Operant Conditioning in the Treatment of Anorexia Nervosa: A Review and Retrospective Study of 11 Cases

1974 ◽  
Vol 124 (579) ◽  
pp. 166-172 ◽  
Author(s):  
Sadrudin Bhanji ◽  
James Thompson

Anorexia nervosa is a disorder characterized by loss of appetite, amenorrhoea, and weight loss in the absence of any primary psychiatric or physical illness (Dally and Sargant, 1966). Features which have recently been stated to be of value in distinguishing it from anorexia due to other causes are: denial of illness, bradycardia and lanugo hair (Wright et al., 1969). The weight losses in this condition are usually at least 20 per cent of ideal body weight, depending on the quality and promptness of treatment.

2009 ◽  
Vol 3 (1) ◽  
pp. 33-41
Author(s):  
Marina Conese ◽  
Grace Massiah ◽  
Piero Oberto De Cavi

The article describes an experimental observation performed for 2 years on 200 patients: 150 female and 50 male between 25 and 65 years old, overweight with class I, II and III obesity (WHO classification). Patients with overt diabetic pathology and with “borderline” hyperglycemia, hypertriglyceridemia and hypercholesterolemia are subjected to “DCD method” (appropriate dietary education associated to New-Electrosculpture) in Bari (DCD office). The aim of the study is weight loss, with patients’ life quality improvement. What we have obtained is an ideal body weight recover without anti-obesity drug use, with maintenance of the results obtained for 18 months.


2014 ◽  
Vol 210 (1) ◽  
pp. S242
Author(s):  
Laura Schummers ◽  
Jennifer Hutcheon ◽  
Lisa Bodnar ◽  
Katherine Himes

2016 ◽  
Vol 18 (12) ◽  
pp. 947-953 ◽  
Author(s):  
Undine Christmann ◽  
Iveta Bečvářová ◽  
Stephen R Werre ◽  
Hein P Meyer

Objectives The aim of the study was to evaluate weight loss and maintenance parameters in cats fed a novel weight management food and to assess the owner’s perception of the cat’s quality of life. Methods This study was designed as a prospective, uncontrolled/unmasked clinical trial. One hundred and thirty-two overweight/obese, otherwise healthy, client-owned cats were enrolled. Initial evaluation included physical examination, nutritional assessment, ideal body weight determination and weight-loss feeding guidelines development. Follow-up evaluations (monthly for 6 months) encompassed determination of body weight, body condition score, body fat index, muscle condition score and feeding practices. Quality of life assessment by owners included the cat’s level of energy, happiness, appetite, begging behavior, flatulence, stool volume and fecal score. Results Eighty-three percent of the cats lost weight, with an average ± SEM weight loss of 11.0 ± 1.8% over 6 months and an average ± SE weekly weight loss rate of 0.45 ± 0.02%. The mean ± SEM duration of weight loss was 134.0 ± 4.8 days. Fourteen percent of cats achieved an ideal body weight. Seventy-nine percent of cats ate more calories from novel weight management food than the recommended daily energy requirement for weight loss, and the majority of these cats still lost weight. Body condition score and body fat index decreased over time compared with baseline from weeks 12–24 and from weeks 8–24, respectively. Owners perceived an increase in energy and happiness (>week 12) in the cats that lost weight, without changes in appetite or begging behavior. Conclusions and relevance This study confirmed the effectiveness of the novel weight management food in achieving weight loss in overweight/obese client-owned cats. Owners reported significant improvements in their cat’s quality of life without negative side effects.


