Habit Modification Research Articles

Effects of an intervention on adolescents with overweight / obesity

Promoting healthy lifestyles is one way to be and keep healthy. When the individual itself recognizes strengths in its self-management, this can be identified as an approach to change or improve eating behaviors and physical activity in adolescents. The objective of this research is to determine the effect of a multi-component intervention, “Promoting health in Adolescents”, in the BMI and the cognitions related to specific conducts: perception of barriers, benefits and self-efficacy, related to nutrition and physical activity in enrolled adolescents with overweight / obesity in Colombia. This is a quasi-experimental study with an intervention (n= 48) and a control group (n=50), pre-trial, post-trial and follow-up (at 2 and 4 months) measurements. The intervention “Promoting health in Adolescents” was offered to the intervention group. The control group received the annual education activity. The study has the endorsement of the ethics committee of the Universidad Nacional de Colombia and the school rectors, and consent and informed assent forms were signed. When comparing the groups after the intervention, there is a difference in the variables Body Mass Index (p=0,000), physical activity (p=0,042) and nutrition (p=0,010). After the intervention, the BMI decreased in the intervention group: 43,8% passed from overweight to normal and obesity decreased from 10,4% to 8,3%. The size of the effect was moderate with a value of 0,571 and were not sustained over time. These results support the approach of the healthy habit modification program in schools.

Consumption of cowpea‐based dishes in Benin: Main motives and barriers, and spatial and temporal changes

AbstractIn Benin, cowpea products are commonly consumed traditional dishes. Urbanization and income changes contribute to eating habit modifications in low‐ and middle‐income countries. Therefore, the aims of this study were (i) to identify factors influencing cowpea consumption and (ii) to document generational changes in cowpea consumption in rural and urban areas. A Food Frequency Questionnaire, which considered nine cowpea‐based dishes classified in three groups (doughnuts, stews, and mixed dishes), was filled in by 1,217 adults in Cotonou (urban area) and in Adjohoun and Allada (rural areas). Sixteen focus group discussions (n = 7–13 participants/each) were also carried out. Cowpea‐based dishes were consumed by 90%–95% of respondents. Socioeconomic and demographic factors had little or no influence on cowpea‐based dish consumption. The main motivations for their consumption were health benefits and satiety provided at low cost. The main barriers to cowpea consumption, identified by participants, were preference for other foods, lack of availability as street food, and ignorance of some traditional dishes. Digestive discomfort was also identified as a factor that reduced the frequency of cowpea‐based dish consumption, but not as a factor of non‐consumption. Changes in cooking methods and consumption patterns were pointed out by the respondents for some of these cowpea‐based dishes with the aim to reduce cooking time or improve the dish attractiveness. Our findings bring knowledge on cowpea consumption in urban and rural areas in the south of Benin that could help to develop strategies for limiting the nutritional transition‐linked decrease of cowpea consumption in the future.

Effect of dietary AGEs on the transcriptional profile of peripheral blood lymphocytes

BackgroundAdvanced Glycation End Products (AGEs) are formed in foods subjected to high temperatures. Although endogenous AGEs are implicated in certain autoimmune diseases, the role of dietary AGEs remains to be investigated. Materials and methodsSamosa (Indian snack) samples in fried and baked form were collected from street food vendors. AGEs were extracted from them and quantified using fluorescence spectrophotometry. Peripheral blood lymphocytes (PBLs) were incubated with AGEs to study the effect on their cell cycle and transcriptional expression of Foxp3, RORγT, IL-17, IL-10, p21. ResultThe AGE-specific fluorescence of fried samosa was significantly (p < 0.05) higher than the baked one. PBLs showed significantly reduced Foxp3, IL-10, and p21 but no significant change in RORγT and IL-17 expression on incubation with AGEs. ConclusionExposure to dAGEs may result in perturbation of balance between T-cell suppressive and activating factors that may play a role in driving PBLs towards an autoimmune phenotype. Suitable modifications in dietary habits to reduce them may be a valuable strategy to fight autoimmunity.

