Changes in Weight and Body Composition During the First Semester at University: A Prospective Explanatory Study.

Changes in weight and body composition during the first semester at university: a prospective explanatory study.

Filed under: Eating Disorders

Appetite. 2013 Feb 9;
Deliens T, Clarys P, Hecke LV, Bourdeaudhuij ID, Deforche B

OBJECTIVE: The purpose of this study was to objectively assess changes in weight, BMI, body composition and waist circumference during the first semester at university in Belgian students, as well as to identify correlates of change in BMI and fat%. METHODS: Weight, height, body composition and waist circumference were measured at baseline (October/November 2011) and follow-up (February/March 2012) in 101 first year university students. Additionally, a health behaviour questionnaire was completed at follow-up. RESULTS: After 1 semester at university, students gained on average 1.0kg (range=-4.1kg,+7.7kg) of body weight consisting of 0.8kg of fat mass. In contrast, fat free mass and waist circumference did not change. Regression models showed that being male, higher amount of TV/DVD watching and higher frequency of eating at a friends’ place were contributors of BMI increase, whereas living in a student residence and lower frequency of reading and studying was related with higher increases in fat%. CONCLUSIONS: This is the first European study demonstrating that the first semester at university is a critical period for weight and fat gain. Future intervention studies should have special attention for male students and students living in student residences, and focus on promoting healthier food choices when eating out-of-home.
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Drama Therapy and Eating Disorders: A Historical Perspective and an Overview of a Bolognese Project for Adolescents.

Filed under: Eating Disorders

J Altern Complement Med. 2013 Feb 12;
Pellicciari A, Rossi F, Iero L, Di Pietro E, Verrotti A, Franzoni E

Abstract Objectives: The authors present a description of a theater workshop (“Metamorphosis Project”), developed at the Bologna Eating Disorders Center. Design: The workshops are aimed at young, hospitalized patients, and are largely based on the principles of drama therapy. In this article, this therapeutic modality is introduced by a discussion of the theoretical basis for the use of theater in psychiatry from the points of view of several preeminent psychiatrists, including Freud, Winnicott, Klein, and Moreno. Results: Three (3) clinical reports are presented. The satisfaction rate among the first groups of participants was 93%. Conclusions: It is suggested that theater can be useful in decreasing defense mechanisms, allowing a patient-focused approach, mitigating specific symptoms, and improving the quality of life during the hospital stay.
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Celiac disease diagnosed after uncomplicated pregnancy in a patient with history of bulimia nervosa.

Filed under: Eating Disorders

Vojnosanit Pregl. 2013 Jan; 70(1): 77-9
Milisavljevi? N, Cvetkovi? M, Nikoli? G, Filipovi? B, Milini? N

The association between celiac disease and eating disorders has been very rarely reported. This is the first report on celiac disease associated with bulimia in this part of Europe.An adult female patient with history of bulimia and one uncomplicated pregnancy was admitted to the Gastroenterology Department, due to long lasting dyspeptic symptoms, constipation, major weight loss and fatigue. After positive serological screening, the diagnosis of celiac disease was confirmed with histopathology examination of duodenal biopsy specimen.Complicated interactions between celiac disease and bulimia can make them difficult to diagnose and treat. It is important to consider the presence of celiac disease in patients with bulimia and gastrointestinal symptoms.
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