Eating Disorders: Obesity Screening in the Pediatric Emergency Department.

Obesity Screening in the Pediatric Emergency Department.

Filed under: Eating Disorders

Pediatr Emerg Care. 2012 May 29;
Vaughn LM, Nabors L, Pelley TJ, Hampton RR, Jacquez F, Mahabee-Gittens EM

OBJECTIVES: The purposes of this study were (1) to examine parental perception of childhood obesity and race with measured body mass index (BMI), (2) to determine if parents are receptive to obesity screening in the pediatric emergency department and if receptivity varies by race or weight status, and (3) to determine eating habits that are predictors of obesity. METHODS: This study is a cross-sectional study, with a convenience sample of 213 patients (aged 4-16 years accompanied by a parent/legal guardian to a pediatric emergency department). Weight and height were obtained, and parents were asked to complete a survey about perception of their child’s weight, nutrition, and exercise habits. RESULTS: The current study found that parent perception of weight status was fairly accurate, and perception was predictive of BMI. Race, however, was not predictive of BMI. Parents were generally receptive of weight screening in the pediatric emergency department, and this did not vary as a function of weight status; however, receptivity did vary based on ethnicity, with African American parents being more receptive than white parents. Large portion sizes and the number of times a child eats fast food per week were found to be predictive of obesity. CONCLUSIONS: Greater than half of the children presenting to our pediatric emergency department were overweight or obese. Parents were generally accurate in their perception of their child’s weight but were still receptive to obesity prevention and screening in the pediatric emergency department.
HubMed – eating


Effect of Viscosity on Food Transport and Swallow Initiation During Eating of Two-Phase Food in Normal Young Adults: A Pilot Study.

Filed under: Eating Disorders

Dysphagia. 2012 Jun 1;
Matsuo K, Kawase S, Wakimoto N, Iwatani K, Masuda Y, Ogasawara T

When eating food containing both liquid and solid phases (two-phase food), the liquid component frequently enters the hypopharynx before swallowing, which may increase the risk of aspiration. We therefore tested whether preswallow bolus transport and swallow initiation would change as the viscosity of two-phase food was increased. Fiberoptic endoscopy was recorded while 18 adult subjects ate 5 g of steamed rice with 3 ml of blue-dye water. Liquid viscosity was set at four levels by adding a thickening agent (0, 1, 2, and 4 wt%, respectively). We measured the timing of the leading edge of the food reaching the base of the epiglottis, as well as the location of the leading edge at swallow initiation. As viscosity increased, the leading edge of the food reached the epiglottis significantly later during chewing and was higher in the pharynx at swallow onset. The time after the leading edge reached the epiglottis did not vary among the viscosities of the two-phase food. This study found that the initial viscosity of two-phase food significantly altered oropharyngeal bolus flow and the timing of swallow initiation. Accordingly, increased two-phase food viscosity may delay food entry into the pharynx and be of use in dysphagic diets.
HubMed – eating


Diet promotes sleep duration and quality.

Filed under: Eating Disorders

Nutr Res. 2012 May; 32(5): 309-19
Peuhkuri K, Sihvola N, Korpela R

Sleep, much like eating, is an essential part of life. The mechanisms of sleep are only partially clear and are the subject of intense research. There is increasing evidence showing that sleep has an influence on dietary choices. Both cross-sectional and epidemiologic studies have demonstrated that those who sleep less are more likely to consume energy-rich foods (such as fats or refined carbohydrates), to consume fewer portions of vegetables, and to have more irregular meal patterns. In this narrative review, we pose the opposite question: can ingested food affect sleep? The purpose of this review is to discuss the evidence linking diet and sleep and to determine whether what we eat and what kind of nutrients we obtain from the food consumed before bedtime matter. In addition, scientific evidence behind traditional sleep-promoting foods such as milk and some herbal products is briefly described. These are reviewed using data from clinical trials, mostly in healthy subjects. In addition, we discuss the possible mechanisms behind these observations. Lastly, we summarize our findings that emerging evidence confirms a link between diet and sleep. Overall, foods impacting the availability of tryptophan, as well as the synthesis of serotonin and melatonin, may be the most helpful in promoting sleep. Although there are clear physiological connections behind these effects, the clinical relevance needs to be studied further.
HubMed – eating



True Life: I Have an Eating Disorder 1/4 – True Life: I Have an Eating Disorder part 1 of 4


Eating Disorders Linked to Increased Risk for Early Death

Filed under: Eating Disorders

May 8, 2012 (Philadelphia, Pennsylvania) — Eating disorders increase the risk of dying prematurely, a large study shows. The mortality rates in the study fit with the "serious nature of eating disorders," Jaana T. Suokas, MD, PhD, from Helsinki …
Read more on Medscape


Eating disorder support group meets June 6

Filed under: Eating Disorders

FREMONT — Recovery Within: An Eating Disorder Support Group, will meet from 7 to 8 pm June 6 and June 20 in the Memorial Hospital Board Room. The group meets the first and third Wed-nesday of each month. Recovery Within is for people who are …
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