BACKGROUND Orthorexia nervosa(ON)is the persistent concern of maintaining the self-imposed diet to improve one's health.Many factors have been associated to ON in university students.AIM To assess the prevalence o...BACKGROUND Orthorexia nervosa(ON)is the persistent concern of maintaining the self-imposed diet to improve one's health.Many factors have been associated to ON in university students.AIM To assess the prevalence of ON in Italian and Spanish university students in relation to eating attitude and psychological distress,and the possible overlaps between ON(evaluated with different scored questionnaires from the originally proposed ORTO-15),distress and risk of eating disorders.METHODS This study was carried out on 160 students recruited at La Sapienza University of Rome and at the Catholic University of Murcia.Questionnaires were administered to evaluate ON(ORTO-15 and sub-scores),body concerns(Multidimensional Body-Self Relations Questionnaire,MBSRQ,and Body Uneasiness test,BUT),psychological distress(Kessler Psychological Distress Scale,K10),physical activity(International Physical Activity Questionnaire,IPAQ),eating attitude(Eating Attitudes Test,EAT-26)and malnutrition(Starvation Symptom Inventory,SSI).Sex differences,within the same country,and differences between Italian and Spanish students,within the same sex,were evaluated.RESULTS The ORTO-15 positive subjects,assessed with the originally proposed cut-off,were above 70%in both Italian and Spanish students,with a higher prevalence in the Spanish sample(Italian females 76.3%,Italian males 70.7%;Spanish females 97.0%,Spanish males 96.3%).According to ORTO-7,about 30%of Italian and 48%of Spanish students were positive to ON with no significant sex differences.When excluding students underweight(UW),overweight(OW)or obese(OB),as well as those potentially at risk of eating disorders or presenting mild,moderate and severe distress,in the resultant normal weight(NW)-K10neg-EAT-26neg subgroup,we did not find many correlations observed in the whole sample,including those between ORTO scores and BUT,SSI,Total MBSRQ and some of its components.Moreover,ORTO-7 resulted in the only ON score unrelated with Body Mass Index,MBSRQ components and IPAQassessed intense activity,in the NW-K10neg-EAT-26neg subgroup.After this sort of“exclusion diagnosis”,the prevalence of ON of these students on the overall sample resulted in 16.9%,12.2%,15.2%and 25.9%for Italian females,Italian males,Spanish females and Spanish males,respectively.CONCLUSION In some university students ON could be a symptom of other conditions related to body image concerns and distress,as well as to high physical activity and appearance,fitness,health or illness orientation(from MBSRQ).However,ORTO-7 became independent from these confounding variables,after the exclusion of UW,OW,OB and students positive to EAT-26 and K10,suggesting the possibility of identifying orthorexic subjects with this specific questionnaire.展开更多
Selective eating among toddlers is a well-known phenomenon which is characterized by varied factors including nutritional deficits and a unique and challenging sensory profile.Our clinical experience in a multidiscipl...Selective eating among toddlers is a well-known phenomenon which is characterized by varied factors including nutritional deficits and a unique and challenging sensory profile.Our clinical experience in a multidisciplinary feeding and eating clinic,in Hadassah Medical Center of Jerusalem binds specific feeding and eating patterns with high levels of parental stress ll.Parental stress is combined by three domains:parental general approach of satisfaction,the quality of interaction with child and child’s temperament,as perceived by parent.Our cross-sectional research includes 42 pairs of parents and their children,referring the clinic due to selective eating and suspected sensory integration disorder.Our study includes a broad nutritional assessment,questionnaires testing parental stress(PSI-4)and questionnaires testing sensory integration(Toddler Sensory Profile-2)and anthropometric indices.Our study’s results are relevant family physicians and pediatricians working in the community,who address diagnosis like autistic spectrum disorder,attention deficit hyperactive disorder,developmental delay,and learning disabilities that interface with domains of parental stress and experience of parenting interaction and child temperament,as well as sensory integration and limited eating and nutrition.Research results are significant in the field of locating babies and families needing early intervention and as a base of promoting intervention programs of prevention and treatment of toddlers and their parents.It is important to apply suitable intervention programs based on a reflective manner about dyadic and triadic eating and feeding relations,in the family unit,considering the cultural context.展开更多