Exfoliative Cheilitis More than an Aesthetic Problem: Case Report

Exfoliative cheilitis (EC) is a rare and chronic inflammatory condition. It is characterized by a continuous peeling of the vermilion of the lips and abnormal production of keratin scales. Treatment is difficult due to its chronic nature and it is often refractory. The objective of this article is to describe the management of EC and its impact on quality of life through two clinical cases. Two patients with EC are reported: one 21 years old with allergic rhinitis and gastric reflux, the other 18 years old, with a history of anxiety symptoms, without medication or psychiatric control. They had chronic scaly and crusty areas on both lip vermilions. In one of the patients, a biopsy was prescribed and he was treated with antifungals and topical vitamin E. Both patients were prescribed hydration, balanced diet, the application of moisturizing lip balm with sunscreen and modification of parafunctional habits, behavioral aid. The treatment healed the condition and eased their daily life and improved personal perception. Nibbling and lip licking favor dryness and superinfection in patients with EC; for its part, hydration, topical vitamin E and behavioral aid, improved this condition.

Assessing Long-Term Impact of Dietary Interventions on Occurrence of Symptoms Consistent with Hypoglycemia in Patients without Diabetes: A One-Year Follow-Up Study.

Background: A well-balanced nutritional diet pattern has a significant role in the management of diet-related disorders. Currently, there are no specific dietary guidelines to refer to when advising non-diabetic patients with symptoms attributed to hypoglycemia in the postprandial period or patients with confirmed reactive hypoglycemia (RH). The aim of this study was to investigate the impact of the dietary interventions, and their sustained outcome, on the severity of hypoglycemic-like symptoms occurring in non-diabetic patients. Methods: The study group included forty non-diabetic individuals with symptoms consistent with RH. At the baseline, each patient underwent RH diagnosis and complex dietary evaluation. Over a period of six months, each patient had four appointments with a dietitian. Two sessions were focused on a dietary education about low glycemic index diet (LGID) and Mediterranean diet (MD). The said diets were to be followed for a period of three months, with two additional dietary check-ups. Once dietary supervision was completed, patients had no imposed dietary patterns. The final follow-up appointment took place twelve months later and that is when each patient underwent a detailed assessment of their current dietary habits and evaluation of the frequency of symptoms consistent with hypoglycemia. Results: There was a statistically significant reduction in the severity in eight out of the ten analyzed hypoglycemic-like symptoms after the dietary interventions. The most significant change was observed in the following symptoms: hunger (η2 = 0.66), impaired concentration (η2 = 0.61), hand tremor (η2 = 0.55), and fatigue (η2 = 0.51). The outcomes were comparable for both recommended diets, the LGID and the MD. The reduction in hypoglycemic-like symptoms continued after the twelve-month period. The individualized dietary counselling significantly improved the patients’ eating habits in comparison to those present prior to intervention in terms of healthy diet index (F(2,78) = 27.30, p < 0.001, η2 = 0.41, 90%CI [0.26; 0.51]) and unhealthy diet index (F(2,78) = 433.39, p < 0.001, η2 = 0.91, 90%CI [0.89; 0.93]). Conclusions: Healthy modifications in dietary habits may improve patient’s well-being and reduce the severity of their postprandial symptoms attributed to hypoglycemia. Therefore, dietary intervention focused on appropriate nutritional management combined with follow-up consultations may be a beneficial step towards comprehensive treatment of non-diabetic patients who present with hypoglycemic-like symptoms in the postprandial period.

Synthesis of crystallizable poly(behenyl methacrylate)-based block and statistical copolymers and their performance as wax crystal modifiers

Behenyl methacrylate-based diblock and statistical copolymers are evaluated as additives for the crystal habit modification of a model wax (n-octacosane) inn-dodecane. The statistical copolymers more strongly influence the wax crystal morphology.

Exploiting Dengue Virus Protease as a Therapeutic Target: Current Status, Challenges and Future Avenues.

Dengue, the oldest and the most prevalent mosquito-borne illness, is caused by the dengue virus (DENV), from the family of Flaviviridae. It infects approximately 400 million individuals per annum, with approximately half of the global population residing in high-risk areas. The factors attributed to the geographic expansion of dengue, include urbanization, population density, modern means of transportation, international travels, habit modification, climate change, virus genetics, vector capacity, and poor vector control. Despite the significant progress made in the past against dengue, no effective antiviral therapy is currently available. Among the structural and non-structural proteins encoded by DENV genome, the NS2B-NS3 protease complex is amongst the extensively studied targets for the development of antiviral therapeutics owing to its multiple roles in virus life cycle. Furthermore, protease inhibitors were found to be successful in Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV). Likewise, several peptidic, peptide derived/peptidomimetic, and small molecules inhibitors have been identified as DENV protease inhibitors. Unfortunately, none of them have resulted in a clinically approved drug. Considering all the abovementioned facts, this review descriptively explains the molecular mechanism and therapeutic potential of DENV protease along with an up to date information on various competitive inhibitors reported against DENV protease. This review might be helpful for the researchers working in this area to understand the critical aspects of DENV protease that will help them develop effective and novel inhibitors against DENV to protect lives of millions of people worldwide.

