Mental Health, Behavior Change Skills, and Eating Behaviors in Postpartum Women
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Abstract:
Excessive postpartum weight retention conveys risks for future metabolic diseases. Eating behaviors influence postpartum weight retention; however, the modifiable predictors of eating behaviors remain unclear. Using data from a three-arm, randomized controlled trial, the purpose of this study was to examine the longitudinal associations of mental health (e.g., depressive symptoms) and behavior change skills (e.g., self-efficacy) with eating behaviors (i.e., compensatory restraint, routine restraint, emotional eating, and external eating) among women (N = 424) over 18-months postpartum. Results revealed that depressive symptoms, perceived stress, healthy eating self-efficacy, overeating self-efficacy, self-weighing, and problem-solving confidence were associated with one or more of the examined eating behaviors. Furthermore, depressive symptoms moderated the association between healthy eating self-efficacy and routine restraint. Perceived stress moderated the associations between healthy eating/overeating self-efficacy and emotional eating. The findings suggest that mental health and behavior change skills may serve as targets for interventions designed to improve postpartum women’s eating behaviors. Clinical trials registry:ClinicalTrials.gov #NCT01331564Keywords:
Overeating
Emotional Eating
Self-Efficacy
Objective: The current study was designed to investigate eating behaviors among successful restrained eaters, unsuccessful restrained eaters and non-restrained eaters during positive and negative emotional arousal. We hypothesized that unsuccessful restrained eaters would eat more than successful restrained eaters and non-restrained eaters during negative emotional arousal. Conversely, within the positive emotion condition, restrained eaters would eat more than non-restrained eaters regardless of whether successful or not she is. Methods: We recruited 60 successful restrained eaters, 60 unsuccessful restrained eaters and 60 non-restrained eaters based on the scoring cut-offs of the Dutch Eating Behavior Questionnaire. We tested the effects of positive and negative emotional inductions on food intake. Mood induction is manipulated by exposure to a piece of a comedy or a tragedy. Results: Both positive and negative emotional arousal trigged overeating among restrained eaters, especially in unsuccessful restrained eaters, and there were no differences in eating behaviors between successful restrained eaters and non-restrained eaters between positive and negative emotion conditions, and there were no differences of eating behaviors in restrained eaters between positive and negative emotion conditions. Conclusion: Emotional arousal, regardless of valence, may trigger overeating among restrained eaters especially in unsuccessful restrained eaters. The limited resources hypothesis can explain this phenomena.
Overeating
Emotional Eating
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Obesity is related to eating habits. Overeating is the most behavioural trait implicated in obesity; emotional, external and rigid restrained eating are three maladaptive eating habits that are associated to overeating.The current study assesses the eating styles of Algerian adults. It identifies and analyses differences in eating styles in a sample from adults with normal BMI and who have obesity. The study examines the relationship between eating styles and BMI.The sample consisted of 200 volunteers aged from 31 to 62 years old, 110 with obesity and 90 having normal BMI. The participants were recruited from hospital and university employees. They were questioned about their eating habits. The participants did not receive any treatment. To assess eating styles, participants completed the DEBQ.The prevalence of women was in the majority, representing 61% (n = 122) in the total sample (63.63% (n = 70) with obesity, and 55.77% (n = 52) with normal BMI). The prevalence of men represents 39% (n = 78) in the total sample (36.36% (n = 40) with obesity, and 42.22% (n = 38) with normal BMI). Participants with obesity showed pathological eating styles. They scored higher on emotional and external eating styles than to normal BMI group. However, restraint eating showed a slight no significant increase. The mean scores ± standard deviations observed in each eating styles were: emotional eating (2.88 ± 0.99** vs. 1.71 ± 0.32), external eating (3.31 ± 0.68** vs. 1.96 ± 0.29), and retrained eating (1.81 ± 0.7ns vs. 1.3 ± 0.30). The linear regression analysis showed an effect of emotional and external eating on BMI.These results could be used to provide clinical information at the initial screening for obesity criteria, obesity prevention and treatment.Emotional, external and rigid restrained eating are three eating habits related to obesity. They are associated to overeating in response to negative emotions, external food-related cues, and body weight control. Obesity treatment necessarily requires the training of medical professionals. The objective of this research is to assess eating styles of people living with obesity and to analyse differences comparing with people with normal body mass index (BMI). We examined the relationship between eating habits and BMI. A total of 200 participants aged from 31 to 62 years old were recruited from hospital and university workers; 110 with obesity and 90 with normal BMI. The Dutch Eating Behaviour Questionnaire was used to assess eating styles (DEBQ). The outcomes of the current study showed that people with obesity exhibit a high emotional and external eating. However, they show a slight restraint eating. BMI was associated to both emotional and external eating. Negatives emotions lead participants to overeat as a response way to cope with, and expose them to obesity. These results are important for the initial screening of obesity criteria. For prevention and treatment of obesity, eating styles must be targeted as factors associated to obesity in order to cope with negative emotions.
