Predictors of drop-out in overweight and obese outpatients

Inelmen, Eminè Meral; Toffanello, Elena Debora; Enzi, Giuliano; Gasparini, Giulia; Miotto, Fabrizia; Sergi, Giuseppe; Busetto, Luca

doi:10.1038/sj.ijo.0802846

Cited by 159 publications

(200 citation statements)

References 41 publications

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“…Attrition rates of 10-80% have been reported across various behavioural, pharmacological and surgical weight loss treatments (Inelmen et al, 2005). In addition, about half the weight lost is often regained within 1 year and almost all is typically regained within 3-5 years post-treatment (Jeffery et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Biased attentional processing of food cues and modification in obese individuals.

2014

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Objective: This paper reports two experiments designed to investigate and modify biased attentional processing of food cues in obesity. Experiment 1: Experiment 1 used a dot probe task to show a food-related attentional bias in 58 obese women, relative to a comparison sample of normal weight controls. Experiment 2: Experiment 2 examined whether this bias can be modified. Using a modified dot probe task, 96 obese women were trained to attend to, or to avoid, food pictures. Attentional bias for food increased in the attend group, and decreased in the avoid group. The attentional re-training effects generalised to an independent measure of biased information processing, such that participants in the avoid group produced relatively fewer food than animal words on a subsequent word stem completion task than those in the attend group. Conclusion: The results extend the application of attentional bias modification from anxiety and addiction to obesity. They also offer potential scope for tackling pathological (over)eating.

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Section: Discussionmentioning

confidence: 99%

Biased attentional processing of food cues and modification in obese individuals.

2014

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“…Subjects were asked to indicate their habitual food choices and usual patterns of consumption of the various foodstuffs on a daily, weekly, monthly or yearly basis. This diet assessment method had already been validated in a previous study (Inelmen et al, 2005) and details of the procedure can be found elsewhere (Inelmen et al, 2000). Mean daily intake was calculated, including total energy (kcal/day), macronutrients (proteins, carbohydrates, lipids) and calcium.…”

Section: Protocolmentioning

confidence: 99%

Predictors of low bone mineral density in the elderly: the role of dietary intake, nutritional status and sarcopenia

et al. 2007

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Objectives: The aims of this study were to investigate the relationship between sarcopenia, dietary intake, nutritional indices and hip bone mineral density (BMD) in the elderly, and to estimate the risk of low BMD due to specific independent predictor thresholds. Subjects and methods: Body mass index (BMI), serum albumin, energy and protein intake were studied in 352 elderly outpatients (216 women aged 73.575.3 years and 136 men aged 73.975.6 years). BMD at different hip sites and appendicular skeletal muscle mass (ASMM) were assessed by dual-energy X-ray absorptiometry. Results: The prevalence of osteoporosis was 13% in men and 45% in women, while the prevalence of sarcopenia (50%) and hypoalbuminemia (5%) were similar in both genders. BMI, albumin and ASMM were significantly associated with BMD in both genders: so was protein intake, but only in men. By multiple regression analysis, the variables that retained their independent explanatory role on total hip BMD, were BMI and protein intake in men, and BMI and albumin in women. By logistic regression analysis, men risked having a low BMD with a BMI o22 (OR ¼ 12) and a protein intake o65.7 g/day (OR ¼ 3.7). Women carried some risk already in the BMI 25-30 class (OR ¼ 5), and a much greater risk in the BMI o22 class (OR ¼ 26). Albumin o40 g/l also emerged as an independent risk factor (OR ¼ 2.6). Conclusions: BMI in both genders, albumin in women and protein intake in men have an independent effect on BMD. BMI values o22 are normal for younger adults but carry a higher risk of osteoporosis in the elderly, particularly in women. Agerelated sarcopenia does not seem to be involved in bone mass loss.

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“…There were 15 control papers published in five of these journals (Figure 1), eight containing data on children or a definition of obesity in just three journals (Table 2). One used BMI only as a continuous variable (McCarthy et al, 2005), one used the adult definition of overweight from age 15 years (Inelmen et al, 2005), one advocated the IOTF definition but did not cite a reference (Viner and Nicholls, 2005) and the remaining five sets of authors used a centile of their national distribution.…”

Section: Resultsmentioning

confidence: 99%

Definitions of childhood obesity: current practice

Chinn

2006

Eur J Clin Nutr

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Objective: To review current practice in the definition of childhood obesity based on body mass index (BMI), in order to understand why the recommendations of the International Task Force on Obesity (IOTF) have not been fully adopted. Design: Literature search using MEDLINE to identify papers on childhood obesity published in the first 4 months of 2005, and a cited reference search on the recommendations of the IOTF. Results: Citations of the IOTF definition have increased since publication, but less than half of papers on childhood obesity published in the period used the definition. Most used the 95th centile of a national distribution to define obesity. Conclusions: Reasons for using centiles of a national distribution included the need for z-scores or centiles to define underweight or extreme obesity, not available in conjunction with the IOTF definition, inclusion of children under 2 years, and concerns about over-or underestimation of the prevalence of obesity. None of these preclude use of the principle underlying the IOTF definition, that of continuity with the adult definition of BMI of 30 kg/m 2 or more. Adoption of either the IOTF definition or corresponding centiles of a national distribution would enable comparisons of prevalence between countries and over time.

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Predictors of drop-out in overweight and obese outpatients

Abstract: The overweight and obese outpatients at higher risk of ambulatory treatment drop-out are more likely to work full hours, have less obesity-related complications and be less depressed. In our study, the full-time job condition seems to be the strongest predictor of premature withdrawal.

Cited by 159 publications

References 41 publications

Biased attentional processing of food cues and modification in obese individuals.

Biased attentional processing of food cues and modification in obese individuals.

Predictors of low bone mineral density in the elderly: the role of dietary intake, nutritional status and sarcopenia

Definitions of childhood obesity: current practice

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