Confinamiento, alimentación y salud en universitarios de la Ciudad de México en tiempos de coronavirus 19

COVID-19 lockdown is having several effects on the well-being of diverse populations across the world. Through an observational, exploratory and comparative study, this article analysed changes reported by undergraduate students in food consumption habits before and during COVID-19 lockdown in Mexico City. The aim was to approach the potential effects of modifications in food habits due to lockdown on participants’ susceptibility of contagion and complications of COVID-19. While no significant changes regarding nutritional quality were found, a diet with pro-inflammatory profile was identified as predominant before and during lockdown, which has been associated with a higher probability of getting the virus and developing complications.

Factors Influencing the Consumption of Fast Food among Young Adults

Background: The habit of consuming the fast- foods and packed foods are increased among the people in developing countries. Besides, several studies showed that the fast- food eating brings higher risks for developing the physiological imbalances such as obesity, over – weight even in younger generation. The fast foods ensure for important features such as easy availability, tastes good, convenient, and has friendly- packing than the traditional food items. Due to such kind of life style modifications, the ratio of fast – food habitats in younger and adolescents are highly increasing in compare to the older and middle aged people. The increase is inevitable in different age groups in recent years. These food habit modifications make a turn in traditional systems and attract the great attention against the public health concern.&#x0D; Objective: The present study aimed to investigate the factors that influence the fast-food consumption in Tamil Nadu and Puducherry&#x0D; Methods: A cross-sectional study was carried out to examine the preference, prevalence and pattern of fast food consumption among the young adults.&#x0D; Results and Discussion: The study showed that many of the students unavoidably skipping the morning foods due to study pressure, morning – hurry and they had them at late- morning hours from the fast- foods outlets such as canteens or other hotels. Though, 90.7% of the students know the importance and negative consequences of break- fast skipping that are related to consumption of excessive fast- food habits, they have been severely addicted with the fast- foods.&#x0D; Conclusion: As a conclusion, the present study showed the importance of initiating the specific health programs, dietary guidelines and effective awareness for addressing the unhealthy issues related with the fast- food consumption among the student community.

Innovación docente mediante una intervención multimodal educativa para la mejora de hábitos saludables en adolescentes

Background: Adolescence is a critical period to promote healthy habits. Objective: To know the impact that a multimodal educational intervention has on the knowledge and modification of healthy habits (HS) (Mediterranean diet (DM) and physical activity) in adolescents. Methodology: randomized controlled clinical trial, with multimodal educational intervention, in the Diocesan College of Caceres. The participants were assigned to the control (GC) or experimental (GE) group by randomization, the latter received a multimodal educational intervention (theoretical and practical workshops on HS). Data were collected: sociodemographic, academic notes, anthropometric data, KIDMED questionnaire and physical activity questionnaire (PAQ-A); Pre and post intervention. And knowledge about HS was evaluated. All parents granted consent to participate. Results: 85 adolescents participated. There were no significant differences in any group in the classification of adherence to DM. In the GE after the intervention, 37.5% had a high adherence to DM. In the knowledge test on HS after the intervention it was 4.97 (± 1.31) in GC and 6.27 (± 1.77) in the GE; (p = 0.001); without influencing adherence to DM (p> 0.005). Conclusion: There is a lack of adherence to DM in adolescents. The educational intervention improved knowledge about healthy habits, but did not change the dietary pattern.

The COVID-19 Pandemic Did Not Affect Target Weight Loss 1 Year Post Bariatric Surgery.

