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PubMed2004

The willingness to eat. An investigation of appetite among elderly people.

The aim of this study was to identify and describe factors of importance with regard to appetite among elderly people. A qualitative approach was used and the method was grounded theory. Fifteen elderly people were interviewed using a method with two overall questions. The results show that the willingness to eat plays a central role in appetite among elderly people. The appetite is a state on a sliding scale, from good to poor appetite. Factors affecting the appetite include six categories: mood, personal values, wholesomeness, food, eating environment and meal fellowship. When planning and realizing nursing actions concerning eating, the willingness to eat has to be observed. The desire within every individual has to be given consideration, including all factors as well as how they affect each other. The willingness to eat contains internal factors dependent on mood and personal values, as well as external factors dependent on wholesomeness, food, eating environment and meal fellowship. These factors contain qualitative dimensions, which affect elderly people's appetites as well as their quality of life to a varying extent. Through this, it can be seen that there is a connection between their desire or willingness to eat and their will to live.

Affect↗

PubMed2005

Role of physical activity and eating behaviour in weight control after treatment in severely obese children and adolescents.

AIM: To investigate the role of physical activity and eating behaviour in weight control 1.5 y after a weight-reduction programme in severely obese children. METHODS: Forty-seven children (13.4 +/- 2.1 y) were measured 1.5 y after the completion of a 10-mo residential treatment programme. Stature and body mass were measured; physical activity, fat and fibre intake, and self-efficacy in relation to physical activity and healthy eating behaviour were assessed using validated structured interviews. The total sample was divided into four subgroups according to unhealthy versus healthy physical activity and eating behaviour at follow-up. RESULTS: One-and-a-half years after treatment, subjects had regained 34 +/- 19% overweight, but were on average still 20 +/- 19% less overweight than before treatment (p < 0.001). The four subgroups did not differ in level of overweight at the beginning or end of treatment. At follow-up, there was a significant difference in overweight between the four subgroups (p < 0.05). The least healthy group (unhealthy physical activity and unhealthy eating behaviour) had a significantly higher level of overweight 1.5 y after treatment (183 +/- 36%) in comparison with the other groups (unhealthy physical activity and healthy eating: 150 +/- 21%; healthy physical activity and unhealthy eating: 156 +/- 14%; healthy physical activity and healthy eating: 138 +/- 16%) (p < 0.05), whilst the healthiest group showed the lowest level of overweight after treatment when compared to the other groups (p < 0.05). CONCLUSION: Results suggest that both physical activity and nutritional habits play an important role in weight maintenance after initial weight loss in obese children and that one healthy behaviour can not compensate for another unhealthy behaviour.

Adolescent↗

PubMed2006

Self-reported weight perceptions, dieting behavior, and breakfast eating among high school adolescents.

This study explored the relationships among weight perceptions, dieting behavior, and breakfast eating in 4597 public high school adolescents using the Centers for Disease Control and Prevention Youth Risk Behavior Survey. Adjusted multiple logistic regression models were constructed separately for race and gender groups via SUDAAN (Survey Data Analysis). Adjusted odds ratios [ORs] and 95% confidence intervals were calculated to determine the strength of relationships. Approximately 42% of the sample reported not eating breakfast within the past 5 days, while 41% were trying to lose weight, and 37% were dieting to lose weight. Excessive dietary practices (eg, fasting, taking diet pills or laxatives, and vomiting to lose weight) were reported by approximately 25% of the sample. When compared to those eating breakfast within the past 5 days, all race and gender groups that did not report eating breakfast were significantly more likely to report fasting to lose weight (ORs = 1.70-2.97). In addition, all race/gender groups, with the exception of black females, were significantly more likely to perceive themselves as overweight (ORs = 1.44-1.61) and trying to lose weight (ORs = 1.40-1.72). Among males, not eating breakfast was significantly associated with taking diet pills to lose weight (ORs = 2.31-2.40), eating fewer calories to lose weight (ORs = 1.38-1.49), and inversely associated with trying to gain weight (ORs = 0.71-0.74). Results suggest that these adolescents may be skipping breakfast as part of a patterned lifestyle of unhealthy weight management and that efforts to encourage youth to eat breakfast will likely not ameliorate all dietary challenges that appear beyond the scope of increased breakfast offerings.

Adolescent↗

PubMed1998

Fluvoxamine in the treatment of binge-eating disorder: a multicenter placebo-controlled, double-blind trial.

