Eating and weight disorders : EWD
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No study has examined the connection between the mothers' weight concerns, their psychological characteristics as well as their educational level and their children's weight concerns in China. Nor has the gender effect on the eating attitudes of pre- to post-pubertal Chinese children been explored (aged 10-13). ⋯ The Chinese mothers' weight concerns and their psychological characteristics correlated with their children's eating attitudes. A gender effect on the Chinese children's eating attitudes (aged 13) was established.
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The prevalence of childhood obesity is rapidly increasing, and many obese children suffer from emotional and behavior problems and mental disorders. Associations with social stigmatization of obesity, maternal psychopathology, socioeconomic status (SES) and resilience factors are discussed. ⋯ Although maternal psychopathology and diagnosis of mental disorder had some impact on the psychological well-being of the child, the child's competences showed a significant negative association with the problem scales. More research on parental and children's skills and competences will highlight the complex interaction of childhood obesity, comorbidity of mental disorders, and resilience factors and will lead to additional approaches for intervention.
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While restrained eating is one of the most well-established risk factors of eating disorders in females, its role for eating disturbances in males remains largely unclear. The present study investigates eating behaviour in response to food cues and negative cognitions in male restrained eaters. ⋯ Results suggest marked cue reactivity in male restrained eaters with an increased risk of overeating in those who experience low situational self-esteem and who are binge eaters.
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Review Case Reports
Heart failure in anorexia nervosa: case report and review of the literature.
To report the presentation and causes of heart failure complicating anorexia nervosa (AN). ⋯ If shortness of breath occurs in AN it may be a symptom of heart failure. The diagnosis is further suggested by increased jugular venous pressure, increasing shortness of breath on exertion, and pulmonary crepitations at the bases of the lungs on physical examination. The chest x-ray usually shows pulmonary venous redistribution, the electrocardiogram may be normal, and the echocardiogram should document a reduced left ventricular ejection fraction. Standard medical therapy for heart failure should be started. In addition, a history of ipecac use should be taken, deficiencies should be corrected, and weight restoration can reverse cardiac abnormalities.
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Clinical Trial Controlled Clinical Trial
Interdisciplinary treatment of a female outpatient population. Organizational model and preliminary results.
To compare the efficacy of diet alone vs interdisciplinary therapy. ⋯ Interdisciplinary therapy is necessary to personalize treatment and satisfy the patient's desire and need for appropriate and effective management.