BackgroundBariatric surgery is one of the most effective treatments for patients with severe and complex obesity. Lifestyle modifications in diet and exercise habits have long been important adjunct to the long-term success after bariatric surgery. The effect of the COVID-19 pandemic on the postoperative bariatric patient is not well understood. We sought to evaluate the impact the COVID-19 pandemic on postoperative weight loss at 1 year in a bariatric cohort.MethodsAll patients who underwent bariatric surgery from January 1, 2020, to March 12, 2020, were included. Patients who underwent bariatric surgery during the same period of the two preceding years (2018 and 2019) were included as control groups. Primary end point was %EBMIL at 1 year. A telephone survey was administered to all patients from 2020 to assess for their perception on the effects of the COVID-19 pandemic on weight loss.ResultsA total of 596 patients were included: 181 from 2020, 199 from 2019, and 216 from 2018. The response rate was 97% and 53.4% of patients reported that the lockdown affected their ability to lose weight. The %EBMIL at 1 year was 64.1%, 63.7%, and 68.1% for 2020, 2019, and 2018, respectively. There was no difference in weight loss at 1 year (p = 0.77) despite a decrease in exercise activity in those who had surgery just before the pandemic.ConclusionThere was no difference in target weight loss at 1 year in a cohort who underwent bariatric surgery before the pandemic.Graphical

Crystal Habit Modification of Metronidazole by Supramolecular Gels with Complementary Functionality

A series of bis(urea) compounds with complementary functional groups similar to the pharmaceutical drug metronidazole and a structural isomer isometronidazole have been synthesized. The gelation properties of these compounds were studied in various solvent/solvent mixtures. The mechanical strength of the isomeric gelators was compared using rheology, and the morphologies of the xerogels were analyzed by scanning electron microscopy. These gels were used as media for metronidazole crystallization resulting in a marked habit modification of the metronidazole crystals in the drug-mimicking gels. However, crystallization in the nonmimetic isomeric gel resulted in morphologies similar to the solution state. These results indicate that the drug-mimetic gels interact with the surface of the drug crystal giving rise to new morphologies.

The Molecular Aspect of Nephrolithiasis Development.

Urolithiasis is the third most common urological disease after urinary tract infections and prostate diseases, and it is characterised by an occurrence rate of about 15%, which continues to rise. The increase in the incidence of kidney stones observed in recent decades, is most likely caused by modifications in dietary habits (high content of protein, sodium and sugar diet) and lifestyle (reduced physical activity) in all industrialised countries. Moreover, men are more likely than women to be diagnosed with kidney stones. A growing body of evidence suggests that inflammation, oxidant–antioxidant imbalance, angiogenesis, purine metabolism and urea cycle disorders may play a crucial role in nephrolithiasis development. Patients with urolithiasis were characterised by an increased level of reactive oxygen species (ROS), the products of lipid peroxidation, proinflammatory cytokines as well as proangiogenic factors, compared to controls. Furthermore, it has been shown that deficiency and disorders of enzymes involved in purine metabolism and the urea cycle might be causes of deposit formation. ROS generation suggests that the course of kidney stones might be additionally potentiated by inflammation, purine metabolism and the urea cycle. On the other hand, ROS overproduction may induce activation of angiogenesis, and thus, allows deposit aggregation.

Impact of Urbanization and Dietary Patterns on Development of Colorectal Cancer in Indian Population – A Review

Urbanization, described as social development, benefits the human population if it is well planned. India contributes major distinctive facets of urbanization which is developing at remarkable rates. The regional distribution of population in India is irregular as only six large states are responsible for half of the urban populaces. India is also known for its different cultures, languages and food habits. Owing to the region-specific food habits, rice is cultivated widely and gives a better yield than the other grains. Pulses that are rich in protein are the next eminent source for people. One of the crucial underlying problems is people give more importance to the taste than nutritional value. As a consequence, immense counts of individuals who can manage to devour a healthy diet do not do so and instances of severe deficiency and malnutrition and certain other gut-associated diseases are seen. Colorectal cancer, which is the most prevailing cancer around the globe, is the major cause of cancer-associated mortality in developing countries. High-fat diet like animal fat that favors the growth of unwanted bacterial flora is the chief threat for colorectal cancer. It is well known that urbanization has fetched several modifications in the lifestyle and food habits which successively enhanced the threat of various diseases. Hence in this review, we focused mainly on the impact of rapid urbanization and other lifestyle and dietary habits on the development of colorectal cancer in India.