Overeating
Emotional Eating
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Overeating
Binge eating
Binge-eating disorder
Emotional Eating
Emotional Regulation
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Overeating
Emotional Eating
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The concept of Emotional Eating (EE) is increasingly considered to be implicated in overeating and obesity, and in different subtypes of eating disorders. Among the self-report questionnaires assessing EE, the Emotional Appetite Questionnaire (EMAQ) includes recent advances in this area: it evaluates a broad range of emotions and situations both positive and negative, and the way they modulate food intake (decrease, stability or increase). The main objective of our study was to further investigate the psychometric properties of the French version of the EMAQ in a large sample of students. Participants completed the EMAQ (n=679), the DEBQ (Dutch Eating Behavior Questionnaire) (n=75) and the CIDI-eating disorders screening (Composite International Diagnostic Interview) (n=604). Factorial structure, reliability and validity of the EMAQ were tested. Factorial analyses supported a two-factor (Positive and Negative) structure. The internal consistency indices were satisfactory and results suggest good test-retest reliability for the scale. Convergent and discriminant validity were confirmed from the significant correlations observed between the EMAQ scores and the DEBQ-EE subscale scores. Regarding associations with weight, whereas EMAQ negative scores were positively correlated with BMI, EMAQ positive scores were negatively correlated with BMI. Finally, EMAQ scores differed significantly depending on gender and risk for bulimia nervosa. This study supports the validity and the reliability of the EMAQ, which appears to be a promising instrument to better understand individual differences that could modulate food intake.
Overeating
Discriminant validity
CIDI
Emotional Eating
Food craving
Convergent validity
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Overeating
Dialectical Behavior Therapy
Emotional Eating
Emotional dysregulation
Weight management
Repeated measures design
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Бұл зерттеужұмысындaКaно моделітурaлы жәнеоғaн қaтыстытолықмәліметберілгенжәнеуниверситетстуденттерінебaғыттaлғaн қолдaнбaлы (кейстік)зерттеужүргізілген.АхметЯссaуи университетініңстуденттеріүшін Кaно моделіқолдaнылғaн, олaрдың жоғaры білімберусaпaсынa қоятынмaңыздытaлaптaры, яғнисaпaлық қaжеттіліктері,олaрдың мaңыздылығытурaлы жәнесaпaлық қaжеттіліктерінеқaтыстыөз университетінқaлaй бaғaлaйтындығытурaлы сұрaқтaр қойылғaн. Осы зерттеудіңмaқсaты АхметЯсaуи университетіндетуризмменеджментіжәнеқaржы бaкaлaвриaт бaғдaрлaмaлaрыныңсaпaсынa қaтыстыстуденттердіңқaжеттіліктерінaнықтaу, студенттердіңқaнaғaттaну, қaнaғaттaнбaу дәрежелерінбелгілеу,білімберусaпaсын aнықтaу мен жетілдіружолдaрын тaлдaу болыптaбылaды. Осы мaқсaтқaжетуүшін, ең aлдыменКaно сaуaлнaмaсы түзіліп,116 студенткеқолдaнылдыжәнебілімберугежәнеоның сaпaсынa қaтыстыстуденттердіңтaлaптaры мен қaжеттіліктерітоптықжұмыстaрaрқылыaнықтaлды. Екіншіден,бұл aнықтaлғaн тaлaптaр мен қaжеттіліктерКaно бaғaлaу кестесіменжіктелді.Осылaйшa, сaпa тaлaптaры төрт сaнaтқa бөлінді:болуытиіс, бір өлшемді,тaртымдыжәнебейтaрaп.Соңындa,қaнaғaттaну мен қaнaғaттaнбaудың мәндеріесептелдіжәнестуденттердіңқaнaғaттaну мен қaнaғaттaнбaу деңгейлерінжоғaрылaту мен төмендетудеосытaлaптaр мен қaжеттіліктердіңрөліaйқын aнықтaлды.Түйінсөздер:сaпa, сaпaлық қaжеттіліктер,білімберусaпaсы, Кaно моделі.
