Indicated, Internet-based Prevention for Women With Anorexia Nervosa Symptoms: A Randomised Controlled Efficacy Trial (Preprint)

2021 ◽  
Author(s):  
Corinna Jacobi ◽  
Bianka Vollert ◽  
Kristian Hütter ◽  
Paula von Bloh ◽  
Nadine Eiterich ◽  
...  
Keyword(s):  
At Risk ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Disordered Eating ◽  
High Weight ◽  
Restrained Eating ◽  
Weight Concerns ◽  
Efficacy Trial ◽  
Post Intervention

BACKGROUND While preventive interventions for eating disorders in general have shown promise, interventions specifically targeting individuals at risk for anorexia nervosa have not been evaluated. OBJECTIVE To determine the efficacy of a guided, indicated, Internet-based prevention program for women at risk for anorexia nervosa (AN). METHODS Randomized, controlled efficacy trial for women at risk for AN. Assessments at baseline (pre), post-intervention (10 weeks after baseline), 6-, and 12-month follow-up (FU). 168 women with low body weight (17.5≤BMI≤19) and high weight concerns, or with normal body weight 19<BMI≤25, high weight concerns and high restrained eating were recruited from three German universities as well as online, and randomized to Student Bodies-AN (SB-AN) or a waiting list control group (CG). Exclusion criteria were current DSM-IV full-syndrome AN, bulimia nervosa or binge eating disorder, serious medical or mental problems, such as current substance abuse, acute or chronic organic or schizophrenic psychosis, severe suicidal ideation or behaviour, no Internet access. Interventions: 1. Cognitive-behavioural, guided, Internet-based prevention program (SB-AN) over 10 weeks (IG); 2. Waiting list control condition (CG). Primary outcomes were clinically significant changes in attitudes and behaviours of disordered eating, and change in BMI in the underweight group of participants at 12-month follow-up. Secondary outcomes are new onset of eating disorders, symptoms of disordered eating, and associated psychopathology. RESULTS Data were available at post-intervention for N=137 women, and for N=116 women at 12-month FU. At 12-month FU, IGs participants showed larger decreases in EDE Total scores (79% vs. 57%) compared to the CG, and underweight IG participants also showed larger clinically relevant increases in BMI (49% vs. 32%) compared with underweight CG participants, but these differences were not significant. In addition, at post-intervention and 12-month follow-up, we found a significant increase in continuously measured BMI for underweight participants and significant improvements in attitudes and behaviours of disordered eating (e.g., restrained eating, weight and shape concerns). At all time points, rates of newly emerging ED onset cases were (non-significantly) lower in the IG compared with the CG and reductions in DSM-5-based ED syndromes were (non-significantly) higher in the IG compared with the CG. CONCLUSIONS SB-AN is the first preventive intervention shown to significantly reduce specific risk factors and symptoms for AN and shows promise for reducing full-syndrome AN onset. CLINICALTRIAL ISRCTN70380261

scholarly journals Sex Differences in the Effects of Repeated Taste Exposure to the Mediterranean Diet: A 6-month Follow-up Study

2016 ◽  
Vol 77 (3) ◽  
pp. 125-132 ◽  
Author(s):  
Alexandra Bédard ◽  
Louise Corneau ◽  
Sylvie Dodin ◽  
Simone Lemieux
Keyword(s):  
Body Weight ◽  
Sex Differences ◽  
Weight Management ◽  
Mediterranean Diet ◽  
Food Groups ◽  
Post Intervention ◽  
Time Interaction ◽  
The Mediterranean ◽  
Taste Exposure