Study of Different Crystal Habits of Aprepitant: Dissolution and Material Attributes

In the present study, aprepitant (APT) was selected to find its suitable crystal habit, which can improve its existing poor dissolution and manufacturing processability. Solvents were screened out for solubility analysis of APT and further crystal habit modification. Solid-state characterization studies like powder X-ray diffraction (PXRD), differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), and Fourier infrared spectroscopy (FTIR) distinguished that tabular crystal habit was generated from acetone (APT-AC) and long tabular crystal habit was generated from ethyl acetate (APT-EA). Kawakita analysis and powder flow property studies showed that APT-EA is cohesive, has poor flow property and low bulk density compared to APT-AC (p &lt; 0.05). Heckel plots reflected that APT-EA shows higher fragmentation and particle rearrangement during the initial stages as indicated by the higher intercept values. Higher slopes in APT-EA and APT-AC confirmed better plasticity but lower yield pressure in APT-AC proved good plastic deformation compared to APT-EA (p &lt; 0.05). The dissolution profile of the APT-EA was found to be better than that of APT-AC. Overall, it can be concluded that APT-AC crystal habit has a better flow rate, tensile strength, and plasticity whereas APT-EA has better dissolution.

Epidemiology of Non-Malignant Oral Lesions in a Rural Population Attending a Tertiary Care Centre in Lucknow, U.P., India

Objective: To describe the epidemiology of non-malignant oral lesions in a rural population attending a tertiary care centre in Lucknow, India. Method: A total of 340 patients presenting with oral lesions for more than 2 weeks were enrolled in the study. Patients with proven malignancy, white patch in the oral cavity which can be scrapped off, e.g. oral candidiasis and urban patients were excluded from the assessment. Demographic profile, adverse oral habits and dietary habits of patients were noted. Data was analyzed using SPSS 21.0 software. Data has been represented as number and percentages. Results: Age of patients enrolled in the study ranged between 18 and 75 years, median age was 32 years and mean age was 33.86±10.65 years. Majority were aged 26-50 years (66.2%), were males (55.3%), were farmers/labourers (58.6%), were illiterate/educated upto primary grade (57.1%). Oral pain and burning sensation was the most common presenting complaint (45%). All the patients have two or more of the following habits – areca nut chewing, tobacco chewing and smoking. A total of 41.5% patients had all the three habits. Alcohol and spicy food consumption were reported by 12.6% and 84.4% patients. On histopathology, a total of 191 (56.18%) cases had premalignant lesions and 149 (43.82%) had benign lesions. Major premalignant types were leukoplakia (n=87; 45.5%), OSMF (n=62; 32.5%) and Erythroplakia (n=18; 9.4%). Aphthous ulcer major (n=74; 49.7%), geographical tongue (n=43; 28.9%) and traumatic ulcer (n=23; 15.4%) were the major benign lesions. Conclusion: In a rural population presenting with non-premalignant oral lesions areca nut, chewing tobacco and smoking were the major etiologies affecting mainly young adults. The high prevalence of premalignant lesions showed a high potential of their transformation to malignant status. Preventive measures with modification of oral habits are recommended. Keywords: Non-malignant oral lesions, Leukoplakia, oral submucous fibrosis, aphthous ulcer major, rural.

A importância da odontologia para as gestantes: Uma breve revisão

Este artigo consiste em uma revisão da literatura que aborda a relação entre odontologia e gestação, tanto em aspectos fisiológicos – transmissibilidade de microorganismos orais da mãe para a criança – quanto em aspectos psicológicos – percepção das condições de saúde bucal pelas gestantes. A gestação é um período especial na vida da mulher, no qual ela se torna mais receptiva à modificação de hábitos já adquiridos e à aquisição de novos comportamentos. Nesse contexto, é extremamente importante que o profissional conheça como a gestante percebe sua condição bucal, pois é a partir dessa percepção que ela irá moldar seu comportamento. Para os serviços de saúde, é a partir desse conhecimento que podem ser desenvolvidos programas educativos multidisciplinares que priorizem o pré-natal odontológico e garantam a precocidade da educação. É necessário que as gestantes desenvolvam uma gradual conscientização da importância de manter boas condições de saúde bucal, o que possibilitará reduzir a experiência de cárie na dentição de seus filhos.

Impact of lockdown on emergency general surgery during first 2020 COVID-19 outbreak.

