Abstract:
AIMS:To analyze changes in the general and specific psychopathology of morbidly obese bariatric surgery (BS) candidates after cognitive behavioral therapy (CBT) and assess differences between patients with and without binge eating disorder (BED) and between patients with obesity grades III and IV, studying their influence on weight loss. METHODS:110 consecutive morbidly obese BS candidates [77 females; aged 41 ± 9 yrs; body mass index 49.1 ± 9.0 kg/m²] entered a three-month CBT program (12 two-hour sessions) before BS. Participants were assessed with general and specific psychopathology tests pre- and post-CBT. Data were analyzed according to the degree of obesity and presence/ absence of BED. RESULTS:At baseline, BED patients were more anxious and depressive with lower self-esteem and quality of life versus non-BED patients (p < 0.05) and were more concerned with food, weight and figure, felt greater hunger, fear and guilt, and were more influenced by contextual cues (p < 0.005). Post-CBT, these differences in self-esteem, depression, and eating disorders disappeared due to significant improvements in BED patients. No difference between OIII and OIV groups was found in any psychopathology test pre- or post-CBT. Multivariate analysis demonstrated that CBT was effective to treat psychological comorbidity regardless of the presence/ absence of BED or degree of obesity. At 1 yr post-CBT, weight loss versus baseline (before CTT) was > 10% in 61%, with no intergroup differences. CONCLUSIONS:CBT is effective to treat psychological comorbidity in BS candidates, regardless of the presence of BED and degree of obesity. :Objetivo: Analizar cambios en la psicopatología general y específica de pacientes con obesidad mórbida (OM) candidatos a Cirugía Bariátrica (CB) tras aplicación de terapia cognitiva-conductual(TCC) y evaluar diferencias entre pacientes con y sin trastorno por atracón (TA y NTA respectivamente), y entre grados de obesidad III y IV; estudiando su influencia en la pérdida peso. Material y métodos: Se incluyeron110 pacientes candidatos a CB [77mujeres; con 41 ± 9 años e IMC 49,1 ± 9,0 kg/m2] que recibieron TCC preoperatoria (12-sesiones de 2 horas) Se evalúo comorbolidad psicológica pre-post-TCC mediante test validados para la población española. Resultados: Basalmente los pacientes con TA mostraron mayor ansiedad y depresión y menor autoestima y calidad de vida que aquellos NTA (p < 0,05). También mostraron mayor preocupación por la comida, el peso y la figura revelando sentir más hambre, temor y culpa, importándoles más el contexto (p < 0,005). Tras TCC, las diferencias en autoestima, depresión y desordenes alimentarios desaparecieron, asociado a una significativa mejoría en pacientes con TA. No hubo diferencias entre grados de obesidad III y IV en ninguno de los test pre y post-TCC aplicados. El análisis multivariante demostró efectividad de la TCC para tratar la psicopatología independientemente de la presencia de TA o del grado de obesidad. Tras 1 año post-TCC, la pérdida de peso con respecto a la basal fue > 10% en 67 pacientes. Sin diferencia entre los grupos de estudio. Conclusiones: La TCC es efectiva en el tratamiento de la comorbilidad psicológica, independientemente de la presencia de TA y del grado de obesidad.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Abilés V,Rodríguez-Ruiz S,Abilés J,Obispo A,Gandara N,Luna V,Fernández-Santaella MCdoi
10.3305/nh.2013.28.5.6699subject
Has Abstractpub_date
2013-09-01 00:00:00pages
1523-9issue
5eissn
0212-1611issn
1699-5198journal_volume
28pub_type
杂志文章abstract:Introduction:Background and objectives: the aim of the present investigation was to describe the association of this single nucleotide polymorphism (SNP) with fasting glucose levels, serum adipokine levels and diabetes mellitus. Methods: the study involved a population of 1,002 adult obese subjects. Measurements of ant...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.2013
更新日期:2019-03-07 00:00:00
abstract::This paper stems from the special lecture given by the author at 20th International Congress of Nutrition, held from 16 to 20 September 2013 in Granada (Spain), following for his appointment as "Living Legend" of the International Union of nutritional sciences (IUNS), in recognition of his outstanding contribution to ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.4.7205
更新日期:2014-04-01 00:00:00
abstract:UNLABELLED:In adult home parenteral nutrition (HPN) programme patients up to now no evidence-based recommendations exist on the central venous catheter maintenance nor venous thrombosis prevention. The use of heparin flushes could be linked with long term complications, besides, anticoagulants use is controversial. OB...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112012000100033
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:the prognostic value of maximal inspiratory and expiratory pressures on functional capacity and mortality of hospitalized patients are not well established. AIM:to evaluate the prognostic value of respiratory pressures in hospitalized patients. METHODS:patients admitted to a general hospital in Santiago-Ch...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1478