Purpose: To determine whether an intervention based mainly on exposure to the Mediterranean diet (MedDiet), along with recommendations and tools for encouraging healthy eating, lead to different effects on dietary adherence and body weight management six months post-intervention in Canadian men and women. Methods: Thirty-eight males and 32 premenopausal females (all aged 24–53 years) were exposed to the same 4-week experimental MedDiet during which all foods were provided to participants. Participants also received some recommendations and tools to adhere to a healthy way of eating, with no other contact until the 6-month follow-up visit. Results: Compared with baseline, the Mediterranean score (MedScore) increased at the end of the 6-month follow-up (time effect P = 0.003), with no sex difference (sex-by-time interaction P = 0.97). With regard to MedScore components, sex differences were observed with males reporting changes in more dietary food groups than females. Although the intervention was not focused on body weight management, compared with baseline, BMI decreased during the intervention in both males and females; however, only females maintained the lower BMI 6 months after the intervention. Conclusions: Exposure to the MedDiet for a short duration promotes the adherence to this food pattern in both sexes and helps in the management of body weight, especially in females.

The relationship between premorbid body weight and weight at referral, at discharge and at 1-year follow-up in anorexia nervosa

2014 ◽  
Vol 24 (5) ◽  
pp. 537-544 ◽  
Author(s):  
Manuel Föcker ◽  
Katharina Bühren ◽  
Nina Timmesfeld ◽  
Astrid Dempfle ◽  
Susanne Knoll ◽  
...  
Keyword(s):  
Body Weight ◽  
Anorexia Nervosa ◽  
The Relationship

scholarly journals An Intuitive Eating Intervention Improves Dietary Restraint, Body Appreciation, and Intuitive Eating in Female Undergraduates: A Pilot Study

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 977-977
Author(s):  
Julia Katcher ◽  
Richard Suminski ◽  
Carly Pacanowski
Keyword(s):  
Disordered Eating ◽  
Emotional Eating ◽  
Dietary Restraint ◽  
The Body ◽  
Intuitive Eating ◽  
Body Appreciation ◽  
Post Intervention ◽  
Significance Level ◽  
Funding Sources

Abstract Objectives Dietary restraint and low body appreciation are common among female undergraduates and are related to disordered eating. Intuitive eating is an approach to eating that promotes listening to internal cues (e.g., hunger and fullness) and may help reduce disordered eating. It was hypothesized that an intuitive eating intervention would decrease levels of dietary restraint and increase levels of body appreciation and intuitive eating. Methods Fourteen female undergraduates were randomized to two groups. The intervention consisted of 5 weekly intuitive eating sessions led by two Registered Dietitians. One group received the intervention after the other. The Three-Factor Eating Questionnaire-18 (TFEQ-18) assessed dietary restraint across three subscales, the Body Appreciation Scale-2 (BAS-2) assessed body appreciation, and the Intuitive Eating Scale-2 (IES-2) assessed intuitive eating and its four subscales. SPSS v 26 software was used for analyses. Paired sample t-tests were run to examine within-participants changes in outcome variables pre- and post-intervention and at a 5-week follow-up. The significance level was set at .05. Results There was a significant decrease in TFEQ-18 subscales pre- to post-intervention, including cognitive restraint (61.5 ± 20.4 to 39.3 ± 18.0, P &lt; .001), uncontrolled eating (55.8 ± 17.9 to 43.9 ± 10.1, P = .01), and emotional eating (68.3 ± 23.0 to 44.4 ± 18.5, P &lt; .001). There was a significant increase in BAS-2 scores (3.1 ± 0.6 to 3.7 ± 0.5, P = .001) and all IES-2 subscales, including unconditional permission to eat (2.7 ± 0.7 to 3.8 ± 0.6, P &lt; .001), eating for physical rather than emotional reasons (2.5 ± 0.6 to 3.3 ± 0.7, P &lt; .001), relying on hunger and satiety cues (2.8 ± 0.7 to 3.7 ± 0.6, P &lt; .001), body food-choice congruence (3.8 ± 0.6 to 4.1 ± 0.7, P = .02), and total IES-2 scores (2.8 ± 0.5 to 3.7 ± 0.5, P &lt; .001), pre- to post-intervention. Post-intervention scores compared to the 5-week follow-up (n = 7) revealed no significant changes indicating that the pre- to post-intervention changes were sustained. Conclusions This study provides data suggesting that a 5-week intuitive eating intervention may help decrease dietary restraint and increase body appreciation and intuitive eating in female undergraduates. Intuitive eating may be a promising strategy to prevent disordered eating in undergraduates. Funding Sources No external funding.

