  
Weight Status ◽  
Food Choices ◽  
Normal Weight ◽  
Sub Saharan Africa ◽  
Overweight Child ◽  
Mothers And Children ◽  
Body Sizes ◽  
Healthy Body

Abstract Objectives Overweight in mothers and children in sub-Saharan Africa is rapidly increasing and may be related to body size preferences. The objective of this study was to measure mothers’ preferences for their own and their child's body size and how they relate to food choices. Methods We enrolled 271 mothers and their children (6–59 months) in Lilongwe and Kasungu Districts. Based on standard body-mass index and weight-for-height z-score cutoffs, 78 mothers (29%) were normal weight and 193 (71%) were overweight; 120 children (44%) were normal weight and 151 (56%) were overweight. Interviewers used a set of 7 adult female and 7 child body silhouette drawings and a semi-structured question guide to measure mothers’ perceptions of their own and their child's preferred and healthy body sizes and how their preferences affected food choices. We performed chi-squared tests comparing body size perceptions and grouped open-ended responses by weight status. Results Mothers’ selection of silhouettes that represented their body size preferences (67% normal weight, 68% overweight preferred overweight) and perceptions of a healthy body size (96% normal weight, 94% overweight selected overweight as healthy) did not differ by their weight status. A higher percentage of mothers of overweight than normal weight children preferred overweight child body sizes (70% vs. 48%, P = 0.003). Mothers’ perceptions of a healthy child body size (89% normal weight, 94% overweight selected overweight as healthy) did not differ by the child's weight status. To attain a larger body size, mothers said they could eat or feed the child larger quantities or more frequently and increase consumption of fatty/oily foods and drinks (such as sodas, sweetened yoghurt, and milk), but many cannot afford to do this. Conclusions Malawian mothers had strong preferences for overweight body sizes for themselves and mixed preferences for their children. Their desired strategies for increasing weight indicate that body size preferences may drive food choice but could be limited by cost. Funding Sources Drivers of Food Choice (DFC) Competitive Grants Program, funded by the UK Government's Department for International Development and the Bill & Melinda Gates Foundation, and managed by the University of South Carolina, Arnold School of Public Health.

scholarly journals Predictors of Post-Exercise Energy Intake in Adolescents Ranging in Weight Status from Overweight to Severe Obesity

Nutrients ◽  
2022 ◽  
Vol 14 (1) ◽  
pp. 223
Author(s):  
Nicole Fearnbach ◽  
Amanda E. Staiano ◽  
Neil M. Johannsen ◽  
Daniel S. Hsia ◽  
Robbie A. Beyl ◽  
...  
Keyword(s):  
Body Size ◽  
Energy Intake ◽  
Exercise Test ◽  
Test Meal ◽  
Weight Status ◽  
Severe Obesity ◽  
Overweight And Obesity ◽  
Post Exercise ◽  
Body Composition Change ◽  
Ad Libitum

Exercise may sensitize individuals with overweight and obesity to appetitive signals (e.g., hunger and fullness cues), overriding trait eating behaviors that contribute to overeating and obesity, such as uncontrolled eating. The objective of the current study was to measure predictors of objective ad libitum energy intake at a laboratory-based, post-exercise test-meal in adolescents ranging in weight status from overweight to severe obesity. We hypothesized that appetitive states, rather than appetitive traits, would be the strongest predictors of energy intake at a post-exercise test-meal, after controlling for body size. At Baseline, 30 adolescents (ages 10–16 years, 50% female (F), 43% non-Hispanic white (NHW), 83% with obesity (OB)) completed state and trait appetite measures and an ad libitum dinner meal following intensive exercise. Nineteen of those participants (47% F, 32% NHW, 79% OB) completed identical assessments two years later (Year 2). Energy intake (kcal) at each time point was adjusted for fat-free mass index (i.e., body size). Adjusted energy intake was reliable from Baseline to Year 2 (ICC = 0.84). Multiple pre-meal appetite ratings were associated with test-meal energy intake. In stepwise linear regression models, pre-meal prospective food consumption was the strongest and only significant predictor of test-meal energy intake at both Baseline (R2 = 0.25, p = 0.005) and Year 2 (R2 = 0.41, p = 0.003). Baseline post-exercise energy intake was associated with weight change over two years (R2 = 0.24, p = 0.04), but not with change in fat mass (p = 0.11). Appetitive traits were not associated with weight or body composition change (p > 0.22). State appetite cues were the strongest predictors of post-exercise energy intake, independent of body size. Future studies should examine whether long-term exercise programs enhance responsiveness to homeostatic appetite signals in youth with overweight and obesity, with a goal to reduce excess energy intake and risk for weight gain over time.

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