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Meeting personal needs: hydration and nutrition
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
Food is sometimes found to be a source of comfort in periods of stress or anxiety. With Phillip, it would be important to consider whether these social and psychological factors are relevant. For example, are there sufficient activities for him to be involved in? Fad diets and erroneous health beliefs may lead people to follow diets that are too restricted to meet their needs. It is important that dietetic advice is sought.
Personal Weight Loss Strategies in Obesity
Published in Emily Crews Splane, Neil E. Rowland, Anaya Mitra, Psychology of Eating, 2019
Emily Crews Splane, Neil E. Rowland, Anaya Mitra
Despite it being a well-known secret that diet interventions and exercise interventions have both moderate and transient effects on weight loss, the fad diet and fad exercise industries are booming with annual revenue of 66 billion dollars in 2017 (“U.S. Weight Loss Market”, 2017).
A Patient’s Perspective on the Keys to Longevity 40 Years after Undergoing Coronary Artery Bypass Surgery
Published in James M. Rippe, Lifestyle Medicine, 2019
From a practical standpoint, this can be accomplished with three actions. First, don’t crash diet. It is a game for fools. Fad diets might help you lose a few pounds in the short run, but they are ineffective for a life-time. Consider this: we have had more than 60 years of quick weight-loss diet books. If a single one had worked—if the “cabbage soup” diet had worked!—we would be a nation of skinny folks.
Non-alcoholic Wernicke’s encephalopathy: toxic ingestion or an honest mis-steak?
Published in Journal of Community Hospital Internal Medicine Perspectives, 2021
Salahuddin Nasir, Moustafa Abou Areda, Elise L. Ma, Robert D. Chow, Avelino Verceles, Carol Chiung-Hui Peng
Thiamine is a water-soluble vitamin that is essential to energy metabolism. The body’s thiamine stores can be depleted without supplementation within 3 to 6 weeks. The average requirement per day is 1.0–2.0 mg of thiamine, which can be found through a variety of dietary sources, including vegetables and fruits[18]. It is becoming increasingly important to be aware of non-alcoholic WE as a potential consequence of fad-diets, which have been construed to yield a variety of benefits, including management of mood disorders, diabetes, arthritis, and weight loss. Fortunately, based on the published cases [4,7,10,15,17] as well as our case, early diagnosis and initiation of nutritional support are able to correct the nutritional imbalance and reverse the adverse neurological consequences[19].A thiamine serum measurement is not required to make this diagnosis as it is a clinical diagnosis made using the presenting symptomatology. A delay in diagnosis and treatment, however, can result in prolonged metabolic derangement, leading to irreversible brain damage with short-term memory loss, termed Korsakoff’s psychosis[2].
Cultural primer for cardiometabolic health: health disparities, structural factors, community, pathways to improvement, and clinical applications
Published in Postgraduate Medicine, 2018
A second epidemic in need of additional modes of prevention and management is T2D, largely driven by obesity. Obesity, like T2D, is not a benign condition; if biomarkers are sensitive, and the timeline is appreciable, metabolic dysfunction generally becomes evident [170–174]. The critical goal in T2D and obesity management is avoidance and delay of long-term complications, including CHD and death [175]. In both diseases, misbeliefs and denial may delay evidence-based therapies. For instance, exhortations to accept one’s excess weight or begin fad diets may undermine motivation to improve risk factors and seek approved treatment. Although compassionate and well-intentioned, compelling evidence with sufficient effect sizes using hard end points over long periods do not yet establish these methods accomplish these objectives [176–178]. Available studies use surrogate variables and psychosocial outcomes have begun to explore these issues. Stigmatizing and ‘fat shaming’ are indeed abhorrent and counterproductive, but such opprobrious terms per se, however injurious, do not justify personal inaction. Unfortunately, some authors regard weight acceptance and therapeutic motivation as mutually exclusive, but they are not. Rather, recent evidence [170–174] amply confirms what was previously dismissed as an assumption: corpulence is unhealthy [178]. Eventually additional research may identify how such approaches can best become part of comprehensive and evidence-based programs [179,180]. Long-term adherence and efficacy, sustained weight loss and exercise are the mainstays of current management [179]. Integration of psychological well-being data to optimize outcomes remains a challenge [181,182].
Food and alcohol disturbance by athlete status: the roles of drive for thinness, drive for muscularity, and sex
Published in Journal of American College Health, 2021
Madeline Palermo, Emily M. Choquette, Erica Ahlich, Diana Rancourt
Athlete-specific hypotheses were not supported for FAD – Diet & Exercise, but an overall main effect did emerge such that greater drive for thinness was associated with more FAD – Diet & Exercise. This is consistent with previous eating disorder literature demonstrating drive for thinness as a risk factor for disordered eating behaviors.17,18 While drive for thinness has been observed in female athletes16 there is limited evidence to suggest that female athletes report higher drive for thinness than non-athletes. Consistent with previous literature,40 in our sample both athletes and non-athletes endorsed similar levels of drive for thinness, which may explain why athlete status did not moderate this association. Additionally, some research suggests that participating in college athletics is protective against disordered eating behaviors,11,41,42 which may explain why our athlete-specific hypotheses were not supported. Although athletes may have been engaging in drinking behaviors, their status as an athlete may have reduced the likelihood that they would engage in disordered eating behaviors to compensate for the alcohol consumption. Another possibility is that athlete status may protect against engaging in drinking behaviors (and therefore protect against FAD) since athletes could be concerned about the impact of alcohol on their sport performance. While the FAD – Diet & Exercise behaviors are comparably the least maladaptive of the various FAD behaviors, more research is needed to understand the extent to which FAD-related diet and exercise behaviors are maladaptive (e.g., compulsive) and separate from athletes’ expected sport participation (e.g., additional unnecessary workouts).