Background: It has been suggested that childhood events increase the risk of suffering from an eating disorder (ED) in adolescence or young adulthood. Our study here aimed at investigating whether there was an associa...Background: It has been suggested that childhood events increase the risk of suffering from an eating disorder (ED) in adolescence or young adulthood. Our study here aimed at investigating whether there was an association between stressful childhood events and eating disorders later in life. Methods: Our population-based study was a part of the HeSSup (The Health and Social Support) postal survey in 2003, a follow-up survey with a random sample of working-aged subjects drawn from the Finnish Population Register in 1998. Participants in this study reported having been suffering from ED (N = 374), while controls (N = 18,639) reported no history of eating disorder in the questionnaire both in 1998 and 2003. The questionnaire included six questions related to childhood adversities. Results: Each childhood stressor increased the risk of developing ED cumulatively (one adversity OR 1.7 versus all six OR 8.3). Intrafamiliar conflicts (OR 2.0), being afraid of a family member (OR 1.5) or long-term illnesses in the family (OR 1.4) increased the ED-risk statistical significantly. Conclusion: Children exposed to stress are more likely to suffer from eating disorders as adults than those not exposed.展开更多
AIM To study the role of cholecystokinin octapeptide ( CCK-8), β-endorphin ( β-EP), and gastrin in an anorexic infantile rat model and no subsequent regulation of nose peptides by the Yunpi complex prescription ErB...AIM To study the role of cholecystokinin octapeptide ( CCK-8), β-endorphin ( β-EP), and gastrin in an anorexic infantile rat model and no subsequent regulation of nose peptides by the Yunpi complex prescription ErBao Granule.METHODS We fed infantile rats with special prepared forage. A liquid extract of ErBao Granule was administered to the rats daily for 3weeks, CCK-8, β-EP, and gastrin concentrations in hypothalamus, gastric antrum, and plasma of the rats were measured by radioimmunoassay,and were compared with controls.RESULTS Treatment of rats with ErBao Granule inhibited CCK-8 secretion and increased β-EP and gastrin secretion. CCK-8 concentration in hypothalamus and plasma of model control group increased significantly and correlated negatively with food intake of models.respectively. β-EP concentration in gastric antrum and plasma of model control group decreased significantly and showed a positive correlation with food intake of models,respectively. Hypothalamus concentration of β-EP was similar in models and controls. Gastrin concentration in gastric antrum of models was lower than in the blank control group, and correlated positively to food intake of models.Finally, CCK-8 concentrations in plasma of rats showed a positive correlation with plasma β-EP(r- 0.68, P＜0.05).CONCLUSION The increased plasma and hypothalamus concentration of CCK-8,decreased gastric antrum and plasma level of β-EP. and decreased gastric antrum concentration of gastrin are associated significantly with the anorexia of infantile anorexic rat models produced by special forage. ErBao Granule can reverse these changes, which may be the major mechanisms of ErBao Granule simulating feeding.展开更多
Background Understanding children’s feeding practices and eating behaviors is important to determine etiology of childhood obesity.This study aimed to explore the relationship between early feeding practices,eating b...Background Understanding children’s feeding practices and eating behaviors is important to determine etiology of childhood obesity.This study aimed to explore the relationship between early feeding practices,eating behavior and body composition among primary school children.Methods The data were collected from 403 primary school children.They were administered structured questionnaire,including sociodemographic characteristics,early feeding practices and Child’s Eating Behavior Questionnaire.Anthropometric and blood pressure(BP)measurements were performed.Results Children with obesity and overweight showed higher food approach subscales and lower food avoidance subscales compared to a healthy and underweight child.Children who were exclusively or predominantly breast fed during the frst 6 months had the lowest scores for the food approach subscales,food responsiveness(FR)and emotional overeating(EOE)and had the highest scores for the food avoidance subscales,satiety responsiveness(SR)and emotional under eating(EUE).Children who were introduced solid food after 6 months showed lower scores for FR,enjoyment of food and EOE but scored highest for SR,slowness in eating(SE)and EUE.All anthropometric measurements were positively correlated with all food approach subscales and negatively with SE,SR and food fussiness.All food approach subscales were positively correlated with BP percentiles.All food avoidance subscales were negatively correlated with both BP percentiles,except for EUE,which was negatively correlated with diastolic BP percentile only.Age,SR,SE and FR were predictors for child body mass index.Conclusion Early feeding practices and eating behavior are considered as prevention approaches for obesity.展开更多
