Restraint Scores Research Articles

GERD after Roux-en-Y Gastric Bypass: Prevalence and Risk Factors Analysis.

Background and Objectives: The prevalence of GERD is increasing among individuals with obesity, and RYGB is an effective procedure to control GERD and obesity. However, some patients continue to have GERD after RYGB. The aim of this study was to investigate the prevalence and the risk factors for GERD after RYGB. Material and Methods: This prospective study included 180 RYGB patients followed for an average of 12.2 (0.6) years. In total, 126 (70%) patients agreed to participate and provided data on their weight, GERD symptoms, and filled the GERD-HRQL, TFEQ-18, and GSRS questionnaires. Results: The average age before surgery was 42.7 (10.5) years, and BMI was 45.2 (6.4) kg/m2. Moreover, 128 (71.1%) were females, and preoperative GERD was diagnosed in 74 (41.1%) patients. At the 12-year follow-up, the mean %EBMIL and %TWL was 60.37 and 25.73, respectively. The median %WR was 18.0 (39.0). Postoperative GERD was present in 30 (23.8%) patients, of whom 12 (40%) continued to have GERD symptoms and 18 (60%) developed de novo GERD. The GERD-HRQL score significantly decreased from 3.0 (9.0) at baseline to 2.0 (5.0) (p = 0.028) at 12 years. GSRS Diarrhea and Indigestion scores increased significantly from 1.33 (0.67) to 1.5 (2.42) (p < 0.001) and from 2.0 (1.25) to 2.25 (1.25) (p < 0.001), respectively. No change in the cognitive restraint score was observed. Uncontrolled eating and emotional eating scores decreased from 51.85 (22.22) to 40.74 (33.33) (p < 0.001) and from 44.44 (44.44) to 33.33 (22.22) (p < 0.001), respectively. In the multivariate analysis, %WR > 11 (OR = 3.22, p = 0.029) and GSRS Diarrhea score (OR = 3.21, p = 0.027) were significant predictors of GERD 12 years after RYGB. Conclusions: RYGB was an effective procedure to control GERD; however, 23.8% had persistent or de novo GERD after 12 years. The independent risk factors associated with GERD after RYGB were weight regain and GSRS Diarrhea score.

Healthful Eating Behaviors among Couples Contribute to Lower Gestational Weight Gain.

Through longitudinal analysis from the GLOWING cohort study, we examined the independent and joint relationships between couples' eating behaviors and gestational weight gain (GWG). Pregnant persons (n = 218) and their non-pregnant partners (n = 157) completed an Eating Inventory. GWG was calculated as gestation weight at 36 weeks minus that at 10 weeks. General linear models were used to examine the relationships between GWG and the pregnant persons, non-pregnant partners, and couples (n = 137; mean of pregnant persons and non-pregnant partners) cognitive restraint (range 0-21), dietary disinhibition (range 0-18), and perceived hunger (range 0-14), with higher scores reflecting poorer eating behaviors. The adjusted models included race/ethnicity, education, income, marital status, and age. The pregnant persons and their non-pregnant partners' cognitive restraint, dietary disinhibition, and perceived hunger scores were 9.8 ± 4.7, 4.8 ± 3.2, and 4.4 ± 2.5 and 6.6 ± 4.6, 5.4 ± 3.4, and 4.7 ± 3.2, respectively. Higher cognitive restraint scores among the pregnant persons and couples were positively associated with GWG (p ≤ 0.04 for both). Stratified analyses revealed this was significant for the pregnant persons with overweight (p ≤ 0.04). The non-pregnant partners' eating behaviors alone were not significantly associated with GWG (p ≥ 0.31 for all). The other explored relationships between GWG and the couples' eating behaviors were insignificant (p ≥ 0.12 for all). Among the pregnant persons and couples, reduced GWG may be achieved with higher levels of restrained eating. Involving non-pregnant partners in programs to optimize GWG may be beneficial.

