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Clinical Obesity

Alejandro Szmulewicz, Kerollos N Wanis, Ashley Gripper, Federico Angriman, Jeff Hawel, Ahmad Elnahas, Nawar A Alkhamesi, Christopher M Schlachta
Recent literature has raised concerns regarding the risk of adverse psychiatric events among bariatric surgery patients. However, the relationship between weight loss therapy and psychiatric outcomes is confounded by baseline psychosocial characteristics in observational studies. To understand the impact of bariatric surgery on the risk of adverse mental health outcomes, we conducted a systematic review and meta-analysis of randomized controlled trials that compared surgical and non-surgical treatments and assessed mental health quality of life (QoL)...
November 20, 2018: Clinical Obesity
A Bastin, A J Romain, J Marleau, A Baillot
Health behaviour change is a cornerstone in the management of obesity, and data on health behaviours, intentions and barriers to change would be useful to inform the development of interventions. The aim of this study was to describe these variables in individuals with obesity, and to compare obesity classes. The study obtained data from the Canadian Community Health Survey 2011-2012 including 5614 adults with body mass index (BMI) ≥30 kg m-2 . The majority of participants reported eating four or more fruits and vegetables daily (65...
November 20, 2018: Clinical Obesity
Ran Wang, Fan Yang, Li Qing, Rong Huang, Qianqi Liu, Xiaonan Li
Neuregulin 4 (Nrg4), a newly identified adipokine secreted by brown adipose tissue, is hypothesised to play a crucial role in metabolism. The present study aimed to evaluate the association between serum Nrg4 levels and non-alcoholic fatty liver disease (NAFLD) in children with obesity in China. A total of 123 children with obesity were included in this study. Anthropometric and biochemical parameters were measured in all subjects. NAFLD was diagnosed using ultrasonography. The serum levels of Nrg4, leptin and adiponectin were measured by enzyme-linked immunosorbent assay...
November 8, 2018: Clinical Obesity
R S Doshi, K A Gudzune, L N Dyrbye, J F Dovidio, S E Burke, R O White, S Perry, M Yeazel, M van Ryn, S M Phelan
This study aimed to identify factors associated with high obesity care self-competence among US medical students. The authors performed a cross-sectional analysis of 2014 survey data on fourth year medical students collected online as part of the Medical Student Cognitive Habits and Growth Evaluation Study (CHANGES). Independent variables included quality and quantity of interaction with patients and peers with obesity; hours of communication and partnership skills training; negative remarks against patients with obesity by supervising physicians, and witnessed discrimination against patients with obesity...
October 24, 2018: Clinical Obesity
C P Holliday, N P Holliday, M Mulekar
Women may not have an accurate perception of their own body weight and vary in understanding about healthy weight. The study's aim was to assess women's accuracy of their own body mass index (BMI), understanding of the healthiest body weight and opinion of the most attractive body figure. We surveyed 385 women (age, 19-77 years) attending our obstetrics and gynaecology clinics with an anonymous survey demonstrating a selection of Body Image Scale graphics to represent their current body, the healthiest body and the most attractive body...
October 9, 2018: Clinical Obesity
C M Harris, M S Abougergi, S Wright
The aim of the study is to investigate effects of morbid obesity on patients hospitalized with diabetic foot ulcers and infections (DFU/Is). This retrospective cohort study of hospitalized adults investigated patients with a principal diagnosis of DFU/Is, and compared outcomes based on weight. The primary outcome was lower limb amputations. Secondary outcomes included in-hospital mortality, morbidity (sepsis and discharge disposition), resource utilization (length of stay [LOS] and total hospitalization charges)...
October 4, 2018: Clinical Obesity
K Sievert, T Lobstein, P Baker
Images accompanying articles on obesity in the media may contribute to a stigmatizing narrative of personal blame for the condition. We report a pilot study of online newspapers in 15 countries to determine the use of positive and negative imagery used to accompany articles on obesity. We undertook a visual content analysis of images accompanying articles on obesity from the top five newspapers of each country. We then ranked countries according to the ratio of positive to negative imagery used. A total of 195 images were analysed...
September 25, 2018: Clinical Obesity
M Ibarra, A Eekema, C Ussery, D Neuhardt, K Garby, K L Herbst
Lipoedema is painful nodular subcutaneous adipose tissue (SAT) on legs and arms of women sparing the trunk. People with Dercum disease (DD) have painful SAT masses. Lipoedema and DD fat resists loss by diet and exercise. Treatments other than surgery are needed. Six women with lipoedema and one with DD underwent twelve 90-min sessions over 4 weeks. Body composition by dual X-ray absorptiometry scan, leg volume, weight, pain, bioimpedance, tissue size by caliper and ultrasound were analysed before and after SAT therapy by paired t-tests...
September 24, 2018: Clinical Obesity
E Alexander, E Tseng, N Durkin, G J Jerome, A Dalcin, L J Appel, J M Clark, K A Gudzune
The aim of this study is to examine factors associated with long-term retention in a commercial weight-loss programme. We conducted a retrospective analysis of an employer-based, commercial programme from 2013 to 2016. Our dependent variable was 'long-term retention', defined as continuously enrolled participants who actively engaged through coach calls at 6 and 12 months. Independent variables included baseline demographics, programme engagement and weight change. We conducted multivariate logistic regression analyses assessing for differences in long-term retention by several factors, adjusted for employer clustering...
