Treatment Challenges for Men With Eating Disorders.

Treatment challenges for men with eating disorders.

Filed under: Eating Disorders

CMAJ. 2013 Jan 21;
Collier R

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Season of Birth Bias and Bulimia Nervosa-Results from a Multi-centre Collaboration.

Filed under: Eating Disorders

Eur Eat Disord Rev. 2013 Jan 21;
Winje E, Torgalsbøen AK, Brunborg C, Lask B

BACKGROUND: Season of birth bias has been observed for people with a number of disorders, including women with bulimia nervosa. However, inconsistent results and methodological weaknesses render previous conclusions about such bias uncertain. With an enhanced methodology, this study aims to test whether there is a season of birth bias for women with bulimia nervosa. METHOD: Women with bulimia nervosa at five secondary and tertiary services in Norway, born between 1966 and 1988 (n?=?549), were compared with women in the general population in a chi-square test for contingency tables, with known population parameters testing monthly deviations. RESULTS: There was no statistically significant association between month of birth and the distribution of births in the two groups (Cramer’s V?=?.09). CONCLUSION: There appears not to be any season of birth bias in women with bulimia nervosa in Norway. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
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[City Academy: a health promotion service in the healthcare network of the Unified Health System].

Filed under: Eating Disorders

Cien Saude Colet. 2013 Jan; 18(1): 95-102
Costa BV, Mendonça Rde D, Santos LC, Peixoto SV, Alves M, Lopes AC

This is an analysis of the health and nutritional profile of users of the Unified Health System admitted to a City Academy in Belo Horizonte, Minas Gerais during a triennium. It is a cross-sectional study with users> 20 years and socio-demographic characteristics, health habits, food intake and anthropometrics were gathered. Kolmogorov-Smirnov tests, ANOVA, Kruskal-Wallis test, chi-square and Fisher exact test were applied. There was a high prevalence of hypertensive subjects (41.6%), overweight (70.6%) and metabolic risks associated with obesity (67.6%). About 40% of entrants had 1-3 chronic diseases and over 65% used medication daily. There was an imbalance in daily consumption of fruits and vegetables (75.3%), fatty meat (72.4%) and sweetened drinks (54.2%). They had low education and income, and inadequate eating habits and high prevalence of hypertension, overweight and metabolic risks associated with obesity, which suggests users seeking health care services for treatment of diseases. This illustrates the perceived quest for cure, further demonstrating the lack of healthcare initiatives in the population. This reveals the need to review the actions at different levels of health care, to promote greater comprehensiveness of care provided.
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[Associations between knowledge of the National Nutrition and Health Program recommendations, and eating behaviour and physical activity practice.]

Filed under: Eating Disorders

Rev Epidemiol Sante Publique. 2013 Jan 18;
Escalon H, Beck F, Bossard C

BACKGROUND: Nutrition education is one of the main lines of the French nutrition policy that has been undertaken for several years. The underlying hypothesis of this approach is that knowledge improvement is one of the ways likely to contribute to health-enhancing diet and physical activity. The objective of this paper, based on the 2008 Health and nutrition Barometer, is to examine the associations observed between knowledge and behavior with regard to diet and physical activity. METHODS: The 2008 Health and nutrition Barometer is a nationally representative telephone survey conducted on 4714 individuals aged 12-75years. For six recommendations of the National Nutrition and Health Program (Programme national nutrition santé [PNNS]), multiple logistic models were used to identify associations between knowledge of these recommendations and behavior, among adults aged 18-75years. For food consumed on the day before the interview, odds ratios were adjusted for sex, age, education level, agglomeration size and region. As bivariate analysis showed that income level was significant for recommended consumption of fish, this variable was introduced among adjustment variables. Similarly, the variable occupation was introduced for physical activity. RESULTS: A positive association between knowledge of recommendations and nutritional behavior on the day before interview was observed for fruit and vegetables (OR=1.7), dairy products (OR=1.6), and starchy food (OR=1.6). The same was observed for consumption of fish during the 15days before the interview (OR=5.0) and for physical activity during a usual week (OR=1.5) but not for the “meat, seafood and eggs” food group. CONCLUSION: Eating habits and physical activity are positively associated with knowledge of nutritional recommendations, mainly acquired via nutritional information and educational actions. Nevertheless, the important differences observed for certain dietary groups between knowledge of recommendations and dietary intake emphasizes the need to further support individual-focused initiatives with health-enhancing environmental strategies.
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