Determination of Eating Disorders Level and Risk Factors of University Students Studying Sports Education

Eating disorder has become an increasingly common problem among athletes. This study aims to determine eating disorder levels and risk factors of students studying sports education. This study was carried out on 1773 university students, 1084 (61.1%) of whom are female and 689 (38.9%) male, in the field of sports education in different provinces in Turkey. The information of the participants was collected with an individual information form and an Eating Disorder Examination Questionnaire (EDE-Q). All EDEQ sub-dimension scores and the total score were found to be statistically significantly higher in males than in females (p &amp;lt;0.05) except for the restraint score. It was found that, as BMI (Body Mass Index) value increased, there was a statistically significant increase in all sub-dimensions of EDEQ and EDEQ total score (p&amp;lt;0.05). Eating concern and shape concern scores were found to be statistically higher in those who did not perform physical activities than those who performed physical activities (respectively; p=0.030, p=0.004). An increase in the EDE-Q score indicates an increased risk of eating disorders. It can be said that being a male, having a high BMI, and engaging in strength/power sports increase the risk of eating disorders in individuals who receive sports education.

Latent profiles of emotion dysregulation among individuals with binge-spectrum eating disorders: Associations with eating disorder pathology.

Emotion dysregulation (i.e., a multi-component term comprising nonacceptance of emotional responses, difficulty engaging in goal-directed behaviour, impulse control difficulties, lack of emotional awareness, limited access to emotion regulation strategies, and lack of emotional clarity) is a well-established transdiagnostic risk and maintenance factor for eating disorders. To date, there is limited information on how varying scores on subdomains of emotion dysregulation may yield distinct profiles in individuals with binge-spectrum eating disorders (B-EDs), and how these emotion dysregulation profiles may inform resultant symptomatology. In the current study, treatment-seeking individuals with B-EDs (n=315) completed the Difficulties in Emotion Regulation Scale (DERS) and Eating Disorder Examination. Latent profile analysis was conducted on the six subscales of the DERS. Identified latent profiles were examined as predictors of eating disorder pathology using linear regression, and a two-class model of emotion dysregulation fit the data. Class 1 (n=113) was low in all of the DERS subscales, while Class 2 (n=202) was high in all of the DERS subscales. Individuals in Class 2 had a significantly higher frequency of compensatory behaviours in the past month (F(1,313)=12.97, p<0.001), and significantly higher restraint scores (F(1,313)=17.86, p<0.001). The classes also significantly differed in terms ofeating concern (F(1,313)=20.89, p<0.001) and shape concern (F(1,313)=4.59, p=0.03), with both being higher for Class 2. We found only two distinct classes of emotion dysregulation in B-ED's such that individuals were simply high or low in emotion dysregulation. These results suggest that it may be more valuable for future research to evaluate emotion dysregulation as a cohesive whole rather than conceptualising the construct as having truly distinct subdomains.

Symptoms of eating disorders and low energy availability in recreational active female runners

ObjectivesThis retrospective, cross-sectional study aimed to investigate symptoms of eating disorders (EDs) and low energy availability (LEA) among recreational female runners.MethodsFemales (18–39 years) (n=89) participating in running group sessions organised...

The Relationship Between Eating Behaviors and Functional Status in Female Patients Diagnosed with Fibromyalgia

Aim. To evaluate whether eating behaviors of female patients with fibromyalgia syndrome differ from those of the healthy population, what factors affect these behaviors, and whether eating behaviors are effective on patients’ life quality and functional status.&#x0D; Materials and Methods. This cross-sectional and observational study included 55 female fibromyalgia patients and 55 healthy female volunteers. All participants were assessed using demographic data, body mass index (BMI), and the Three-Factor Eating Questionnaire (TFEQ) (Uncontrolled Eating, Cognitive Restraint, Emotional Eating, and Hunger Susceptibility). Fibromyalgia patients were assessed using the Visual Analogue Scale (VAS) and Fibromyalgia Impact Questionnaire (FIQ).&#x0D; Results. BMI, Uncontrolled Eating, and Hunger Susceptibility scores differed significantly between fibromyalgia patients and healthy volunteers (p &lt; 0.05). In fibromyalgia patients, the TFEQ subscores were not correlated with the FIQ (p &gt; 0.05). There was a positive correlation between the Cognitive Restraint score and age, rest and night pain scores in fibromyalgia patients (p&lt; 0.05). Increasing age was an independent predictor of Cognitive Restraint in fibromyalgia patients (p=0.003).&#x0D; Conclusions. The proportion of overweight/obese patients, BMI, Uncontrolled Eating, and Hunger Susceptibility were significantly higher among fibromyalgia patients. Fibromyalgia patients’ eating behaviors were not associated with their quality of life and functional status. Increasing age appeared to be a predictor of Cognitive Restraint degree.