OBJECTIVE: The purpose of this study was to assess the efficacy of fluvoxamine in the treatment of binge-eating disorder. Binge-eating disorder is a newly described eating disorder characterized by recurrent episodes of binge eating but without purging behaviors. Uncontrolled reports have suggested that serotonin selective reuptake inhibitors (SSRIs) may be effective in treating this disorder. METHOD: Eighty-five outpatients with a DSM-IV diagnosis of binge-eating disorder were randomly assigned to receive either fluvoxamine (N=42) or placebo (N=43) in a 9-week, parallel-group, double-blind, flexible dose (50-300 mg) study at three centers. The primary outcome measures were frequency of binge eating, expressed as log ([binges/week]+1), and Clinical Global Impression (CGI) scale ratings. Secondary measures included the level of response (based on the percentage change in frequency of binges), body mass index, and Hamilton Rating Scale for Depression score. Except for the level of response, the outcome measures were analyzed by random regression methods; the treatment-by-time interaction was the measure of treatment effect. RESULTS: Compared with placebo, fluvoxamine was associated with a significantly greater rate of reduction in the frequency of binges, rate of reduction in CGI severity scores, rate of increase in CGI improvement scores, level of response for patients who completed the 9-week study, and rate of reduction in body mass index. There was no significant difference between placebo and fluvoxamine groups in the rate of decrease in Hamilton depression scale scores. A significantly greater proportion of patients receiving fluvoxamine than those receiving placebo discontinued treatment because of an adverse medical event. CONCLUSIONS: In this placebo-controlled trial, fluvoxamine was found to be effective according to most outcome measures in the acute treatment of binge-eating disorder.

Adolescent↗

PubMed2006

Binge eating disorder: a stable syndrome.

OBJECTIVE: This study assessed the stability of binge eating disorder in a community sample. METHOD: The authors interviewed 888 first-degree relatives of 300 overweight or obese probands (150 with binge eating disorder and 150 with no lifetime eating disorder) who were recruited during a family study. They compared the total duration of illness among relatives with lifetime diagnoses of binge eating disorder (N=131), bulimia nervosa (N=17), and anorexia nervosa (N=18). RESULTS: The mean lifetime duration of binge eating disorder was 14.4 years (SD=13.9), significantly longer than for either bulimia nervosa (mean=5.8 years, SD=9.1) or anorexia nervosa (mean=5.9 years, SD=7.4). These differences changed little when analysis was restricted to female relatives or to relatives of the probands with no lifetime eating disorder. CONCLUSIONS: These findings suggest that binge eating disorder is at least as chronic as the well-validated disorders anorexia nervosa and bulimia nervosa and likely represents a stable syndrome.

Adult↗

PubMed2005

A preliminary study of EAT and BITE scores for one school year in Bermuda: increased early anorexic measures related to socio-economic factors.

BACKGROUND: Bermuda is a unique heterogeneous ethnic population in which it is possible to study the interaction of ethnicity, culture, gender and economic factors that influence abnormal eating attitudes. METHOD: A cross-sectional survey of 836 adolescents, one total school year in Bermuda. The BITE and EAT self-report questionnaires were administered in a classroom setting. The analysis was for caseness and for total scores. Caseness represents possible developing anorexic or bulimic eating disorder pathology for this non-adult population. RESULTS: 7.3% fulfilled EAT caseness, 0.24% fulfilled BITE caseness. There was no gender or ethnic difference for caseness. Multivariate analysis for EAT caseness found Odds Ratios of 2.89 (95% CI 1.37, 6.11) for Manual maternal job status. CONCLUSION: Despite the limitation of a questionnaire analysis, lower socioeconomic status increases the risk of possible eating disorder pathology in this adolescent population. Developing anorexic eating attitudes were more prevalent compared to bulimic attitudes for schoolchildren in this unique cultural setting.

Adolescent↗

PubMed2003

An evaluation of affect and binge eating.

The affect regulation model of binge eating suggests that binge eating occurs because it provides momentary relief from negative affect. The purpose of this study was to evaluate change in affect during binge eating to evaluate the merits of this model. Participants were young adult women from a midwestern university. Binge eaters recorded their level of pleasantness using the affect grid at 2-minute intervals before, during, and after binge eating episodes and regular meals. Controls recorded in a similar manner during meals. The results showed a different pattern of affect for binge eaters during binge eating episodes and normal meals and for binge eaters and controls at normal meals. The results support the affect regulation model of binge eating and suggest that binge eating is negatively reinforced because it produces momentary relief from negative affect.

Adolescent↗

PubMed2005

The breakfast-eating habits of inner city high school students.

