Eating Disorders: Association Between Frequency of Breakfast Eating and Obesity in Korean Adolescents.

Association between Frequency of Breakfast Eating and Obesity in Korean Adolescents.

Filed under: Eating Disorders

Iran J Public Health. 2012; 41(6): 50-7
Kim JH, So WY

The purpose of this study was to examine whether the frequency of breakfast eating was related with overweight/obesity in Korean adolescents.We analyzed the data collected in the 5(th) KYRBWS, in which 72,399 adolescents participated in 2009. We assessed the association between frequency of breakfast eating and body mass index by using multivariate logistic regression analysis.A total of 20,962(54.9%) boys and 18,479(54.0%) girls skipped breakfast 7 days(all days) per week at baseline. For boys, the odds ratios(ORs) between being overweight and frequency of breakfast eating were 1.040 for 3-5 times per week, 1.092 for 1-2 time(s) per week, 1.059 for no breakfast per week, compared to 6-7 times per week(p>0.05). The ORs between being obese and frequency of breakfast eating were 1.011 for 3-5 times per week, 0.968 for 1-2 time(s) per week, and 0.932 for no breakfast per week, compared to 6-7 times per week(p>0.05). For girls, the ORs between being overweight and frequency of breakfast eating were 0.990 for 3-5 times per week, 0.992 for 1-2 time(s) per week, 1.019 for no breakfast per week, compared to 6-7 times per week(p>0.05). The ORs between being obese and frequency of breakfast eating were 1.075 for 3-5 times per week, 0.946 for 1-2 time(s) per week, and 0.941 for no breakfast per week, compared to 6-7 times per week(p>0.05).The frequency of breakfast eating has no correlation with overweight/obesity in Korean adolescents.
HubMed – eating


Consequences of essential Fatty acids.

Filed under: Eating Disorders

Nutrients. 2012 Sep; 4(9): 1338-57
Lands B

Essential fatty acids (EFA) are nutrients that form an amazingly large array of bioactive mediators that act on a large family of selective receptors. Nearly every cell and tissue in the human body expresses at least one of these receptors, allowing EFA-based signaling to influence nearly every aspect of human physiology. In this way, the health consequences of specific gene-environment interactions with these nutrients are more extensive than often recognized. The metabolic transformations have similar competitive dynamics for the n-3 and n-6 homologs when converting dietary EFA from the external environment of foods into the highly unsaturated fatty acid (HUFA) esters that accumulate in the internal environment of cells and tissues. In contrast, the formation and action of bioactive mediators during tissue responses to stimuli tend to selectively create more intense consequences for n-6 than n-3 homologs. Both n-3 and n-6 nutrients have beneficial actions, but many common health disorders are undesired consequences of excessive actions of tissue n-6 HUFA which are preventable. This review considers the possibility of preventing imbalances in dietary n-3 and n-6 nutrients with informed voluntary food choices. That action may prevent the unintended consequences that come from eating imbalanced diets which support excessive chronic actions of n-6 mediators that harm human health. The consequences from preventing n-3 and n-6 nutrient imbalances on a nationwide scale may be very large, and they need careful evaluation and implementation to avoid further harmful consequences for the national economy.
HubMed – eating


Enteral nutrition for feeding severely underfed patients with anorexia nervosa.

Filed under: Eating Disorders

Nutrients. 2012 Sep; 4(9): 1293-303
Gentile MG

Severe undernutrition nearly always leads to marked changes in body spaces (e.g., alterations of intra-extracellular water) and in body masses and composition (e.g., overall and compartmental stores of phosphate, potassium, and magnesium). In patients with severe undernutrition it is almost always necessary to use oral nutrition support and/or artificial nutrition, besides ordinary food; enteral nutrition should be a preferred route of feeding if there is a functional accessible gastrointestinal tract. Refeeding of severely malnourished patients represents two very complex and conflicting tasks: (1) to avoid “refeeding syndrome” caused by a too fast correction of malnutrition; (2) to avoid “underfeeding” caused by a too cautious rate of refeeding. The aim of this paper is to discuss the modality of refeeding severely underfed patients and to present our experience with the use of enteral tube feeding for gradual correction of very severe undernutrition whilst avoiding refeeding syndrome, in 10 patients aged 22 ± 11.4 years and with mean initial body mass index (BMI) of 11.2 ± 0.7 kg/m(2). The mean BMI increased from 11.2 ± 0.7 kg/m(2) to 17.3 ± 1.6 kg/m(2) and the mean body weight from 27.9 ± 3.3 to 43.0 ± 5.7 kg after 90 days of intensive in-patient treatment (p < 0.0001). Caloric intake levels were established after measuring resting energy expenditure by indirect calorimetry, and nutritional support was performed with enteral feeding. Vitamins, phosphate, and potassium supplements were administered during refeeding. All patients achieved a significant modification of BMI; none developed refeeding syndrome. In conclusion, our findings show that, even in cases of extreme undernutrition, enteral feeding may be a well-tolerated way of feeding. HubMed – eating


Body-Related Social Comparison and Disordered Eating among Adolescent Females with an Eating Disorder, Depressive Disorder, and Healthy Controls.

Filed under: Eating Disorders

Nutrients. 2012 Sep; 4(9): 1260-72
Hamel AE, Zaitsoff SL, Taylor A, Menna R, Le Grange D

The purpose of this study was to investigate the association between body-related social comparison (BRSC) and eating disorders (EDs) by: (a) comparing the degree of BRSC in adolescents with an ED, depressive disorder (DD), and no psychiatric history; and (b) investigating whether BRSC is associated with ED symptoms after controlling for symptoms of depression and self-esteem. Participants were 75 girls, aged 12-18 (25 per diagnostic group). To assess BRSC, participants reported on a 5-point Likert scale how often they compare their body to others’. Participants also completed a diagnostic interview, Eating Disorders Inventory-2 (EDI-2), Beck Depression Inventory-II (BDI-II), and Rosenberg Self-Esteem Scale (RSE). Compared to adolescents with a DD and healthy adolescents, adolescents with an ED engaged in significantly more BRSC (p ? 0.001). Collapsing across groups, BRSC was significantly positively correlated with ED symptoms (p ? 0.01), and these associations remained even after controlling for two robust predictors of both ED symptoms and social comparison, namely BDI-II and RSE. In conclusion, BRSC seems to be strongly related to EDs. Treatment for adolescents with an ED may focus on reducing BRSC.
HubMed – eating



‘Someday Melissa: A story of eating disorders, loss, & hope’ – US Today Show – In May 2009, at the age of 19, Melissa Arvin died from a heart attack – a complication arising from a 5 year battle with bulimia. After Melissa’s death, her mother Judy discovered this message in one of Melissa’s journal entries: “Someday … Ill eat breakfast. Ill keep a job for more than 3 weeks. Ill have a boyfriend for more than 10 days. Ill love someone. Ill travel wherever I want. Ill make my family proud. Ill make a movie that changes lives.” And it was from these words, that the idea for “Someday Melissa” was born. Visit for more information about this important documentary.


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