Emotional Eating as a Mediator in the Relationship between Dietary Restraint and Body Weight.

This study aimed to assess the relationships between routine and compensatory restraints and body mass index (BMI), as well as to explore the mediating role of emotional and external eating in the relationships between routine and compensatory restraints and BMI. Chinese adults aged ≥18 years with different weight statuses were invited to fill out an online questionnaire. Routine and compensatory restraints and emotional and external eating were assessed using the validated 13-item Chinese version of the Weight-Related Eating Questionnaire. Mediation analyses tested the mediation effects of emotional and external eating on the relationship between routine and compensatory restraints and BMI. In total, 949 participants (26.4% male) responded to the survey (mean age = 33 years, standard deviation (SD) = 14, mean BMI = 22.0 kg/m2, SD = 3.8). The mean routine restraint score was higher in the overweight/obese group (mean ± SD = 2.13 ± 0.76, p < 0.001) than in the normal weight (2.08 ± 0.89) and underweight (1.72 ± 0.94) groups. However, the normal weight group scored higher in compensatory restraint (2.88 ± 1.03, p = 0.021) than the overweight/obese (2.75 ± 0.93) and underweight (2.62 ± 1.04) groups. Routine restraint was related to higher BMI both directly (β = 0.07, p = 0.02) and indirectly through emotional eating (β = 0.04, 95% confidence interval (CI) = 0.03, 0.07). Compensatory restraint was only indirectly related to higher BMI through emotional eating (β = 0.04, 95% CI = 0.03, 0.07).

The Influence of Cultural Factors on Choosing Low-Emission Passenger Cars

The decrease in greenhouse gas emissions by passenger cars is one of the key factors for climate protection measures. Besides EU strategies for low-emission mobility, policy makers must consider the behavioural factors of buyers. This study aims to cover this gap by investigating the relation between the national cultural dimensions (Hofstede model) and car adoption by fuel type in EU countries. This could help car sellers to find better solutions for advertising cars with medium and low greenhouse gas emissions. To find better ways to increase the usage of medium- and low-emission cars using targeted advertising, correlations and a multiple regression analysis were used. The results show that the consumer preference for one type of fuel is correlated with at least one of Hofstede’s six cultural dimensions: the power distance index; individualism versus collectivism; masculinity versus femininity; the uncertainty avoidance index; long-term orientation versus short-term normative orientation; indulgence versus restraint. The major conclusion of the study underlines that, with increases in the individualism versus collectivism and indulgence versus restraint scores, the usage of low- and medium-emission cars also increases, and with the increase in the power distance and uncertainty avoidance index, the usage of low- and medium emission cars decreases. At the same time, the driving preference for low- and medium-emission vehicles decreases with the tendency towards collectivism and restraint of EU countries.

The moderating role of eating behaviour traits in the association between exposure to hot food takeaway outlets and body fatness