This cross-sectional, descriptive correlational research study describes the breakfast-eating habits of 846 inner-city high school students. Fifty-seven percent of students reported skipping breakfast on the day of the survey, despite the free hot-breakfast program at their high school. Significantly more girls than boys skipped breakfast, and 10th grade students had the highest rate of skipping breakfast. Sixty-four percent of breakfast-skippers cited a lack of time, and 28% stated they could not eat early in the morning. More breakfast eaters reported eating at home (48%); only 14% reported eating at school, with 3% reportedly eating both at home and school. Milk, orange juice, cereal, and foods in the bread group were the most frequently eaten foods. Patterns of eating by gender and by grade level are discussed in this article, as are implications for school nursing, including assessment, teaching, and research. It is important to educate students and parents about the importance of eating breakfast, because it provides an important part of a student's daily intake of nutrients needed for energy, growth, and learning.

Adolescent↗

PubMed1986

Measures of eating-related characteristics for the general population: relationships with temperament.

A questionnaire that assessed a broad range of eating-related characteristics for unselected, normal subjects was factor analyzed in a two-step process proposed by Comrey (1984). Twelve "factored homogeneous item dimensions" were identified first and yielded three primary-level factors in a second factor analysis: Predisposition to Obesity (including Dieting and Preoccupation with, and Fear Of, Gaining Weight), Uncontrollable Urges to Eat (including Eating Momentum Beyond Control, Food a Panacea and Constant Temptation, and Secret Binging), and Predisposition to Anorexia (including Insufficient Eating Obvious to Others, Food Phobia, Inability to Eat, and Vomiting After Meals). The three primary-level factors were positively intercorrelated and exhibited significant positive, though weak, correlations with a measure of trait arousability. Also, weak results tentatively indicated that individuals with more pleasant and/or more arousable temperaments were less likely to be overweight. Subjects reported sharply higher levels of food consumption when feeling "depressed" (i.e., bored, lonely, sad) than when feeling "distressed" (i.e., uncomfortable, anxious, in pain). Uncontrollable Urges to Eat correlated positively and significantly with self-reports of food consumption while depressed, showing that those lacking control over eating ate especially more while feeling bored, lonely, or sad. Predisposition to Obesity correlated negatively and significantly with self-reports of food consumption while distressed, showing that those tending more toward obesity ate less while upset or anxious.

Journal Article↗

PubMed1980

Eating behavior reveals rats' preference for morphine.

Using an automatic food intake measuring apparatus ("food intakometer"), we recorded the approach behavior to food, eating behavior and food intake of morphine dependent rats and examined the relationship among these factors and morphine dependence. Morphine dependent rats were produced by the drug-admixed food (DAF) method. In the choice trial of free feeding group, morphine dependent rats showed only the approach behavior both to drug-free diet and to morphine-admixed food, then ate the morphine-admixed food and approached the drug-free diet at the same period. Eating behavior in the case of morphine-admixed food was observed not only at night but also during thee feeding group, morphine dependent rats showed only the approach behavior both to drug-free diet and to morphine-admixed food, then ate the morphine-admixed food and approached the drug-free diet at the same period. Eating behavior in the case of morphine-admixed food was observed not only at night but also during the day time in the morphine dependent rats. In the choice trial of the limited feeding group, preference for morphine rapidly increased in every choice trial of each session and the preference rate became stable at about 60%. Eating patterns of these rats were similar to these in the free feeding group. When these rats were given morphine prior to the choice trial, eating behavior of those on the morphine-admixed food was inhibited dose-dependently, while eating behavior of these on the drug-free diet was enhanced dose-dependently. When these rats were allowed free access to drug-free diet for 1 hour previously to the choice trial, eating behavior of the rats on the morphine-admixed food in the choice trial was markedly enhanced. Thus, the rats clearly showed drug-seeking behavior and seemed to be able to distinguish between the need for morphine and satisfaction without it. Morphine dependent rats apparently can control their required maintenance dose.

Animals↗

PubMed2002

Childhood social arena and cognitive sets in eating disorders.