scholarly journals Trajectories of Change in Body Weight During Inpatient Treatment for Anorexia Nervosa

2017 ◽  
Vol 24 (4) ◽  
pp. 306-313 ◽  
Author(s):  
Karen M. Jennings ◽  
Matthew Gregas ◽  
Barbara Wolfe
Keyword(s):  
At Risk ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Weight Gain ◽  
Inpatient Treatment ◽  
Response Patterns ◽  
Treatment Resistant ◽  
Trajectory Modeling ◽  
Weight Restoration ◽  
Trajectories Of Change

BACKGROUND: Identifying distinct trajectories of change in body weight during inpatient treatment for anorexia nervosa (AN) may provide knowledge about the process of weight restoration and may help detect optimal body weight response patterns among individuals who are at risk for not achieving weight restoration or leaving treatment prematurely. OBJECTIVE: This study explored the extent to which distinct trajectories of change in body weight existed among individuals during inpatient treatment for AN. DESIGN: Group-based trajectory modeling was used to identify distinct trajectories of change in body weight among 500 individuals receiving inpatient treatment for AN. RESULTS: Four distinct trajectories were identified: weight gain ( n = 197), treatment resistant ( n = 177), weight plateau ( n = 82), and weight fluctuate ( n = 44). CONCLUSION: Clinically, it is important to consider the heterogeneity of changes in body weight during inpatient treatment to help guide interventions and outcomes.

scholarly journals Short-term follow-up after percutaneous patent ductus arteriosus occlusion between low and high weight pediatric patients: a single center experience

2020 ◽  
Vol 29 (3) ◽  
pp. 305-9
Author(s):  
Ni Putu Eka Suwitri ◽  
Ni Putu Veny Kartika Yantie ◽  
Eka Gunawijaya
Keyword(s):  
Body Weight ◽  
Patent Ductus Arteriosus ◽  
Success Rate ◽  
Pediatric Patients ◽  
High Weight ◽  
Ductus Arteriosus ◽  
Massive Bleeding ◽  
Success Rates ◽  
Patent Ductus

BACKGROUND Device occlusion is a preferred treatment for patent ductus arteriosus (PDA) in adult and children patients; however, the exact limit of body weight requirement has not been established. This study aimed to describe the outcome and safety of transcatheter PDA occlusion in low and high weight pediatric patients. METHODS This was a retrospective study in Sanglah Hospital, Denpasar, Bali, Indonesia, in patients aged <12 years who had undergone transcatheter PDA occlusions from 2010 to 2017. Data were obtained from the registry including baseline characteristics (age, sex, body weight, and height), procedural-specific data (PDA characteristics, pulmonary and systemic pressures, and flow ratio intra-procedure), and procedural complications. Success rate and adverse events at 24 hours, 1 month, and 3 months after the procedure were assessed. RESULTS A total of 175 subjects were grouped into two categories: low weight, ?6 kg (n = 50) and high weight, >6 kg (n = 125). The success rates (complete closure) in the ?6 and >6 kg groups were, 90.0% and 75.9% at 24 hours follow-up, 92.9% and 85.5% at 1 month, and 95.8% and 91.1% at 3 months, respectively. Major complications related to the procedure in patients ?6 kg included transient dysrhythmia (n = 6) and massive bleeding (n = 2), and complications in patients >6 kg were transient dysrhythmia (n = 14), massive bleeding (n = 1), embolization (n = 1), and death (n = 1). CONCLUSIONS Transcatheter PDA occlusion had similar success rate and safety in both low and high weight pediatric patients.

scholarly journals Do Individuals with Eating Disorders See Their Own External and/or Internal Beauty?