BackgroundPrevious studies demonstrated a relation between takeaway outlet exposure and health outcomes. Individual characteristics, such as eating behaviour traits, could make some people more susceptible to the influence of the food environment. Few studies have investigated this topic. We aimed to investigate the moderating role of eating behaviour traits (cognitive restraint, uncontrolled eating and emotional eating) in the association between neighbourhood exposure to hot food takeaway outlets (hereafter referred to as takeaway outlets), and takeaway food consumption and adiposity.MethodsWe used cross-sectional data from a cohort in Cambridgeshire, UK (The Fenland study). Takeaway outlet exposure was derived using participants’ residential address and data from local authorities and divided into quarters. The Three Factor Eating questionnaire (TFEQ-R18) was used to measure eating behaviour traits. Primary outcomes were consumption of takeaway-like foods (derived from food frequency questionnaire), and body fat percentage (measured using dual-energy X-ray absorptiometry).ResultsMean age of participants (n = 4791) was 51.0 (SD = 7.2) and 53.9% were female. Higher exposure to takeaway outlets in the neighbourhood and higher eating behaviour trait scores were independently associated with greater takeaway consumption and body fat percentage. Uncontrolled eating did not moderate the associations between takeaway outlet exposure and takeaway consumption or body fat percentage. The association between takeaway outlet exposure and takeaway consumption was slightly stronger in those with higher cognitive restraint scores, and the association between takeaway outlet exposure and body fat percentage was slightly stronger in those with lower emotional eating scores.ConclusionEating behaviour traits and exposure to takeaway outlets were associated with greater takeaway consumption and body fat, but evidence that individuals with certain traits are more susceptible to takeaway outlets was weak. The findings indicate that interventions at both the individual and environmental levels are needed to comprehensively address unhealthy diets.Trial registryISRCTN72077169

Prevalence of dietary supplement consumption among CrossFit practitioners.

We aimed to verify the prevalence of dietary supplements among CrossFit practitioners (CFPs), considering gender and training status. Still, we aimed to determine the type, reasons, and associated factors of dietary supplement utilization among CFPs. This is a cross-sectional, exploratory, and descriptive study with the snowball sampling method. Data were collected through online questionnaires using the Google Forms® tool. We included CFPs aged 18-64years, from Aug 1, 2020, to Sept 31, 2020. The questionnaire contained questions to assess the prevalence, type, and reasons for supplement use; also, we assessed information about sociodemographic variables and the prevalence of the main chronic morbidities. To analyze aspects of eating behavior and sleep-related parameters, we applied the three-factor eating questionnaire (TFEQ)-R21 and the Pittsburgh Sleep Quality Index questionnaire (PSQI), respectively. We assessed one hundred twelve (n = 112; 57 men; 55 women) CFPs (28.9 ± 7.64years old; body mass index (BMI), 25.5 ± 4.83kg/m2). Eighty-seven (50 men; 37 women; 28.2 ± 6.66years old; BMI, 25.4 ± 4.55kg/m2) reported using dietary supplements. Whey protein was the most used supplement (n = 70), followed by creatine (n = 54). Cognitive restraint (a dimension of eating behavior)score was higher in supplement users than in non-users (51.7 ± 18.6 vs. 42.6 ± 20.5; p = 0.040). Sleep-related parameters did not differ between supplement users and non-users. The most associated factors to supplement use were sex (being man; OR, 7.99; p = 0.007), sleep quality (poor; OR, 5.27; p = 0.045), CrossFit level (as prescribed (RX); OR, 4.51; p = 0.031), and cognitive restraint (OR, 1.03; p = 0.029). The CFPs, especially RX and Elite ones, showed a higher prevalence of supplement utilization. Anabolic-related supplements (i.e., whey protein and creatine) were the most used; moreover, several CFPs used supplements not supported by scientific evidence. Cognitive restraint scorewas higher in supplement users than in non-users. RX level, beingmen, and poor sleep quality were associated with supplement utilization. These data draw attention to the necessity of nutritional education for CrossFit coaches and athletes. Broader studies are necessary to confirm our findings.

Effect of Strength-Based Resilience on Patient's Length of Stay at the Renfrew Center for Eating Disorders.