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Background: Upper abdominal surgeries have been reported to be associated with an increased incidence of postoperative atelectasis.Preventing atelectasis is important for all patients but is more important when caring for obese patients.Objectives: To determine which of the following ventilatory strategies is better in prevention of pulmonary atelectasis in obese patients undergoing non-bariatric surgery: Volume control ventilation "VC", Pressure control Ventilation "PC", Volume control ventilation + Positive End Expiratory Pressure "PEEP", Volume control ventilation + Positive End Expiratory Pressure "PEEP" + lung recruitment maneuver.Patients and methods: A randomized-controlled trial study was carried out in the operating room (OR) in Zagazig University Hospital including 92 patients.Patients were randomly allocated into four groups.G1: Volume control ventilation "VC", G2: Pressure control Ventilation "PC", G3: Volume control ventilation + Positive End Expiratory Pressure "PEEP", G4: as in G3 + lung recruitment maneuver.Results: There was significant difference between the studied groups as regards PaO 2 /FiO 2 ratio as the 4 th group was highly significant.There was also significant difference between the studied groups as regards atelectasis score with the least atelectasis score in group 4.There was a significant difference in group 4 than the other groups as regards length of stay in PACU, and need for 100% Fio2 in PACU.Finally, there was a significant difference between the studied groups as regards postoperative pulmonary complications with the 4 th group has the least postoperative complication. Conclusion:Our results suggest that volume control ventilation + Positive End Expiratory Pressure "PEEP" + lung recruitment maneuver had beneficial effects on oxygenation continued into the early recovery period and decrease pulmonary complications in the early post-operative period in obese patients undergoing non-bariatric upper abdominal surgeries.
Atelectasis
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The nationally-recognized Susquehanna
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musical level.AÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂA¢AÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂAÂA Experience choral
singing that will take you to new
heights!
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Background: caesarean sections performed every year are increasing in number dramatically all over the world.So, it became very important to give more attention for their postoperative care.Aim of the Work: to evaluate the effect of immediate oral hydration initiated within 2 hours after uncomplicated caesarean section on the following post-operative outcomes: post-operative vomiting and abdominal distention, post-operative nausea and abdominal pain, the return of intestinal movements, duration of intravenous fluid administration, duration of hospital stay and participant satisfaction.Patients and Methods: this randomized controlled study was conducted at Ain Shams University Maternity Hospital.It was carried during the period from July 2016 to July 2017.140 women, all of them underwent uncomplicated cesarean section under regional anesthesia were randomly assigned into two groups.In the immediate group: oral hydration was received in the first 2 hours postoperatively, and in the early group: oral hydration was received after 8 hours postoperatively.Results: all the results of the postoperative outcomes of both groups had non-significant differences except for the psychological satisfaction which was significantly higher in the immediate group with a (p<0.001).Conclusion: immediate oral hydration group showed non-significant differences comparing with early oral hydration group regarding most of the postoperative outcomes, but the results were relatively better towards the immediate group.Also, immediate hydration is significantly better than early hydration regarding psychological satisfaction of women, allowing them to be more able to breastfeed their kids and to spend a less stressful time in the hospital.
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