Eating Disorders: Social Rank and Symptom Change in Eating Disorders: A 6-Month Longitudinal Study.

Social Rank and Symptom Change in Eating Disorders: A 6-month Longitudinal Study.

Filed under: Eating Disorders

Clin Psychol Psychother. 2013 Jan 8;
Troop NA, Andrews L, Hiskey S, Treasure JL

BACKGROUND: Following previous cross-sectional research adopting an evolutionary approach to social rank and eating disorders, the present study explored the predictive value of social rank for changes in eating disorder symptoms in a 6-month longitudinal study. METHODS: Seventy-three women and men with a history of eating disorders were followed up over 6?months. A broad range of measures of social rank were used to determine whether social rank at baseline predicted residual changes in eating disorder symptoms. RESULTS: Low social rank (in terms of perceived external entrapment and submissive behaviour) predicted an increase in symptoms of anorexia but not symptoms of bulimia. The predictive value of low social rank was not mediated by changes in depressive symptoms. CONCLUSION: Perceived low rank predicts an increase in anorexic symptoms. However, further research is required to determine the precise nature of how social rank exerts its influence on the development of eating disorder symptoms. Copyright © 2013 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Self-perceived low social rank predicts an increase in anorexic symptoms but not bulimic symptoms. The effect of low social rank on changes in anorexic symptoms was not mediated by changes in depressive symptoms. Interventions for anorexia nervosa may need to incorporate techniques for increasing status and/or self-compassion.
HubMed – eating


Evaluation of a Hepatitis B Lay Health Worker Intervention for Cambodian Americans.

Filed under: Eating Disorders

J Community Health. 2013 Jan 9;
Taylor VM, Bastani R, Burke N, Talbot J, Sos C, Liu Q, Do H, Jackson JC, Yasui Y

Cambodian Americans have high rates of chronic hepatitis B virus (HBV) infection. However, only about one-half of Cambodian Americans have been serologically tested for HBV. We conducted a randomized controlled trial to evaluate the impact of a lay health worker (LHW) intervention on HBV testing and knowledge levels among Cambodian Americans. The study group included 250 individuals who participated in a community based survey in metropolitan Seattle and had not been tested for HBV. Experimental group participants received a LHW intervention addressing HBV and control group participants received a LHW intervention addressing physical activity. Trial participants completed a follow-up survey 6 months after randomization. Over four-fifths (82 %) of randomized individuals participated in a LHW home visit and the follow-up survey response rate was 80 %. Among participants with follow-up data, 22 % of the experimental group and 3 % of the control group reported HBV testing (p < 0.001). The experimental and control group testing difference remained significant in an intent-to-treat analysis. The experimental group was significantly more likely than the control group to know that Cambodians have higher rates of HBV infection than whites, HBV cannot be spread by eating food prepared by an infected person, HBV cannot be spread by sharing chopsticks, and HBV cannot be spread by shaking hands. Our findings indicate LHW interventions are acceptable to Cambodian Americans and can positively impact both HBV testing and knowledge levels. HubMed – eating


Lactic acidosis in patients with diabetes.

Filed under: Eating Disorders

Pol Arch Med Wewn. 2013 Jan 8;
Krzymie? J, Karnafel W

INTRODUCTION Lactic acidosis is a relatively rare complication diagnosed in patients with diabetes. The aim of this study was to identify causes of lactic acidosis in this group of patients and to measure the extent of metabolic disturbances based on the available laboratory test results. METHODS 29 diabetic patients diagnosed with ” lactic acidosis” (lactate level > 5 mmol/L), aged 20-87 years, were admitted to the Intensive Diabetes Care Unit of the Warsaw Medical University in the years 2007-2012. Detailed medical history was taken from all of these patients or their caregivers. At the time of admission the following measurements were performed: lactate level, glycaemia, acetonuria and gasometry. RESULTS 8 patients with type 1 diabetes, 18 patients with type 2 diabetes and 3 patients with other types of diabetes were hospitalized with the diagnosis of lactic acidosis. Lactic acidosis (lactate level between 5.2 and 27 mmol/L) was associated with increased blood glucose level (glycaemia between 13.3 and 91.7 mmol/L), low pH (6.73-7.28). 12 subjects were alcoholic patients. In 3 female diabetic patients this acute complication was caused by psychogenic eating disorders. There were five fatal cases including three cases of metformin treatment. CONCLUSIONS Alcohol abuse and health consequences of alcohol abuse seem to be the main cause of lactic acidosis in diabetic patients. In metformin-treated patients, especially in elderly ones, the possibility of sudden deterioration of renal function, which can increase the risk of lactic acidosis always must to be taken under consideration.
HubMed – eating


Infant feeding patterns over the first year of life: influence of family characteristics.

Filed under: Eating Disorders

Eur J Clin Nutr. 2013 Jan 9;
Betoko A, Charles MA, Hankard R, Forhan A, Bonet M, Saurel-Cubizolles MJ, Heude B, de Lauzon-Guillain B

Background/Objectives:Early eating patterns and behaviors can determine later eating habits and food preferences and they have been related to the development of childhood overweight and obesity. We aimed to identify patterns of feeding in the first year of life and to examine their associations with family characteristics.Subjects/Methods:Our analysis included 1004 infants from the EDEN mother-child cohort. Feeding practices were assessed through maternal self-report at birth, 4, 8 and 12 months. Principal component analysis was applied to derive patterns from breastfeeding duration, age at complementary food (CF) introduction and type of food used at 1 year. Associations between patterns and family characteristics were analyzed by linear regressions.Results:The main source of variability in infant feeding was characterized by a pattern labeled ‘late CF introduction and use of ready-prepared baby foods’. Older, more educated, primiparous women with high monthly income ranked high on this pattern. The second pattern, labeled ‘longer breastfeeding, late CF introduction and use of home-made foods’ was the closest to infant feeding guidelines. Mothers ranking high on this pattern were older and more educated. The third pattern, labeled ‘use of adults’ foods’ suggests a less age-specific diet for the infants. Mothers ranking high on this pattern were often younger and multiparous. Recruitment center was related to all patterns.Conclusions:Not only maternal education level and age, but also parity and region are important contributors to the variability in patterns. Further studies are needed to describe associations between these patterns and infant growth and later food preferences.European Journal of Clinical Nutrition advance online publication, 9 January 2013; doi:10.1038/ejcn.2012.200.
HubMed – eating


More Eating Disorders Information…