Objective:Throughout past decades, physicians have sought to understand factors that contribute to severity of an eating disorder (ED). There is a potential relationship between patients' resilience and the recovery course of their disorder. The objective of this study is to examine the correlation between resilience, measured by indicators of mindfulness and restraint, and length of stay (LOS) at Renfrew Center for Eating Disorders.Materials and Methods:Data were obtained from Renfrew's database. Secondary analysis was conducted from this database. The database included women aged 13–75 years admitted to Renfrew. The database excluded males and individuals of ages <13 or >75 years old. Resilience was analyzed through Southampton Mindfulness Questionnaire (SMQ) and ED restraint. The dependent variable, LOS at Renfrew, was analyzed by multivariable linear regression, and multivariable logistic regression for LOS >45 days.Results:A sample of 2901 subjects was analyzed. There were significant associations between increased mindfulness scores and decreased restraint scores and a decreased LOS at Renfrew. For every 13-point increase in SMQ, the LOS was associated with a decrease by ∼1 day, and for every 1-point decrease in the restraint score (increased restraint), the LOS was associated with a decrease by ∼1 day. Higher restraint scores were independently associated with an increase in likelihood of LOS >45 days by 22.8%.Conclusions:The Renfrew data support the relationship between a patient's resilience and LOS. This information holds promise for future treatment approaches to improve strength-based modalities in patients suffering from EDs.

Exploratory analysis of eating- and physical activity-related outcomes from a randomized controlled trial for weight loss maintenance with exercise and liraglutide single or combination treatment

Weight regain after weight loss remains a major challenge in obesity treatment and may involve alteration of eating and sedentary behavior after weight loss. In this randomized, controlled, double-blind trial, adults with obesity were randomized, in a 1:1:1:1 ratio stratified by sex and age group (<40 years and ≥40 years), to one-year weight loss maintenance with exercise, the GLP-1 receptor agonist liraglutide, or the combination, as compared with placebo, after low-calorie diet-induced weight loss. Primary outcome was change in body weight, which has been published. Here, we investigated the effects of weight loss maintenance with exercise, liraglutide, or the combination on weight loss-induced changes in the pre-specified explorative outcomes, eating and sedentary behavior in 130 participants who completed the trial according to the study protocol (exercise (n = 26), liraglutide (n = 36), combination (n = 29), and placebo (n = 39)). One year after weight loss, the placebo group had decreased postprandial appetite suppression score by 14%, and increased sedentary time by 31 min/day and regained weight. Liraglutide prevented the decrease in postprandial appetite suppression score compared with placebo (0% vs. −14%; P = 0.023) and maintained weight loss. Exercise after weight loss did not increase appetite or sedentary behavior compared with placebo, despite increased exercise energy expenditure and maintained weight loss. The combination of exercise and liraglutide increased cognitive restraint score (13% vs. −9%; P = 0.042), reflecting a conscious restriction of food intake, and decreased sedentary time by 41 min/day (−10 vs. 31 min/day; 95%CI, −82.3 to −0.2; P = 0.049) compared with placebo, which may have facilitated the additional weight loss. Targeting both eating and sedentary behavior could be the most effective for preventing weight regain.Trial registration: EudraCT number, 2015-005585-32; clinicaltrials.gov number, NCT04122716.

Abstract P014: Disordered Eating And Cardiometabolic Risks In Chinese Women: The China Health And Nutrition Survey