Feeding and eating disorders are common in children, and may begin in infancy, in infants who nurse or are bottle-fed. The challenges and difficulties involved in feeding and eating are diverse and characterized diffe...Feeding and eating disorders are common in children, and may begin in infancy, in infants who nurse or are bottle-fed. The challenges and difficulties involved in feeding and eating are diverse and characterized differently at each developmental stage. There may be a continuum between the lack of parental sensitivity in feeding infants and children and eating disorders in adolescence. In other cases, eating disorders, such as emotional eating in adolescence, are a response to environmental-familial complexity and may have genetic components without a primary source in the early stages of development. In the case described in this article, Dalia was treated for about a year for emotional eating, which resulted in excess weight. Other aspects of emotional, social, and interpersonal issues were discussed. Treatment of the symptom was not achieved but due to the therapeutic flexibility and willingness to switch between therapeutic approaches, other important goals were achieved. Treatment using positive psychology with emphasis on empowerment may be beneficial to adolescents while personality is shaped as compared with cognitive-behavioral therapy that requires a long-term commitment.展开更多
文摘BACKGROUND Orthorexia nervosa(ON)is the persistent concern of maintaining the self-imposed diet to improve one's health.Many factors have been associated to ON in university students.AIM To assess the prevalence of ON in Italian and Spanish university students in relation to eating attitude and psychological distress,and the possible overlaps between ON(evaluated with different scored questionnaires from the originally proposed ORTO-15),distress and risk of eating disorders.METHODS This study was carried out on 160 students recruited at La Sapienza University of Rome and at the Catholic University of Murcia.Questionnaires were administered to evaluate ON(ORTO-15 and sub-scores),body concerns(Multidimensional Body-Self Relations Questionnaire,MBSRQ,and Body Uneasiness test,BUT),psychological distress(Kessler Psychological Distress Scale,K10),physical activity(International Physical Activity Questionnaire,IPAQ),eating attitude(Eating Attitudes Test,EAT-26)and malnutrition(Starvation Symptom Inventory,SSI).Sex differences,within the same country,and differences between Italian and Spanish students,within the same sex,were evaluated.RESULTS The ORTO-15 positive subjects,assessed with the originally proposed cut-off,were above 70%in both Italian and Spanish students,with a higher prevalence in the Spanish sample(Italian females 76.3%,Italian males 70.7%;Spanish females 97.0%,Spanish males 96.3%).According to ORTO-7,about 30%of Italian and 48%of Spanish students were positive to ON with no significant sex differences.When excluding students underweight(UW),overweight(OW)or obese(OB),as well as those potentially at risk of eating disorders or presenting mild,moderate and severe distress,in the resultant normal weight(NW)-K10neg-EAT-26neg subgroup,we did not find many correlations observed in the whole sample,including those between ORTO scores and BUT,SSI,Total MBSRQ and some of its components.Moreover,ORTO-7 resulted in the only ON score unrelated with Body Mass Index,MBSRQ components and IPAQassessed intense activity,in the NW-K10neg-EAT-26neg subgroup.After this sort of“exclusion diagnosis”,the prevalence of ON of these students on the overall sample resulted in 16.9%,12.2%,15.2%and 25.9%for Italian females,Italian males,Spanish females and Spanish males,respectively.CONCLUSION In some university students ON could be a symptom of other conditions related to body image concerns and distress,as well as to high physical activity and appearance,fitness,health or illness orientation(from MBSRQ).However,ORTO-7 became independent from these confounding variables,after the exclusion of UW,OW,OB and students positive to EAT-26 and K10,suggesting the possibility of identifying orthorexic subjects with this specific questionnaire.
文摘Selective eating among toddlers is a well-known phenomenon which is characterized by varied factors including nutritional deficits and a unique and challenging sensory profile.Our clinical experience in a multidisciplinary feeding and eating clinic,in Hadassah Medical Center of Jerusalem binds specific feeding and eating patterns with high levels of parental stress ll.Parental stress is combined by three domains:parental general approach of satisfaction,the quality of interaction with child and child’s temperament,as perceived by parent.Our cross-sectional research includes 42 pairs of parents and their children,referring the clinic due to selective eating and suspected sensory integration disorder.Our study includes a broad nutritional assessment,questionnaires testing parental stress(PSI-4)and questionnaires testing sensory integration(Toddler Sensory Profile-2)and anthropometric indices.Our study’s results are relevant family physicians and pediatricians working in the community,who address diagnosis like autistic spectrum disorder,attention deficit hyperactive disorder,developmental delay,and learning disabilities that interface with domains of parental stress and experience of parenting interaction and child temperament,as well as sensory integration and limited eating and nutrition.Research results are significant in the field of locating babies and families needing early intervention and as a base of promoting intervention programs of prevention and treatment of toddlers and their parents.It is important to apply suitable intervention programs based on a reflective manner about dyadic and triadic eating and feeding relations,in the family unit,considering the cultural context.
基金Centre for General Practice,Pirkanmaa Hospital District has supported the work financially.