更新日期:2018-05-17 00:00:00
abstract::Objective: To estimate the prevalence of chronic obstructive pulmonary disease (COPD) phenotypes in the province of Leon. Methods: Multicenter epidemiological cross-sectional study (30 health centers in the province of Leon). It included patients older than 35 years diagnosed and treated for COPD. Study variables: ag...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,多中心研究
doi:10.20960/nh.995
更新日期:2017-02-01 00:00:00
abstract:INTRODUCTION:Malnutrition in children with cancer is a significant risk factor for negative outcomes, but in the clinical practice setting, it is difficult to pinpoint which factors operate to cause substantial weight loss and malnutrition in a given patient. Appetite-related hormones like ghrelin and leptin are among ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.20960/nh.1221
更新日期:2018-01-19 00:00:00
abstract::Leímos con interés el artículo titulado "Valores del índice cintura/cadera en la población escolar de Bogotá, Colombia. Estudio FUPRECOL" que se realizó en 5.921 sujetos de entre 9 a 17,9 años y que tuvo como objetivo determinar los valores de referencia del índice cintura-cadera (ICC). ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.405
更新日期:2016-07-19 00:00:00
abstract::The purpose of this retrospective study is to ascertain the physiopathological characteristics of patients on parenteral nutrition (PN), the types of diet used and duration of treatment. Presentation of epidemiological results and evolution of 637 adults receiving PN after a five-year period of nutritional follow-up, ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::The prevalence of morbid obesity among adolescents has being on the increased in the recent decades specifically in developed countries around the world. In Europe, Spain has the highest prevalence of obese adolescents with more than 18% of the population of children and adolescents. There is evidence that the only ef...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8884
更新日期:2015-05-01 00:00:00
abstract:INTRODUCTION:breast milk, besides being a source of feeding for children, it can be a vehicle for transmission of some infectious diseases. AIM:to revise the main viral agents which can be acquired for children through breast milk and its possible clinical implication. MATERIAL:literature search was made in different...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.32.1.8794
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION:the use of lipid emulsions together with glucose as a calorie source in parenteral nutrition has undisputed advantages. Their isotony and high calorie content mean they are essential for peripheric parenteral nutrition and in parenteral nutrition of long duration they are important in providing essential f...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVES/HYPOTHESIS:Presbycusis is the most prevalent cause of hearing-loss in the older, but pathogenesis is not well-know. The premise of this study is that hyperlipemia increase risk of age-related hearing-loss. PATIENTS AND METHODS:180 patient more than 65 years-old were studied. All patients had bilateral heari...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::The problems of disintubation and obstruction of nutritional catheters are common during treatment with enteral nutrition. This prospective study has been designed to evaluate the differences in the frequency of obstruction between two different types of enteral nutrition catheter. Catheter A (Silk, Ibys) with one sin...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:INTRODUCTION:in relation to the student population, their class schedules, hours of study, budget shortages, among others, do not allow them to have good eating habits and sedentary ago. Within this context are the sports teams, which must deal with the above. OBJECTIVE:knowing the nutritional status of a group of col...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9877
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:weight and height measurements are important data for the nutritional assessment of elderly people and the implementation of the nutritional care process. Malnutrition is common in this population, who has high rates of disability that difficult to measurement this variables. OBJECTIVE:evaluate the validi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9760
更新日期:2015-12-01 00:00:00
abstract:UNLABELLED:The National Survey of Family Income and Expenditure (ENIGFAM 2009-2010), showed that a third, and almost two thirds of Guatemalans purchased outside the home breakfast and lunch. OBJECTIVE:To determine the composition, nutritional value and price of breakfast and lunch menus purchased outside the home in u...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.2.7752
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:we analyzed the rural-urban differences of the nutritional status by residence (DRU) of the Basque male population during the Industrial Revolution. METHODS:We used data from the military recruitment of 1876-1936 (cohorts born in 1856-1915). We analyzed the heights of 12,747 conscripts in six municipalities ...