Background: Disordered eating is associated with elevated cardiometabolic risks, yet most studies have been conducted in clinical settings with small European-ancestry samples. We investigated disordered eating and cardiometabolic risks in a large population-based sample of women in China. Methods: Participants included 1,999 Chinese women (aged 18-50 years) from the 2015 wave of the China Health and Nutrition Survey. Assessment for general disordered eating was via the SCOFF screener. Additional questions from the Eating Disorder Examination-Questionnaire were included to assess three disordered eating characteristics (i.e., restraint, shape concern, and weight concern). Ten cardiometabolic risk factors (i.e., body mass index [BMI], waist circumference/height ratio [WHR], systolic blood pressure [SBP], diastolic blood pressure [DBP], HbA1c, glucose, total cholesterol, high-density lipoprotein cholesterol [HDL-C], low-density cholesterol, and triglycerides [TG]) were measured by trained staff or with automatic biochemistry analyzer. Generalized linear models were used to examine associations between general disordered eating and each disordered eating characteristic with all 10 cardiometabolic risk factors. Poisson regression models were conducted to examine associations between general disordered eating and each disordered eating characteristic with the total number of cardiometabolic risk factors. We adjusted for potential confounders (age, urbanization index, education level, and alcohol use) and dependencies between individuals in the same household and community in regression models. A significance level of p &lt;0.05 was used in all analyses. Results: General disordered eating was significantly associated with higher BMI ( p =.0040), WHR ( p =.0205), and lower HDL-C ( p =.0065). For specific disordered eating characteristics, a higher restraint score was significantly associated with higher BMI ( p =.0383). A higher shape concern score was significantly associated with higher BMI ( p &lt;.0001), WHR ( p &lt;.0001), SBP ( p= .0013), DBP ( p= .0006), TG ( p= .0438), and lower HDL-C ( p= .0002). A higher weight concern score was significantly associated with higher BMI ( p &lt;.0001), WHR ( p &lt;.0001), SBP ( p= .0098), DBP ( p= .0066), HbA1c ( p= .0428), glucose ( p= .0410), TG ( p= .0144), and lower HDL-C ( p &lt;.0001). Overall, higher shape and weight concern scores were associated with more cardiometabolic risk factors than lower scores ( p s&lt;.0001). Conclusions: Our findings suggest that disordered eating is associated with a higher level of cardiometabolic risks in Chinese women, corroborating previous findings in other ancestries. For women with disordered eating symptoms, especially shape and weight concerns, healthcare providers should screen for their risks of cardiometabolic diseases. Future studies should investigate mechanisms underlying this comorbidity.

High-Risk Alcohol Use and Disordered Eating Behavior Before and 1 Year After Sleeve Gastrectomy

BackgroundEvidence suggests a rise in alcohol misuse after some bariatric procedures. Whether undergoing sleeve gastrectomy raises the risk of high-risk alcohol use is unclear.ObjectiveTo characterize the risk of high-risk alcohol use 1 year after sleeve gastrectomy and collect preliminary data on potential associations between disordered eating and high-risk drinking post-surgery.MethodsWe interviewed 97 patients before and 1 year after sleeve gastrectomy and assessed for high-risk alcohol use via a modified version of the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). Eating behavior was assessed using the Three Factor Eating Questionnaire Revised-18 (TFEQ-R18).ResultsThe prevalence of high-risk drinking increased from 13.4% prior to surgery to 22.7% 1 year after sleeve gastrectomy; 16.5% of our sample reported new high-risk drinking equivalent to an incidence of 19.0%. New high-risk drinkers appeared more likely to report lower cognitive restraint scores and higher scores for emotional and uncontrolled eating at baseline and had larger improvements in disordered eating scores post-surgery although these differences approached, but did not reach, statistical significance.ConclusionOne in five non-high-risk drinkers developed new high-risk alcohol intake 1 year after sleeve gastrectomy. New high-risk drinkers appear to have greater disordered eating at baseline and reported greater improvement in eating behavior than those who did not develop new high-risk drinking. These results are consistent with the addiction transfer hypothesis postulating that some patients may replace disordered eating with alcohol misuse after sleeve gastrectomy.Graphical abstract Supplementary InformationThe online version contains supplementary material available at 10.1007/s11695-021-05847-3.

The effect of emotional eating on body weight and eating habits in adults

The aim of this study is to evaluate the effect of emotional nutrition on body weight and eating habits in adults. 2461 volunteers between the ages of 18-and 65 (40.7±13.6 years) participated in this cross-sectional study (M=677, F=1784). Research data were collected with a face-to-face questionnaire. The participants' nutritional habits and status were evaluated with the three-factor eating questionnaire (TFEQ) and a 24-hour dietary recall form. The “International Physical Activity Assessment Questionnaire - Short Form” was used to determine the physical activity level of individuals. Body mass index was calculated by measuring height and body weight. At the end of the study, it was found that 34.5% of the participants were overweight, and 25.1% were obese. The uncontrolled eating and hunger score were significantly higher, whereas it was low in cognitive restraint in individuals who consumed grains as much or more than recommended (p&lt;0.05). And higher cognitive restraint score was found in those who stated that they consumed the milk and dairy products, vegetable and fruit groups as much or more than recommended and the grains less than recommended (p&lt;0.05). In addition, dietary disinhibition (OR=1.142, 95% CI=1.097-1.189), cognitive restriction (OR=1.076, 95% CI=1.050-1.103) and fasting (OR=1.084, 95% CI=1.033-1.137) scores of TEFQ sub-factors been shown to significantly increase the risk of being overweight/obese (p&lt;0.001). These results show that emotional eating has a significant effect on body weight. For this reason, a multidisciplinary approach is required to evaluate the effect of diet therapy and nutrition on the patient and take into account the patient's emotional state, especially in the treatment and control of obesity.