2014 ◽  
Vol 4 (2) ◽  
pp. 138
Author(s):  
Veena Bhaskar S Gowda ◽  
Bhaskar H Nagaiah ◽  
Sudhir K Ambati ◽  
Dhanalekshmi Unnikrishnan

MAENPO ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 98
Author(s):  
Touvan Juni Samodra

This study aimed to prove the effect of 100% exercise intensity on weight gain before and after exercise. This research is motivated by the efforts made by people to achieve the ideal body weight. One of the efforts made is by doing exercises. Proper practice is essential. The quality of the exercise is indicated by the intensity of the exercise performed. The study used experimental methods. The research sample was eight students—measurement of body weight before and after exercise. Perform using 100% intensity circuit training based on maximal tests. Descriptive statistics analyzed data. The results showed that they always experience an average weight loss of 2.8. Based on these results, it can reference that circuit training with 100% load could be used to lose weight. Recommendations, for maximum results, it is necessary to record macro nutritional intake, to know a proper diet for weight loss purposes. Key words: overweight, obesity, BMI, circuit training, maximul load


1979 ◽  
Vol 92 (2) ◽  
pp. 193-204 ◽  
Author(s):  
Karl M. Pirke ◽  
Manfred M. Fichter ◽  
Raimar Lund ◽  
Peter Doerr

ABSTRACT The 24-h sleep-wake pattern of plasma LH was studied in 18 patients with severe weight loss. Sixteen patients had anorexia nervosa, one suffered from schizophrenia and one had a gastric ulcer. The age of the patients ranged from 13 to 31 years. Seventeen women and one boy participated in the study. Their weight ranged from 51 to 73 % of the ideal body weight (IBW) at the first 24-h study which was at one week after admission to the hospital. Blood was taken through an indwelling venous catheter every 30 min. The patients' weight increased under behavioural therapy and they were re-studied when they had gained approximately 10 % IBW and again prior to release from the psychiatric ward. The LH patterns were classified as infantile, pubertal or adult. All patients except for two had an iniantile pattern at the first study. Except for the two patients who had no anorexia nervosa, all developed a pubertal and/or an adult pattern. All patients whose weight was below 69 % IBW had an infantile LH pattern. Adult patterns were only seen when the body weight was greater than 80 % IBW. The increase of the average 24-h LH values was slower the older the patients were and the longer they had been anorectic.


2008 ◽  
Vol 1 (2) ◽  
pp. 97-98 ◽  
Author(s):  
K Dinas ◽  
A Daniilidis ◽  
K Sikou ◽  
T Tantanasis ◽  
S Kasmas ◽  
...  

Anorexia nervosa is a complex illness rarely encountered in pregnant women. It is a disorder characterized by markedly decreased food intake accompanied by a distorted body image, resulting in an inability to maintain the body weight within 85% of ideal body weight. We describe a case of a pregnant woman diagnosed with anorexia nervosa at 28 weeks of gestation. Her body mass index was 17 kg/m2. A live male infant weighing 2,08 kg was delivered prematurely via vaginal delivery at 35 weeks of gestation. Pregnant women with anorexia nervosa may have a higher risk of hypertension, miscarriage, difficult labour, premature delivery and intrauterine growth restriction. Management of pregnancy complicated with anorexia nervosa requires involvement of a multidisciplinary team and hospitalization in severe cases.


2021 ◽  
Vol 10 (16) ◽  
pp. 3685
Author(s):  
Paula Juiz-Valiña ◽  
María Cordido ◽  
Elena Outeiriño-Blanco ◽  
Sonia Pértega ◽  
Paula Urones ◽  
...  

The most frequent endocrine disease in obese patients is hypothyroidism. To date, there are no clear data regarding what happens to the dose of levothyroxine (LT4) after bariatric surgery (BS). The objective of the present study was to evaluate thyroid hormone replacement dose in morbidly obese hypothyroid patients after BS-induced weight loss. We explore the best type of measured or estimated body weight for LT4 dosing. We performed an observational study evaluating patients with morbid obesity and hypothyroidism who underwent BS. We included 48 patients (three men). In morbidly obese hypothyroid patients 12 months after BS-induced weight loss, the total LT4 dose or the LT4 dose/kg ideal body weight did not change, while there was a significant increase in LT4 dose/body surface area, LT4 dose/kg weight, LT4 dose/kg adjusted body weight, LT4 dose/kg body fat, and LT4 dose/kg lean body weight. There were no differences in LT4 dose and its variation between sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). The present study strongly suggests that LT4 dosing in obese hypothyroid patients can be individually adapted more precisely if it is based on ideal body weight.


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