OBJECTIVE: While there is much evidence to suggest that women with eating disorders experience difficulties in the social domain, little has been done to establish whether such difficulties play a causal role or the extent to which these involve cognitive factors. The purpose of this report is to determine whether difficulties in certain aspects of the childhood social arena are reported as existing prior to developing an eating disorder. METHOD: A sample of 43 women with a history of eating disorders and 20 women with no such history were interviewed retrospectively about their feelings and experiences of loneliness, shyness and inferiority in childhood and adolescence. RESULTS: Women with a history of anorexia nervosa of the binge/purge subtype reported higher levels of loneliness, shyness and feelings of inferiority in adolescence than did women with no history of an eating disorder, and women with a history of bulimia nervosa reported higher levels of shyness. However, this was not true for earlier childhood where such feelings did not differ significantly between groups. This difference could not be accounted for by current depressive disorder, recovery from the eating disorder or level of victimization in adolescence. CONCLUSION: There are a number of differences in the aetiology of subtypes of eating disorder. The present results suggest that cognitive styles pertaining to the social arena in adolescence, and prior to the onset of any eating disorders, may play a causal role in the development of anorexia nervosa of the binge/purge subtype, but not anorexia nervosa of the restricting subtype.

Adolescent↗

PubMed2002

Negative affect and binge eating in overweight women.

OBJECTIVES: Binge eating among overweight women is associated with adverse physical and psychological consequences, and is known to occur in response to negative affect. This study sought to examine the role played by individual differences in coping style in the relationship between negative affect and binge eating. METHOD: Overweight women (N = 105) completed a battery of questionnaires that assessed their binge eating severity, negative affect, and dispositional coping style. RESULTS: Women with higher levels of negative affect had more severe binge eating problems than those who generally experienced a low level of affective distress. Among those who were low in negative affect, however, those who tended to use the dysfunctional strategy of disengagement to cope with stress reported more severe binge eating than those who reported they were less likely to employ this coping style. CONCLUSIONS: The findings from this study emphasize the complexity and multicausality of affect-related binge eating in overweight women. Prospective studies are required to establish the role of negative affect and coping style in the onset and progression of recurrent binge eating among overweight individuals.

Journal Article↗

PubMed1989

Coordination of eating, drinking and breathing in adults.

The coordination of breathing and swallowing was studied in seven normal males at rest, as well as during eating and drinking. Ventilation was monitored using respiratory inductive plethysmography and swallowing was recorded by submental electromyogram. Swallowing occurred almost exclusively in expiration. Two hundred and seventy-one swallows were seen and only two occurred in inspiration. The mean expiratory duration (Te) of breaths containing a swallow was significantly greater than the mean Te of all breaths during the same period. There was no change in mean tidal volume (VT), inspiratory duration (Ti), expiratory duration (Te), mean inspiratory flow (VT/Ti) or minute ventilation (VE) between the periods of normal breathing, eating and drinking. However, breathing became more irregular during eating and drinking. The mean coefficient of variation of VT, Te, and VT/Ti was significantly greater during eating and drinking than at rest. The coefficient of variation for VT was 22 + 3 percent, 36 +/- 5 percent, and 41 +/- 5 percent during the initial period of resting breathing, eating and drinking. For VT/Ti it was 24 +/- 6 percent, 43 +/- 14 percent and 44 +/- 8 percent during resting breathing, eating and drinking. We conclude that swallowing is almost exclusively an expiratory activity. This may play a protective role in preventing aspiration. Although the level of ventilation is maintained constant during eating and drinking, the pattern of breathing becomes increasingly irregular. This may contribute to dyspnea during meals in some patients with lung disease.

Adult↗

PubMed2004

Binge eating, quality of life and physical activity improve after Roux-en-Y gastric bypass for morbid obesity.

BACKGROUND: Severe obesity has been associated with disordered eating, impaired quality of life (QoL), and decreased physical activity. This study examines changes in these variables 6 months after Roux-en-Y gastric bypass (RYGBP). METHODS: 40 morbidly obese patients were evaluated at baseline and at 6 months after RYGBP on the following measures: Binge Eating Scale, Three Factor Eating Questionnaire, Impact of Weight on Quality of Life-Lite (IWQoL-Lite), and the Baseline Questionnaire of Activity. RESULTS: 6 months after RYGBP, weight loss averaged 26.7%, and scores on measures of disordered eating, weight-related QoL, and physical activity showed statistically significant improvement from baseline. At the time of follow-up, 100% of participants achieved a score on the Binge Eating Scale that indicated no binge eating problems, and weight-related QoL scores approached those obtained by a reference sample of community volunteers. There were also improvements in the level of self-reported physical activity and television watching behavior. CONCLUSIONS: RYGBP resulted in significant improvements in disordered eating, weight-related QoL, and physical activity in addition to weight loss.

Adult↗

PubMed1997

Eating behavior and the experience of hunger following gastric bypass surgery for morbid obesity.

