Increasing clinical awareness of obesity as a serious, chronic, relapsing, and treatable disease

doi:10.37765/ajmc.2022.89290

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Medical professionals provide diabetes self‐management education and support and encourage patients to achieve dietary goals 1 , 2 . However, there are many pitfalls to achieving and maintaining healthy eating behaviors, including psychological and socio‐environmental factors such as perceived inadequate self‐efficacy, depression, personal health fads, and hypochondria as well as subconscious hedonic responses to various foods 3 , 4 , 5 , 6 .…”

Section: Introductionmentioning

confidence: 99%

An exploratory study of factors in disordered eating behavior in diabetes self‐management in Japan

Tsukamoto‐Kawashima,

Ikeda,

Sone

et al. 2024

J of Diabetes Invest

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Aims/IntroductionDiet directly affects glucose metabolism, and eating behavior is influenced by various daily life stressors. This study was conducted to investigate the relationship between common psychosomatic stressors on endocrine hormones and eating behavior in patients with type 2 diabetes.Materials and MethodsThis cross‐sectional study was performed in 40 patients with type 2 diabetes. Resting hormone blood sampling and four self‐reported questionnaires were employed.ResultsPatients who scored higher on the ‘anger/hostility’ (AH) subcategory of the profile of mood state (POMS) questionnaire had significantly higher serum cortisol (β = 0.40, P = 0.01 by least squares adjusted for age and sex). In the eating behavior questionnaire, the subcategories of ‘feeling of hunger/satiation’ (β = 0.49, P < 0.01) and ‘eating as diversion’ (β = 0.39, P = 0.03) were associated with higher serum cortisol. Resting morning cortisol levels were higher in participants who rated high on the POMS‐AH and in those who reported ‘irritated when hungry’ and ‘tend to eat when irritated or anxious’. Sleep quality showed no association with eating behavior.ConclusionsMood state is associated with eating behavior. Anger increases cortisol levels and may lead to compulsive eating. Various forms of hostility are important factors in appetite control and increased cortisol secretion, and can be an impediment to successful dietary self‐management in patients with type 2 diabetes. Thus, assessment of mood state and control of negative mood are important therapeutic targets in diabetes management.

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Section: Introductionmentioning

confidence: 99%

An exploratory study of factors in disordered eating behavior in diabetes self‐management in Japan

Tsukamoto‐Kawashima,

Ikeda,

Sone

et al. 2024

J of Diabetes Invest

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Higher degree of dysfunctional attitudes and beliefs and higher scores of frustration intolerance in women with unsuccessful weight loss

Tepsic-Ostojic,

Stojanovic,

Mraovic

et al. 2024

VOJNOSANIT PREGL

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Background/Aim. Obesity is a chronic and relapsing condition, and since recently, it has been considered a global epidemic. Current guidelines for tripartite treatment of obesity emphasize a program of lifestyle modifications such as medical nutrition therapy, aerobic exercise, and behavioral intervention. The aim of the study was to evaluate whether specific psychological factors (general attitudes and beliefs and frustration tolerance) could be predictors of successful weight loss, i.e., factors that can be further addressed as part of the integrated therapy approach. Methods. A total of 84 consecutive overweight and obese female participants who were apparently healthy and homogeneous in age, level of education, and marital or employment status were prescribed the same medical nutrition therapy protocol as a single six-month therapeutic intervention. Prior to starting the therapy, the General Attitude and Belief Scale (GABS) and the Frustration Discomfort Scale (FDS) were administered. The participants were divided into two groups: successful (group A) and unsuccessful (group B). Group A, or the successful group [with the mean body mass index (BMI) ? standard deviation (SD) of 24.1 ? 5.81 kg/m2], consisted of 40 participants who have reached the corresponding loss, i.e., they lost ? 10% of the starting body weight (BW). Group B, or the unsuccessful group (with the mean BMI ? SD of 28.51 ? 2.74 kg/m2), consisted of 44 participants who have not reached the corresponding loss, i.e., they lost < 10% of the starting BW. Results. Participants in group B had significantly higher scores (p < 0.05) on the GABS subscales for the Need for Approval, Need for Comfort, and Other Downing. A statistically significant difference between groups (p < 0.05) was shown for FDS subscales of Emotional Intolerance, Entitlement, and Achievement Frustration. Conclusion. Results of our study showed that participants who were unsuccessful in medical nutrition therapy had a higher degree of dysfunctional attitudes and beliefs and higher scores of frustration intolerance when compared to successful participants. The recommendation, based on our results, would be to include psychotherapeutic techniques in the integrative obesity treatment, aimed at cognitive changes and increasing frustration tolerance.

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Awareness of Obesity and Weight Loss Management Among Adults in the Asir Region, Saudi Arabia

Al-Shahrani,

Alqahtani,

Alghamdi

et al. 2024

Cureus

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Increasing clinical awareness of obesity as a serious, chronic, relapsing, and treatable disease

Abstract: For author information and disclosures, see end of text.

Cited by 3 publications

References 25 publications

An exploratory study of factors in disordered eating behavior in diabetes self‐management in Japan

An exploratory study of factors in disordered eating behavior in diabetes self‐management in Japan

Higher degree of dysfunctional attitudes and beliefs and higher scores of frustration intolerance in women with unsuccessful weight loss

Awareness of Obesity and Weight Loss Management Among Adults in the Asir Region, Saudi Arabia

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