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Al-Halabi S.,University of Oviedo | Garcia-Portilla M.P.,University of Oviedo | Saiz P.A.,University of Oviedo | Fonseca E.,University of La Rioja | And 9 more authors.
Comprehensive Psychiatry | Year: 2012

Objective: Clinicians need brief and valid instruments to monitor the psychosocial impact of weight gain in persons with psychiatric disorders. We examined the psychometric properties of the Spanish version of the Body Weight, Image and Self-Esteem Evaluation (B-WISE) questionnaire in patients with severe mental disorders. Method: The data come from a naturalistic, cross-sectional, validation study conducted at 6 centres in Spain. A total of 211 outpatients with severe mental disorders, 118 with schizophrenia and 93 with bipolar disorder, were evaluated using the B-WISE, the Visual Analogue Scale for Weight and Body Image, and the Clinical Global Impression-Severity (CGI-S). The body mass index was also obtained. Results: The principal component analysis confirms 3 components explaining 50.93% of the variance. The Cronbach α values for B-WISE scales ranged between.55 and.73. Significant Pearson correlations were found between B-WISE total score and CGI-S (r = - 0.25; P <.001) and Visual Analogue Scale for Weight and Body Image (r = 0.47; P <.001). The B-WISE discriminates among patients with mild, moderate, and severe mental disorders according to CGI-S scores (F = 6.52; P <.005). Body mass index categorization significantly influenced total B-WISE scores (F = 3.586, P <.050). The B-WISE score corresponding to the 5th and 10th percentiles was 22. Conclusions: We were able to demonstrate that the Spanish version of the B-WISE is a valid instrument for assessing psychosocial impact of weight gain in patients with severe mental disorders in daily clinical practice. © 2012 Elsevier Inc. © 2012 Elsevier Inc. All rights reserved.

Andreu A.,Hospital Clinico iversitario Of Barcelona | Moize V.,Hospital Clinico iversitario Of Barcelona | Rodriguez L.,Hospital Clinico iversitario Of Barcelona | Flores L.,Hospital Clinico iversitario Of Barcelona | Vidal J.,Hospital Clinico iversitario Of Barcelona
Actividad Dietetica | Year: 2010

Introduction: The protein objective (PO) after bariatric surgery is reason for debate. The wide range of recommendations (60-80 g prot/day or 0.8-1.5 g prot/kg of ideal weight [IW]/day) illustrates the lack of consensus. Objective: To assess the achievement of two different POs (60 g prot/day and 1.2 g prot/kg IW/day) after surgery on obesity and the effect of the protein supplements (PS) on the achievement of these POs. Material and methods: 101 people (75% women aged 43.2 ± 1 years old, with a BMI of 47.7 ± 0.7) are studied before surgery and, after 4, 8 and 12 months, an assessment is done on: the protein consumption (PC) and the recommended adherence to PS (a 3-day diet record). Results: The PC (g of protein/day) before surgery was 97.9 ± 3.5 and, after 4, 8 and 12 months, it was 56.9 ± 1.9, 67.2 ± 1.8 and 71.3 ± 2.3. PO1 (60 g) was not achieved by 5, 45, 35 and 37% respectively. PO2 (1.2 g prot/ kg IW/day) was not achieved by 32, 87, 75 and 68% respectively. 63.4, 50.5 and 33.7% adhered to the PS after 4, 8 and 12 months after surgery and the fact that they were followed was significantly related to the achievement of the POs after each period (p < 0.05). Conclusions: There are difficulties in achieving the proposed protein objectives after surgery on obesity. Protein supplementing helps to reach the protein objectives after bariatric surgery. © 2010 AEBM, AEFA y SEQC.

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