Is there any mediatory association between health-related quality of life and eating behaviors to affect dietary inflammatory index (DII) among reproductive-aged women? A structural equation modeling approach

BackgroundIn the current study, we aimed to evaluate the association between dietary inflammatory potential, eating patterns, and quality of life among women. MethodsThis cross-sectional study involved 278 reproductive-aged women with obesity or overweight. Validated food frequency questionnaire (FFQ), the Short Form 36 (SF-36) questionnaire, the three-factor eating questionnaire (TFEQ)-18, and the Pittsburgh sleep quality index (PSQI) were used to evaluate dietary intakes, quality of life, eating behaviors, and sleep quality, respectively. Structural equation modeling (SEM) was used to assess the association between variables. ResultsBeing unemployed, single, and having no children were determinants of choosing a diet with higher inflammatory potential. In multivariate logistic regression, higher DII scores were associated with lower quality of life components. In structural equation modeling, DII was negatively associated with waist circumference and cognitive restraint. ConclusionWomen with higher restraint scores and women with higher waist circumferences were more likely to follow an anti-inflammatory diet. Further studies are warranted to better elucidate the mediatory associations between assessed variables to affect DII in this population.

Running-related injuries in middle school cross-country runners: Prevalence and characteristics of common injuries.

Understanding the prevalence and factors associated with running-related injuries in middle school runners may guide injury prevention. To determine the prevalence of running-related injuries and describe factors related to a history of injury. Retrospective cross-sectional study. Survey distributed online to middle school runners. Participants completed a web-based survey regarding prior running-related injuries, training, sleep, diet, and sport participation. Prevalence and characteristics differentiating girls and boys with and without running-related injury history adjusted for age. Youth runners (total: 2113, average age, 13.2 years; boys: n = 1255, girls: n = 858). Running-related injuries were more prevalent in girls (56% vs. 50%, p = .01). Ankle sprain was the most common injury (girls: 22.5%, boys: 21.6%), followed by patellofemoral pain (20.4% vs. 7.8%) and shin splints (13.6% vs. 5.9%); both were more prevalent in girls (p < .001). Boys more frequently reported plantar fasciitis (5.6% vs. 3.3%, p = .01), iliotibial band syndrome (4.1% vs. 1.4%, p = .001) and Osgood-Schlatter disease (3.8% vs. 1.2%, p = .001). Runners with history of running-related injuries were older, ran greater average weekly mileage, ran faster, had fewer average hours of sleep on weekends, skipped more meals, missed breakfast, and consumed less milk (all p < .05). Girls with history of running-related injuries reported higher dietary restraint scores, later age of menarche, more menstrual cycle disturbances, and higher likelihood of following vegetarian diets and an eating disorder diagnosis (all p < .05). Runners with no history of running-related injuries were more likely to have participated in ≥2 years of soccer or basketball (p < .001). Most middle school runners reported a history of running-related injuries and certain injuries differing by gender. Modifiable factors with the greatest association with running-related injuries included training volume, dietary restraint, skipping meals, and less sleep. Sport sampling, including participation in ball sports, may reduce running-related injury risk in this population.

Do sociodemographic factors and anthropometric measurements affect eating behavior patterns?

