Ardelt-Gattinger E.,Obesity Academy Austria |
Ardelt-Gattinger E.,University of Salzburg |
Ardelt-Gattinger E.,University of Graz |
Ardelt-Gattinger E.,Paracelsus Medizinischen Privatuniversitat Salzburg |
And 20 more authors.
Padiatrische Praxis | Year: 2011
There is controversy about role of craving and addiction in obesity. We have shown that obese adults fulfill the minimum three criteria of ICD 10 for the diagnosis »addiction«, that they do not differ significantly from either other substance addicts, that BMI groups differ significantly in »addiction to abnormal food intake« and that addiction is a strong predictor of weight loss after surgical and behavioral interventions. Here we attempt to replicate this in children with the help of seven studies. In four cross sectional studies (n = 4428, 2480 resp. 1886, studies 1, 5 and 6), we surveyed 10-16-year old pupils from a representative selection of Austrian schools. We interviewed 160 morbidly obese young patients and their parents (age 10-16), who wanted to participate in therapy trainings sessions (study 7). In two longitudinal studies we evaluated 10-14 year old participants (n = 50, study 2 and n = 67, studies 3 and 4) of interdisciplinary obesity group training. We used the child version of the »Questionnaire on addiction to overeating« (3). Children too fulfill the minimum three criteria of ICD 10 for the diagnosis »addiction«, percentiles differ significantly in »addiction to abnormal food intake«, addiction is a strong predictor of weight regain and weight loss, distinction can be made between addiction to overeating and eating disorders and the subjective burden of feeling addicted is stronger than the burden of being obese. These results prove the relevance of food craving/addiction in childhood. Contemporary studies in neuroscience support these results.
Diagnosis and therapy of degenerative modified lumbar spine-A precise anamneses in order to choose the successful treatment strategy [Diagnostik und Therapie der degenerativ veränderten Lendenwirbelsäule: Gezielte Indikationsstellung zur Einleitung eines erfolgversprechenden Therapieregimes]
Heider F.C.,Paracelsus Medizinischen Privatuniversitat Salzburg |
Siepe C.J.,Paracelsus Medizinischen Privatuniversitat Salzburg
Klinikarzt | Year: 2016
Chronic low back pain (LBP) resulting from a variety of different degenerative entities are a significant burden on western societies with an enormous socioeconomic impact. A precise anamneses, complete medical history, physical examination as well as imaging diagnostics are paramount in order to identify the underlying diagnosis and in order to choose the adequate and successful treatment strategy. In the majority of cases the clinical course is benign, with more than 80 % of patients affected recovering within a short period of only a few weeks or months after the first onset of complaints. Conservative therapy represents the mainstay of treatment. Surgery is recommended in cases of deteriorating neurological symptoms, for cases of failed conservative therapy and when additional diagnostics indicate relevant instabilities, infections or compression of the neural structures. The second part of the manuscript will provide a brief delineation of currently available surgical techniques. © Georg Thieme Verlag KG, Stuttgart, New York.