PurposeTo evaluate and analyze the impact of lockdown strategy due to coronavirus disease 2019 (COVID-19) on emergency general surgery (EGS) in the Milan area at the beginning of pandemic outbreak.MethodsA survey was distributed to 14 different hospitals of the Milan area to analyze the variation of EGS procedures. Each hospital reported the number of EGS procedures in the same time frame comparing 2019 and 2020. The survey revealed that the number of patients during the COVID-19 pandemic outbreak in 2020 was reduced by 19% when compared with 2019. The decrease was statistically significant only for abdominal wall surgery. Interestingly, in 2020, there was an increase of three procedures: surgical intervention for acute mesenteric ischemia (p = 0.002), drainage of perianal abscesses (p = 0.000285), and cholecystostomy for acute cholecystitis (p = 0.08).ConclusionsDuring the first COVID-19 pandemic wave in the metropolitan area of Milan, the number of patients operated for emergency diseases decreased by around 19%. We believe that this decrease is related either to the fear of the population to ask for emergency department (ED) consultation and to a shift towards a more non-operative management in the surgeons ‘decision making’ process. The increase of acute mesenteric ischaemia and perianal abscess might be related to the modification of dietary habits and reduction of physical activity related to the lockdown.

COMMUNITY PHARMACIST INTERVENTION (PHARMAFIT PROTOCOL) SIGNIFICANTLY REDUCES CARDIOVASCULAR RISK IN OBESE PATIENTS

Objective: Cardiovascular disease is the leading cause of death worldwide and is strongly associated with obesity. Health education, nutritional follow-up, and modification of life style habits are key interventions for achieving reduction of cardiovascular risk (CVR) in obese patients. The hypothesis of this study is that an intervention in the community pharmacy prevents and/or reduces metabolic alterations associated with obesity thus leading to a reduction in CVR in this population. Design and method: A before-and-after interventional study was performed in a Spanish community pharmacy. Obese patients (BMI &gt; 30 kg/m2 and waist circumference &gt; 102 cm for men or &gt;88 cm for women) with (group A, n = 30) or without (group B, n = 14) comorbidities were asked to participate. In the first visit following variables were determined on-site: anthropometric values (weight, height, waist circumference), blood pressure, glycemic (glucose, HbA1c) and lipid parameters (total cholesterol, HDL-c, LDL-c, triglycerides). Interventions (PharmaFit Protocol) consisted in a 24-month follow-up focusing i) on adherence to nutritional guidelines and modification of life style habits (monthly), and ii) on anthropometric variables, blood pressure, and biochemical determinations (bi-monthly). Feedback was provided to the primary care physician or specialist. CVR was estimated by REGICOR score. Results: Anthropometric variables significantly decreased in all groups. Plasma glucose levels were significantly reduced in group A without changes in HbA1c. Lipid parameters significantly improved in group A, whereas HDL-c significantly raised in all groups. REGICOR score was significantly reduced in group A female (13.8 ± 1.6 vs 5.8 ± 1, p &lt; 0.0001) and male (12.7 ± 1.7 vs 4.4. ± 0.6, p &lt; 0.005) patients, and in group B female patients (3.5 ± 0.7 vs 1.9 ± 0.4, p &lt; 0.001). Conclusions: Community pharmacist intervention, delivered as a 24-month follow-up combining health and dietary education has a highly positive impact on CVR reduction in obese patients. This study stresses the importance of pharmacist intervention in both the reversal and prevention of CV disease when targeting obese patients.

Bariatric surgery exclusion: Psychiatric causes

IntroductionThe psychopathological causes that advise against a bariatric surgical procedure include any state that puts at risk the modification of habits and beliefs regarding eating behavior, wich condition weight loss and health improvement.ObjectivesTo Study the psychiatric profile of patients rejected for bariatric surgery at the Complejo Hospitalario Asistencial de León (León, Spain).MethodsRetrospective observational study. All patients for whom bariatric surgery procedure has been contraindicated for psychopathological reasons are included. 145 patients were evaluated in the context of the protocol for bariatric surgery. The following diagnostic scales were used as support: Salamanca Questionnaire, Plutchik Impulsivity Scale, Attitudes towards change in patients with eating disorders (ACTA), Bulimia Investigatory Test Edinburgh e, and European Quality of Life-5 Dimensions.Results41 Patients were rejected for psychiatric reasons (28.28%). The most frequent diagnoses are impulse control disorder (39%), followed by eating disorder (27%). Other diagnoses found are: depressive disorder (10%), adjustment disorder (5%), personality disorders, intellectual disability and generalized anxiety disorder (3%) 78% of them are women.ConclusionsUncontrolled psychiatric pathology is a contraindication to bariatric surgery. Impulse control disorder and eating disorder are related to overweight and obesity, so a diagnosis and treatment are necessary prior planning surgical procedure. Psychopathological variables determine the success of bariatric surgery procedures and it is mandatory to consider them in the process.DisclosureNo significant relationships.