September 24, 2018: Clinical Obesity
T Luig, R Anderson, A M Sharma, D L Campbell-Scherer
Obesity is a complex, chronic disease, frequently associated with multiple comorbidities. Its management is hampered by a lack of translation of evidence on chronicity and pathophysiology into clinical practice. Also, it is not well understood how to support effective provider-patient communication that adequately addresses patients' personal root causes and barriers and helps them feel capable to take action for their health. This study examined interpersonal processes during clinical consultations, their impacts, and outcomes with the aim to develop an approach to personalized obesity assessment and care planning...
September 21, 2018: Clinical Obesity
H Dereppe, M Verbeke, C Debruxelles, E Boucq, L Ponzoni, G Cuvelier
No abstract text is available yet for this article.
September 19, 2018: Clinical Obesity
A M Chao, T A Wadden, R L Pearl, N Alamuddin, S M Leonard, Z M Bakizada, E Pinkasavage, K A Gruber, O A Walsh, R I Berkowitz, N Alfaris, J S Tronieri
Anti-obesity medication may help people maintain diet-induced reductions in appetite. The present exploratory analysis assessed the effects of lorcaserin on changes at 24 weeks post-randomization in emotion- and stress-related eating, food cravings and other measures of appetite (i.e. binge eating, cognitive restraint, disinhibition, hunger, preoccupation with eating and fullness). The parent study investigated the efficacy of combined lorcaserin and behavioural treatment in facilitating weight loss maintenance (WLM) in 137 adults (mean age = 46...
September 17, 2018: Clinical Obesity
E Goad, K Gleeson, S Jackson
This literature review explores the association between body mass index and self-esteem in nurses, alongside their attitudes towards patients who have obesity. These variables have either previously been linked to weight bias, or with prejudice more generally, but findings in this context are inconclusive. Searches were conducted through Psychology Cross Search, PubMed, Web of Science, Proquest Allied Health Professionals and Google Scholar. Ten studies met the inclusion criteria and were tabulated and critiqued using appropriate appraisal tools...
September 17, 2018: Clinical Obesity
P Rye, R Modi, A M Sharma
No abstract text is available yet for this article.
December 2018: Clinical Obesity
M Opozda, G Wittert, A Chur-Hansen
Patients' pre-surgical expectations and post-surgical experiences of eating-related behaviour change after bariatric surgery may vary by procedure and time since surgery. To investigate this, data were coded from 206 Australian adults ≥2 months post-Roux-en-Y gastric bypass (RYGB; 17%), adjustable gastric band (AGB; 23%) or vertical sleeve gastrectomy (VSG; 60%) who completed an online questionnaire including open-ended questions about pre-surgical eating-related expectations and post-surgical experiences...
October 2018: Clinical Obesity
J E Childerhose, I Eneli, K E Steele
Bariatric surgery is a safe and effective intervention to treat severe obesity and related comorbidities in adolescents. No qualitative studies have explored the perspectives of US adolescent weight-loss patients on their bariatric surgery motivations, decision-making or experiences. The purpose of this qualitative exploratory study was to explore the perspectives of adolescent patients seeking bariatric surgery while enrolled in a medical weight management programme. Eligible participants 13-21 years old were recruited through a weight management programme at a tertiary care children's hospital in the US Midwest...
October 2018: Clinical Obesity
M Reynolds, S Driver, M Bennett, S Patel, E Rainey, A M Warren
The increased incidence of obesity in the general population translates into clinicians caring for an increased number of trauma patients with obesity. Previous research has documented the unique anatomical and physiological challenges that clinicians face when caring for trauma patients with obesity; however, little is known about psychological challenges that trauma patients with obesity may also experience in the months following injury. The aim of this study is to determine the relationship between obesity and (i) mental health, (ii) demographic and injury-related variables and (iii) quality-of-life outcomes among trauma patients between hospitalization and 3-months post-injury...
October 2018: Clinical Obesity
A O Fowokan, B M Sakakibara, N Onsel, Z Punthakee, C Waddell, M Rosin, S A Lear
The prevalence of hypertension in children is increasing globally. Addressing this will require a robust understanding of associated risk factors. To this end, we conducted a systematic review to identify correlates of elevated blood pressure (BP) in children. Literature searches were conducted using pre-defined search terms from three academic databases. The abstract and full text of identified studies were screened for eligibility by two independent reviewers. A total of 100 studies were included in this systematic review...
October 2018: Clinical Obesity
C D Madigan, A J Hill, C Hendy, J Burk, I D Caterson
The aim of this study is to examine the feasibility of a brief intervention to reduce instances of indulgent energy intake. Forty-five participants with a body mass index (BMI) ≥25 kg m-2 were randomized to one of three groups for 8 weeks. The control group was asked to complete a questionnaire every 4 days, the self-monitoring group was given the same instructions but also asked to 'say no' to indulgences. The self-monitoring and feedback group was asked to do the same but in addition to send a photograph or description of that to which they had 'said no' and were then provided with feedback...
October 2018: Clinical Obesity
A A Mamun, D H McIntyre, J M Najman, G M Williams, M Khatun, J Finlay, L Callaway
Pregnancies can end in miscarriage, birth or termination. Although it is well known that pregnancy results in weight gain across the life course, it is unknown whether pregnancies which end in termination and miscarriage contribute to this. The study used a sub-sample of 3630 adult offspring from the original cohort of the Mater University of Queensland Study of Pregnancy (MUSP) and its outcomes, in Brisbane, Australia. Anthropometric data were measured at 5, 14 and 21 years of age and experience of pregnancy including termination, miscarriage and births were self-reported at 21 years...
October 2018: Clinical Obesity
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