PurposeObesity is a chronic disease and it is very important to determine the underlying factors at the early stage. Disturbance in eating behaviors may predict the obesity risk.Design/methodology/approachIn the present study, it was aimed to investigate eating behavior of Turkish adults by using The Three-Factor Eating Questionnaire-R18 (TFEQ-R18) and to analyze the association between anthropometric measurements and socio-demographic factors.FindingsIndividuals composed of 698 males, aged 28.6 ± 10.3 years and 1,736 females, aged 25.1 ± 7.8 years. Demographic characteristics participants were obtained via a questionnaire. TFEQ-R18for assessing eating behavior was used. Results claim that the usage of TFEQ-R18 was appropriate for non-obese individuals (Cronbach’s α value 0.83 for underweight group (n = 180, 7.4%), 0.76 for normal group (n = 1604, 65.9%), 0.69 for overweight group (n = 492, 20.2%), 0.69 obese group (n = 158, 6.5%). Gender seems to effect emotional eating scores (p = 0.026) and employment status seem to affect all TFEQ-R18 sub-group dimensions (cognitive eating scores, p = 0.022, uncontrolled eating scores, p < 0.001, emotional eating scores, p < 0.001). Divorced individuals tend to have higher cognitive restraint scores (16.2 ± 3.7). Although, single people have higher emotional eating scores (7.5 ± 2.6) (p = 0.006). There is a positive correlation among waist–height ratio, waist and neck circumference and cognitive restraint and uncontrolled eating scores (p < 0.001). However, body weight and height correlate negatively with cognitive restraint scores (p < 0.001).Originality/valueAccording to the authors’ knowledge, this study gives brief results for the usage of TFEQ-R18 and the ability to predict eating behaviors in the general population.

Individuals Higher in Eating Restraint Show Heightened Physiological Arousal to Food Images

Individuals higher in eating restraint report feeling ambivalent (i.e., both positive and negative) about food, regardless of whether it is perceived to be unhealthy or healthy (Norris, Do, Close &amp;amp; Deswert, 2019). Given that ambivalence is thought to be a highly unpleasant, unstable, and arousing state, we sought in the current study to examine whether individuals higher in eating restraint show enhanced physiological arousal toward food (but not nonfood) images. Replicating our earlier findings (Norris et al., 2019), individuals higher in eating restraint exhibited more ambivalence towards both unhealthy and healthy food (but not nonfood) images than did those lower in eating restraint. Importantly, skin conductance reactivity (SCR) toward both unhealthy and healthy food images was greater for individuals higher in eating restraint than those lower in eating restraint; there were no group differences for nonfood images. Furthermore, eating restraint scores were positively correlated with SCR toward both unhealthy and healthy food images, suggesting that more extreme restraint is associated with stronger physiological arousal. Together, our results suggest that individuals higher in eating restraint experience more ambivalence and enhanced physiological arousal toward food images regardless of their perceived health value. Implications for treating individuals with eating disorders are discussed.

Correlates of neural adaptation to food cues and taste: the role of obesity risk factors.

Identifying correlates of brain response to food cues and taste provides critical information on individual differences that may influence variability in eating behavior. However, a few studies examine how brain response changes over repeated exposures and the individual factors that are associated with these changes. Using functional magnetic resonance imaging, we examined how brain response to a palatable taste and proceeding cues changed over repeated exposures and how individual differences in weight, familial obesity risk, dietary restraint and reward responsiveness correlate with these changes. In healthy-weight adolescents (n = 154), caudate and posterior cingulate cortex (PCC) response increased with repeated cue presentations, and oral somatosensory cortex and insula response increased with repeated milkshake tastes. The magnitude of increase over exposures in the left PCC to cues was positively associated with body mass index percentile (r = 0.18, P = 0.026) and negatively associated with dietary restraint scores (r = -0.24, P = 0.003). Adolescents with familial obesity risk showed higher cue-evoked caudate response across time, compared to the low-risk group (r = 0.12, P = 0.035). Reward responsiveness positively correlated with right oral somatosensory cortex/insula response to milkshake over time (r = 0.19, P = 0.018). The results show that neural responses to food cues and taste change over time and that individual differences related to weight gain are correlated with these changes.