文摘Background: It has been suggested that childhood events increase the risk of suffering from an eating disorder (ED) in adolescence or young adulthood. Our study here aimed at investigating whether there was an association between stressful childhood events and eating disorders later in life. Methods: Our population-based study was a part of the HeSSup (The Health and Social Support) postal survey in 2003, a follow-up survey with a random sample of working-aged subjects drawn from the Finnish Population Register in 1998. Participants in this study reported having been suffering from ED (N = 374), while controls (N = 18,639) reported no history of eating disorder in the questionnaire both in 1998 and 2003. The questionnaire included six questions related to childhood adversities. Results: Each childhood stressor increased the risk of developing ED cumulatively (one adversity OR 1.7 versus all six OR 8.3). Intrafamiliar conflicts (OR 2.0), being afraid of a family member (OR 1.5) or long-term illnesses in the family (OR 1.4) increased the ED-risk statistical significantly. Conclusion: Children exposed to stress are more likely to suffer from eating disorders as adults than those not exposed.
基金Project supported by the National Natural Science Foundation of China,No.39670896
文摘AIM To study the role of cholecystokinin octapeptide ( CCK-8), β-endorphin ( β-EP), and gastrin in an anorexic infantile rat model and no subsequent regulation of nose peptides by the Yunpi complex prescription ErBao Granule.METHODS We fed infantile rats with special prepared forage. A liquid extract of ErBao Granule was administered to the rats daily for 3weeks, CCK-8, β-EP, and gastrin concentrations in hypothalamus, gastric antrum, and plasma of the rats were measured by radioimmunoassay,and were compared with controls.RESULTS Treatment of rats with ErBao Granule inhibited CCK-8 secretion and increased β-EP and gastrin secretion. CCK-8 concentration in hypothalamus and plasma of model control group increased significantly and correlated negatively with food intake of models.respectively. β-EP concentration in gastric antrum and plasma of model control group decreased significantly and showed a positive correlation with food intake of models,respectively. Hypothalamus concentration of β-EP was similar in models and controls. Gastrin concentration in gastric antrum of models was lower than in the blank control group, and correlated positively to food intake of models.Finally, CCK-8 concentrations in plasma of rats showed a positive correlation with plasma β-EP(r- 0.68, P＜0.05).CONCLUSION The increased plasma and hypothalamus concentration of CCK-8,decreased gastric antrum and plasma level of β-EP. and decreased gastric antrum concentration of gastrin are associated significantly with the anorexia of infantile anorexic rat models produced by special forage. ErBao Granule can reverse these changes, which may be the major mechanisms of ErBao Granule simulating feeding.
基金funding provided by the Science,Technology&Innovation Funding Authority(STDF)in cooperation with the Egyptian Knowledge Bank(EKB)。
文摘Background Understanding children’s feeding practices and eating behaviors is important to determine etiology of childhood obesity.This study aimed to explore the relationship between early feeding practices,eating behavior and body composition among primary school children.Methods The data were collected from 403 primary school children.They were administered structured questionnaire,including sociodemographic characteristics,early feeding practices and Child’s Eating Behavior Questionnaire.Anthropometric and blood pressure(BP)measurements were performed.Results Children with obesity and overweight showed higher food approach subscales and lower food avoidance subscales compared to a healthy and underweight child.Children who were exclusively or predominantly breast fed during the frst 6 months had the lowest scores for the food approach subscales,food responsiveness(FR)and emotional overeating(EOE)and had the highest scores for the food avoidance subscales,satiety responsiveness(SR)and emotional under eating(EUE).Children who were introduced solid food after 6 months showed lower scores for FR,enjoyment of food and EOE but scored highest for SR,slowness in eating(SE)and EUE.All anthropometric measurements were positively correlated with all food approach subscales and negatively with SE,SR and food fussiness.All food approach subscales were positively correlated with BP percentiles.All food avoidance subscales were negatively correlated with both BP percentiles,except for EUE,which was negatively correlated with diastolic BP percentile only.Age,SR,SE and FR were predictors for child body mass index.Conclusion Early feeding practices and eating behavior are considered as prevention approaches for obesity.
文摘Feeding and eating disorders are common in children, and may begin in infancy, in infants who nurse or are bottle-fed. The challenges and difficulties involved in feeding and eating are diverse and characterized differently at each developmental stage. There may be a continuum between the lack of parental sensitivity in feeding infants and children and eating disorders in adolescence. In other cases, eating disorders, such as emotional eating in adolescence, are a response to environmental-familial complexity and may have genetic components without a primary source in the early stages of development. In the case described in this article, Dalia was treated for about a year for emotional eating, which resulted in excess weight. Other aspects of emotional, social, and interpersonal issues were discussed. Treatment of the symptom was not achieved but due to the therapeutic flexibility and willingness to switch between therapeutic approaches, other important goals were achieved. Treatment using positive psychology with emphasis on empowerment may be beneficial to adolescents while personality is shaped as compared with cognitive-behavioral therapy that requires a long-term commitment.