BACKGROUND: Numerous different factors may contribute to the varying degrees of success observed following gastric bypass surgery. It is likely that alterations in the subjective experiences of hunger and satiety, as well as behavioral factors, are important. Our aim was to investigate the association of several factors, including qualitative aspects of hunger and satiety, eating patterns, and the emotional valence of different foods, to the weight loss that occurred following obesity surgery. METHODS: A questionnaire covering aspects of hunger, eating and satiety was administered to three groups: (1) a group of people who had undergone gastric bypass surgery with an acceptable weight loss; (2) a morbidly obese group of patients prior to their surgical intervention; (3) a group of people of normal weight. RESULTS: There were significant differences amongst the three groups in scoring on standardized eating disorder scales, in the amount they could eat, and in the experience of hunger. The presurgery, waiting-list group was more receptive to food-related than interoceptive cues when deciding to stop eating. 'Eating styles' also differed across the groups. CONCLUSIONS: It is concluded that changes in specific food-related behaviors and other psychological variables interact with the physical restriction to eating. The relative weighting of other variables needs further exploration.

Attitude↗

PubMed1972

Training and maintaining a retarded child's proper eating.

The present study was designed to explore whether motivational procedures are needed to maintain a retardate's continued use of previously trained eating skills. A profoundly retarded child who ate food with her hands was trained by a manual guidance procedure to eat properly with a spoon, but the child still did not use the spoon after having learned to do so. When a motivational-maintenance procedure was applied, the child did begin to eat properly. When maintenance was discontinued, the child returned to eating with her hands. Proper eating returned when maintenance was applied again; when discontinued, the child returned to eating with her hands. These results demonstrate that continued motivational procedures are needed after training to maintain the retardate's continued use of proper eating skills.

Journal Article↗

PubMed2006

Eating fast leads to obesity: findings based on self-administered questionnaires among middle-aged Japanese men and women.

BACKGROUND: Few epidemiologic studies have examined the association between the rate of eating and obesity. In this study, we cross-sectionally examined the association of the self-reported rate of eating with current Body Mass Index (BMI), and BMI-change from 20 years of age to the current age. METHODS: Subjects were 3737 male (mean age +/- standard deviation and mean BMI +/- standard deviation: 48.2 +/- 7.1 years and 23.3 +/- 2.7 kg/m(2)) and 1005 female (46.3 +/- 7.0 years and 21.8 +/- 2.8 kg/m(2)) Japanese civil servants. We measured self-reported categorical rate of eating, current BMI, BMI at age 20, and BMI-change from age 20. Energy intake was assessed over a 1-month period with a brief-type diet history questionnaire. RESULTS: The multiple regression analysis in which the current BMI was regressed by categorical rate of eating, energy intake, age, and lifestyle factors showed that current BMI steadily increased by -0.99, -0.67, 0.81, and 1.47 kg/m(2) along with the progress of categorical rate of eating from the 'medium' group to 'very slow', 'relatively slow', 'relatively fast', and 'very fast' groups, respectively, in men. In women, the corresponding values were -1.06, -0.35, 0.50, and 1.34 kg/m(2). When the BMI increment from age 20 to current age was regressed in the same manner, the increment was -0.63, -0.34, 0.57, and 1.05 kg/m(2) in men and -0.71, -0.32, 0.34, and 1.14 kg/m(2) in women, respectively. Additionally, both BMI at age 20 and current height were positively associated with rate of eating. CONCLUSIONS: Our results among middle-aged men and women suggest that eating fast would lead to obesity.

Adult↗

PubMed2000

[Development children's eating behavior]

OBJECTIVES: Review the literature, exploring factors that contribute to the development of children's eating behavior such as the role of learning and social context. METHODS: The review of the literature was done using Medline, Psyclit, and Lilacs as resources for assessing international and national research articles on child nutrition, with an emphasis on children's eating behavior. These articles were revised and grouped together according to the topic. RESULTS: Family is responsible for the development of children's eating behavior through social learning. Parents are children's first nutritional educators. Children's eating experiences are influenced by cultural and psychosocial factors. Social context plays a relevant role in this process, especially through the strategies used by parents to encourage children to have a balanced diet and to eat specific foods. These strategies may contain adequate and inadequate stimuli as to the development of children's food preference and food intake self-control. CONCLUSION: The learning process is a determining factor for children's eating behavior, and is associated with three factors: food flavor conditioning, food postingestional consequences, and social context. Parents are deeply concerned with the amount of food their children eat and not with the development of more adequate habits and attitudes related to dietary quality.

Journal Article↗