2021 ◽  
Author(s):  
Martha Peaslee Levine
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Disordered Eating ◽  
Sense Of Self ◽  
Self Perception ◽  
Self Worth

It has been well documented that individuals struggling with eating disorders don’t have clear perceptions of their own bodies. Yet they overly rely on their body image as their sense of self. Even the criteria of certain eating disorders recognize that individuals are strongly affected by their body weight and shape, which is often seen through a distorted lens. Individuals with eating disorders, particularly anorexia nervosa, struggle not only with recognizing their external beauty but also their internal positive qualities. Their perfectionism and critical sense of self leads them to have negative views of their beauty and self-worth. This chapter will look at some of the reasons individuals with eating disorders struggle to appreciate their own beauty, internally as well as externally, and will offer some tools to help with these struggles. Many individuals, even those without disordered eating, struggle with critical self-perception. Perhaps this chapter can help us all become more compassionate to ourselves as we consider our external and internal aspects of beauty.

scholarly journals Reduction of High Expressed Emotion and Treatment Outcomes in Anorexia Nervosa—Caregivers’ and Adolescents’ Perspective

2020 ◽  
Vol 9 (7) ◽  
pp. 2021 ◽  
Author(s):  
Julia Philipp ◽  
Stefanie Truttmann ◽  
Michael Zeiler ◽  
Claudia Franta ◽  
Tanja Wittek ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Mixed Models ◽  
Regression Models ◽  
Expressed Emotion ◽  
Comparison Group ◽  
Linear Regression Models ◽  
Motivation To Change ◽  
Post Intervention ◽  
Patients Perspective

High expressed emotion (EE) is common in caregivers of patients with anorexia nervosa (AN) and associated with poorer outcome for patients. In this study, we examined the prevalence of high EE in caregivers of adolescents with AN and analyzed predictors for EE using multivariate linear regression models. We further analyzed whether EE is reduced by the “Supporting Carers of Children and Adolescents with Eating Disorders in Austria” (SUCCEAT) intervention using general linear mixed models and whether a reduction of EE predicts patients’ outcomes. Caregivers were randomly allocated to the SUCCEAT workshop (N = 50) or online intervention (N = 50) and compared to a comparison group (N = 49). EE and patients’ outcomes were assessed at the baseline, post-intervention, and at the 12-month follow-up. Up to 47% of caregivers showed high EE. Lower caregiver skills, higher AN symptom impact, higher levels of depression and motivation to change in caregivers were significant predictors for high EE. EE significantly decreased in the SUCCEAT groups and the comparison group according to the caregivers’, but not the patients’ perspective. The level of reduction could partially predict subjective improvement and improvement in clinically assessed AN symptoms and body mass index of patients. Implementing interventions for caregivers addressing EE in the treatment of adolescents with AN is strongly recommended.

Exergaming and Aquatic Exercises Affect Lung Function and Weight Loss in Obese Children

2020 ◽  
Author(s):  
Khadijah Irandoust ◽  
Morteza Taheri ◽  
Cyrine H’mida ◽  
Gabriel Rodrigues Neto ◽  
Khaled Trabelsi ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Lung Function ◽  
Video Game ◽  
Exercise Group ◽  
Aquatic Exercise ◽  
Control Group ◽  
Obese Children ◽  
Post Intervention

AbstractWe investigated the effect of exergames and aquatic exercises on lung function and weight loss in obese children. Sixty-one obese male primary-school children were randomly allocated to video game, aquatic exercise, and control groups. Lung functions and anthropometric variables were measured before and after the intervention and after one month (follow-up). In the video game group, an Xbox Kinect game was played for 60 min during three sessions a week. The aquatic aerobic exercise was performed three times per week and consisted of a warm-up, main exercises, and a cool down phase. For the video game group, there was a significant reduction in body weight between (i) pre- and (ii) post-intervention and follow-up. In the aquatic exercise group, there was a significant reduction in body weight between pre- and post-intervention and between pre-intervention and follow-up. Both exercise groups improved the waist/hip ratio index compared to the control group. Forced vital capacity was significantly improved in the follow-up of the video game group and the aquatic exercise group compared to the control group. A significant improvement was found in forced expiratory volume in the first second at post-intervention and follow-up in the video game and the aquatic exercise groups. Exergames and aquatic exercises improved weight loss and lung function in obese children.

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