journal_title:Nutricion hospitalaria
pub_type: 历史文章,杂志文章
doi:10.20960/nh.2084
更新日期:2018-06-04 00:00:00
abstract::After 36 years of continued publication of the journal Nutrición Hospitalaria, a list with the ten most cited articles published in it is elaborated. The top ten most cited articles in the world literature and stratification according to language, English or Spanish, subject, or period of time published are also analy...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9922
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:The term sarcopenia is defined as age-related loss of skeletal muscle mass and function, with a consequent impact on quality of life. However, there is a lack of studies examining the prevalence of sarcopenia in patients with type 2 diabetes mellitus (DM). OBJECTIVES:To analyze the prevalence of sarcopeni...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1070
更新日期:2017-10-24 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of anaemia and the risk of haemoconcentration and its risk factors during all 3 trimesters of pregnancy in women in a Mediterranean area in the south of Europe. MATERIAL AND METHODS:Longitudinal study of 11,259 women whose pregnancies were monitored at primary care centres between ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1045
更新日期:2018-01-10 00:00:00
abstract:AIM:To analyse the calcium contribution of one unit of fermented milk enriched with calcium and vitamin D in the daily calcium intake for postmenoupausic women. SUBJECTS:261 postmenoupausic women. METHODS:28 day duration of exploratory, nutritional trial. All subjects received dietary advice on how to increase calciu...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
doi:10.1590/S0212-16112012000200028
更新日期:2012-03-01 00:00:00
abstract::Diet is an important factor related to the development of numerous diseases. In developing countries like Ecuador, this aspect is not considered as priority however, the study of the incidence of certain diet-related diseases could help to assess consumption habits of a country from a Public Health perspective and sup...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.5.6755
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION:The aim of the study was to estimate if B12 deficiency is associated with the use of metformin in the elderly diabetics. METHODS:Case-control study in diabetic OP. Cases (n = 137) were defined as elderly with B12 < 221 pmol/L and controls (n = 279) elderly with B12 > 221 pmol/L. Four categories of metform...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.6.7405
更新日期:2014-06-01 00:00:00
abstract:INTRODUCTION:Obese adolescents have higher cardiovascular risk (CVR). Intima-media thickness (IMT) detects early arterial vascular compromise. OBJECTIVE:To evaluate whether obese adolescents have higher vascular compromise measured by IMT than nonobese adolescents, and if this is greater in those with metabolic syndro...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112012000100023
更新日期:2012-01-01 00:00:00
abstract::For years now, a stronger tendency towards overweight among diabetes 1 population has been described, a tendency already observed during childhood and pubescence. Insulin replacement therapy to be one of the main underlying factors. Clarifying these issues and determining whether this weight gain may bring in an incre...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.30.6.7878
更新日期:2014-12-01 00:00:00
abstract::There are different parameters aimed at assessing nutritional status. These parameters may be of some help to assess nutritional status prior to patients' admission. However, their application in the critically ill patient is troublesome since results interpretation is interfered by changes originated by the acute dis...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the ingestion of micronutrients in elderly living in nursing homes. METHODS:This is a cross-sectional study, conducted with 216 individuals of both sexes, age equal or greater than 60 years, living in nursing homes for elderly in Salvador, Bahia, Brazil. Direct weighing ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1348
更新日期:2018-02-13 00:00:00
abstract:OBJECTIVE:To identify attitudinal determinants of fish consumption in Spain and Poland, and to discuss the potential impact of local healthy eating policies in the observed reported frequency of fish consumption. DESIGN:Repeated survey analysis , multivariate linear regression analysis. Data collected through a questi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000600031
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Active commuting to school is associated to higher levels of physical activity among children. Family factors may influence on this behaviour. OBJECTIVE:The objective was to analyze the association between parents' occupational activity and parents' mode of commuting to work with the mode of commuting of th...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6399
更新日期:2013-05-01 00:00:00
abstract:Introduction:Introduction: parenteral nutrition (PN) is commonly used as a nutritional support option. It may cause complications, partly due to a central venous access. Chylothorax is an accumulation of lymphatic fluid in the pleural space. Case report: a 57-year-old man was admitted for cholecystectomy. A complicated...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03205
更新日期:2020-12-16 00:00:00