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Leipzig, Germany

Hilbert A.,Charite - Medical University of Berlin | Brahler E.,Universitatsmedizin Leipzig | De Zwaan M.,Klinik fur Psychosomatik und Psychotherapie
PPmP Psychotherapie Psychosomatik Medizinische Psychologie

In a representative German population sample, the prevalence of eating disturbances was determined using the Eating Disorder Examination-Questionnaire. Overall, 3,9% revealed eating disturbances. In particular, young women and obese persons had an increased likelihood of these disturbances, but men and older persons were concerned as well. Further research is warranted on eating disturbances across the life span, both sexes and weight status. © Georg Thieme Verlag KG Stuttgart · New York. Source

Hartmann A.S.,Harvard University | Hilbert A.,Universitatsmedizin Leipzig
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz

Being overweight and obese in childhood and adolescence is associated with various somatic and psychosocial sequelae. Psychosocial problems can negatively influence the future weight trajectory. Therefore, weight reduction or stabilization should be complemented by the treatment of significant psychosocial problems. This review provides an overview of the psychosocial problems associated with being overweight and obese in childhood and adolescence. Evidence on weight-related stigmatization and discrimination, eating disorder symptoms, general psychopathology, impaired quality of life, lowered self-esteem, social skill deficits, as well as academic problems is summarized. Furthermore, state-of-the-art diagnostic and therapeutic procedures for the psychosocial problems are summarized. Future research should focus on the development of interventions targeting the destigmatization of obesity, as experiences of stigmatization and discrimination likely aggravate the psychosocial sequelae of overweight and obesity. © 2013 Springer-Verlag Berlin Heidelberg. Source

Weimann A.,Klinik fur Allgemein und Visceralchirurgie | Schutz T.,Universitatsmedizin Leipzig | Lipp T.,Allgemeinmedizinische Gemeinschaftspraxis | Lochs H.,Innsbruck Medical University | And 3 more authors.
Aktuelle Ernahrungsmedizin

Purpose: Development of an algorithm for the prescription of oral nutritional supplements for adult outpatients in the German health care system. Methods and Result: Linked to the S3-Guideline-Update of the German Society for Nutritional Medicine (DGEM) and following the process and methods for the development of clinical guidelines an evidence- and expert opinion based algorithm for the prescription of oral nutritional supplements was worked out. Discussion: The feasibility of the algorithm in clinical practice should be prospectively evaluated. A special focus has to be set on the expert opinion based outcome parameters for the clinical success of the nutritional intervention. © Georg Thieme Verlag KG.Stuttgart · New York. Source

Stingel K.,University of Hohenheim | Schutz T.,Universitatsmedizin Leipzig | Koller M.,University of Regensburg | Lochs H.,Innsbruck Medical University | And 2 more authors.
Aktuelle Ernahrungsmedizin

Purpose: Under the direction of the German Society of Nutritional Medicine the already existing guidelines of the German Society of Nutritional Medicine and the European Society for Clinical Nutrition and Metabolism (ESPEN) on the subjects Enteral Nutrition and Parenteral Nutrition will be updated and combined to one guideline on Clinical Nutrition. Methods: 13 interdisciplinary teams of altogether 96 experts in clinical nutrition were working on the guideline-update. A structured literature search applying a defined search strategy with inclusion criteria and specified keywords was the basis of the update. The strength of the evidence was evaluated according to published standards. Furthermore, the outcome-parameters of the trials were also evaluated by a system specially designed for this guideline-update. It was verified, if individual recommendations of other guidelines could be accepted or adapted. On this basis, recommendations were formulated which were not only based on the evidence levels of the studies but also on the judgment of the working groups concerning the consistence, clinical relevance and validity of the evidence. The initial recommendations were discussed and reworked under the nominal working group process. The voting of statements throughout the plenum took place in a preliminary voting and following consensus conference by the Delphi principle. Results: The several chapters of the guideline-update Clinical Nutrition reflect the current medical knowledge in the field of enteral and parenteral nutrition and summarize the evidence when nutritional support is indicated and which goals can be reached. They will be published gradually within a year. © Georg Thieme Verlag KG Stuttgart · New York. Source

Purpose: Bariatric surgery is carried out with increasing frequency to support weight-loss. There were several studies on the patients' motivation for this type of surgery. The purpose of the study was to determine the path of decision making with regard to bariatric surgery. Methods: In order to answer the question a total of eight patients were surveyed using guideline-based interviews. Of these, two patients were asked preoperatively and six after surgical intervention. Results: The interviews show that for all patients a long way of perceiving self-treatment as own personal responsibility precedes the access to bariatric surgery. The decision in favor of bariatric surgery is linked to discussions which are affected by both risk estimation and suppression. It became clear that knowledge concerning methodology and consequences of the procedure was mainly provided by other patients. Going through surgery is perceived as solution in terms of ending the psychological strain of being overweight. Conclusion: Further interviews are necessary to understand the process of decision making from the patient's point of view and to reduce prejudices towards patients that wish to employ bariatric surgery as an easy way to support weight-loss. This helps to identify reasons for failing sustainable weight reduction and to develop strategies for obesity therapy. © Georg Thieme Verlag KG Stuttgart New York. Source

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